>i always urge people to try gentian violet first. why? cheap, i can give
it to
>them, works fast, doesn't need an RX, probably less thrush is resistant to it
>than to anything else. and purple is my favorite color.

I use GV first also because it is a good "test" for the questionable cases,
which I still encounter.  If the nipples feel better, sometimes by the next
feeding, then I know that we are looking at the correct cause of the nipple
pain.

>i also now tell all my moms to use the equivalent of the APNC, without the
>anti-fungal if they wish and there are no signs of thrush yet.

So is what you have left the mupirocin 2% ointment (5 grams)
betamethasone 0.1% ointment (5 grams)?

Have any of you tried the APNC, with all of its ingredienats when there
isn't consideration of yeast?

I had 2 "successful" experiences this week.  An OB and a Ped prescribed
fluconazole to their patients after I talked to them about its use and
effectiveness. It was so refreshing--after several weeks of struggle with
HCPs.

My Dream Job is as LC without yeast.  I remember when most of my cases were
difficulty latching, or positioning problems, or tongue tie.  I guess that,
at that time, any mother who was in as much pain as the ones I see today,
would reach immediately for the bottle and never look back.  These women
are truly heroic for all that they go through.

Patricia Gima, IBCLC
Milwaukee, Wisconsin, USA




>carol brussel IBCLC
>promoter of purple nipples
>
>
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