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Subject:
From:
Kershaw Jane <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 14 Feb 2007 14:17:00 -0600
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Is mom using miconazole based or other cream that she doesn't wipe off
before feeding for nipples?  Perhaps the yeast is resistant to nystatin?
What about baby using oral diflucan? Mom doing anything with diet,
supplements etc? 

-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Brandi Thomas
Sent: Wednesday, February 14, 2007 1:15 PM
Subject: thrush

HELLPPP!
I have permission to post. I have been working with a mother who seems
to have reaccurring yeast infection. She has tried everything I know.
Gentian Violet both mom and baby, Mom tx with Diflucan  for 2-3 weeks.
Baby treated with nystain after each feeding for 6 weeks. Mom can see
thrush in babies mouth. She changes her bra daily, no pads, no
pacicifers. Not feeding EBM. 
Using Lotrimin on infant bottom. Using paper towels instead of towel. Is
constantly washing her hands. Her signs and symptoms are as follows: at
first she was having deep breast pain raidiating aroubd to her axilla.
Now she states there is no breast pain. But, the burning (I feel like I
am on fire) goes from her back up her neck. She says she really doesn't
asssociate the pain with breastfeeding. The infant know has visible
thrush. Con't nystatin. Mom tearful getting very discouraged. I
encouraged her to have dad treated even though he has no symptoms. There
are no siblings. I also encouraged a breastmilk culture. I had her
remove all current toys from the babies environment. Please send me any
suggestion or thoughts via lactnet or private.
[log in to unmask]
Thanks,
Brandi Thomas RN, CLC (IBCLC hopeful in July)

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