Jessica, since one of the cracks hasn't healed, I wonder if you have thought
of investigating a bacterial infection, such as staph aureus? It may be
that she needs a systemic antibiotic in order to turn the corner and
improve.
Virginia
In Brisbane.
Jessica Sattler wrote:
I would love to hear any thoughts on this for a friend of mine. I have her
permission to post:
Second time mom, vaginal birth to term, healthy baby girl with tongue tie
seven weeks ago. Diagnosed by midwife with thrush, and have been treating
both mom, then baby for ~4 weeks. Here are the high points from an email:
+++++
Baby:
-tried Nystation for a short time, then went on Diflucan for about 2.5 weeks
(1 mg/day). Medicine is about gone now.
Mom:
-on Diflucan for about four weeks now (initially 100 mg day, then 200/day).
-taking Natren Healthy Trinity 3 times a day (two pills each time) -taking
250g grapefruit seed extract three times a day -applying liquid grapefruit
seed extract to nipples -wearing bras and shirts and using towels only once.
-rinsing clothing in vinegar during wash -applying Dr. Jack Newman’s all
purpose nipple ointment after each feeding. This contains Mupirocin 2%
ointment (15 grams), Betamethasone 0.1% ointment (15 grams) and miconazole
powder so that the final concentration is 2% miconazole -taking one capsule
of coconut oil per day and using coconut oil for any cooking (which isn’t
much) -each yogurt and grapefruit daily -just recently, started avoiding
white carbs and sweets.
-have been attending a weekly breastfeeding support group to get assistance.
Many of the things I’m doing already were recommended there.
Some additional factors are:
-Breastfeeding started out very rough and we had to cut Linden’s frenulum.
I had cracks and bleeding. The largest crack is still not healed.
-my diet is pretty high in sugar. I was hoping to be able to get rid of it
without restricting my diet, but it seems that may not be possible.
-as was the case with Soren, the symptoms are clear in me (red and sore
nipples, shooting pain through breast) but not very visible in the
baby.+++++ In a later email she let me know she also has symptoms of
Raynaud's, and had it also in concert with thrush with her last baby. Things
I've suggested:-trip to derm to rule out other skin conditions-white
vinegar/water rinse-warm air dry nipples (hairdryer on warm
setting?)-coconut oil topically to nipples-warm packs after nursing (rice
sock?)-B6/ calcium/ magnesium-nifedipine My thinking is that since the
standard thrush treatments don't seem to be working, that the Raynaud's
would be the first priority to manage, the rationale being that with good
bloodflow, healing will happen.
What am I missing? Other thoughts? Thank you for reading this long!
Many thanks!Jessica Sattler, mother/baby RN IBCLC hopeful in 2011!
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