Hello, fellow Lactnetters. I have posted opinions before but never asked
for expert opinion and experience. I am a humble LLL Leader hoping that
some of you more knowledgable professionals can help me with this one.
I have a mom who has been diagnosed with Thrush (she is exhibiting
symptoms - pain in the nipple and the breast *all* the time, not just during
feeds- in the left breast only) and has been prescribed Nilstat Suspension
(100,000 UR) to be applied 3x per day till finished (48ml jar). She applied
the Nilstat twice and then, wanting more immediate relief, she switched to
Gentian Violet. She has applied the GV 3 times, but the pain seems to have
worsened, and 24 hours after the first application of GV she developed a
small open wound on her nipple which she described as a "hole". I suggested
she stop using the GV and go back to the Nilstat - thinking perhaps she was
reacting to the GV, or had applied incorrectly, or that the GV and Nilstat
were reacting to each other. She was not using the Nilstat when she was
using the GV, but I do not know how close together were her last application
of Nilstat and her first app. of GV.
The baby is about 6 weeks old and has a thickly coated white tongue, but her
doctor did not prescribe anything for the baby, as she did not see any
"white spots". I suggested that baby needed to be treated as well, and that
using GV on the tongue (if she could get it on!) would work, or she could
just let baby suck it off her nipple.
This mom is in quite a lot of pain, her morale is quite low and she is at
the point where she is dreading feeding times. She has decided to nurse
only on the right, pain-free breast for 24 - 48 hours to give her left
nipple a chance to heal. She will hand-express during that time.
I'm not sure where to go with this one. Should she just stick it out, keep
using the Nilstat and hope for the best? Should she get something else?
Could the GV have caused the open wound? As she has pain and symptoms in
only one breast, could we be dealing with something other, or something
more, than trush? If she uses the Nilstat, what should she be using on the
baby? Should she be applying the remedy to both nipples anyway, or just the
one exhibiting symptoms? How long can she nurse on the right side
exclusively without it affecting the milk supply on the left side?
I would really appreciate some prompt responses to this as this mom is quite
desperate. Any help you can give me would be great.
One other quick thing, also about thrush: Does anybody know of any herbal,
homepathic, etc. remedies that can be used to prevent monthly outbreaks of
thrush (in the mother - symptoms are nipple pain, red nipples, dry vagina,
and white yeasty clumps of discharge) that occur, like clockwork, with
ovulation?
Thank you so much.
Karyn-grace Clarke
LLLC Leader, Brampton, Ontario, Canada
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