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Subject:
From:
Yulanda Ridge <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 18 May 2005 10:32:28 +0200
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Hi there!

 

Please would you be able to give me some feed-back on this mommy's condition
on her nipples? (I have her permission to post)

I've posted the pics on my web-site at
http://www.yridge.com/Default.aspx?tabid=2116 (these are pics of the left
and right breasts)

(Most of my site is still under construction)

 

I saw this mommy a few days ago for the first time, and although I've seen
thrush on nipples before, these photos don't seem to do justice to what I
saw there.

 

The problem started about 2 months ago when baby was put onto antibiotics
for an ear infection. 

Baby then got thrush in his mouth (no nappy rash) and mom's nipples became
sore. 

Mom and baby were given Nyastatin, which helped for baby, but moms nipples
have not healed despite trying using the Nystatin continuously. Baby is now
almost 5 months old and - to the mom's credit, is still only feeding from
the breast - no pacifier, no solids. But she is really battling and is in a
lot of pain.

She has been using Pigeon Disposable breast pads and changing them
frequently, but says they get soaked at night when she's asleep.

She used to sleep with a nylon bra as it was more comfortable, but I've
advised her only to use cotton bra or sleep without a bra (but she says she
leaks all over then)

The mother says her nipples are very sore - it pains - and the areola is
weepy and the skin flakes off continuously. She described it as "water
coming out of little sores on the skin". There are often spots of blood on
the breast pads when she removes them.

Her whole breast often itches terribly, although there's nothing noticeable
on the actual skin there.

There are no actual shooting pains in the breasts.

The mother did not have vaginal thrush.

Baby has just been diagnosed with thrush in the mouth again and is on
Candacide.

The mother has also just been given a Cortisone cream to apply.

The only other nipple cream the mother has used in between is Lansinoh.

 

The mother's diet is not very good - she does not eat any veggies or fruit. 

I have advised her to stay off sugar and yeast products.

I have advised her to sit in the sun twice a day, to keep nipples 'dry'. I
usually have a solution of 2tsp Bicarb to a cup of cooled boiled water that
I suggest that Thrush mommies bathe their nipple area with, before
hair-drying it on a low setting, and then apply Lansinoh very sparingly to
stop any leaked milk from coming into contact with the skin again and
'feeding' the thrush, but this does not seem to be working in her case.

 

I've given her Dr. Newman's APNO recipe for the pharmacist to make up, and I
wonder about Gentian Violet - but have heard that it's not safe to use and
that it's an 'old fashioned' recipe for thrush? Does anyone know about this?

 

Do you think this is thrush or something else??

Any advice would be most welcome! (a.s.a.p. please as we're going away for a
few days from tomorrow afternoon)

 

Yulanda Ridge in South Africa

LC & mother of 3. 

 

 

 

 


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