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Subject:
From:
Diane Wiessinger <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 3 Aug 1998 03:20:23 -0500
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>Woman with a five month old, breastfeeding.
>Just after he was born he was diagnosed with trush. Baby got nystatin labaz.
>After three courses (don't know how long) they thought it was under control.
>Feedings became more pleasant. Unfortunatly  the trush came back with mom
>(or never left). After the whole show of nystatin and daktarin (which made
>her nipples crack), she still thinks it isn't gone. She even thinks it's
>worse.

I've had 2 clients clear their persistent thrush by the moms taking
nystatin capsules.  One even commented that all along she'd had a funny
taste in her mouth, and felt her own tongue might have been a little coated
toward the back.  When she took the capsules (for a month total), her taste
returned to normal.  Both clients were reluctant (or had docs who were
reluctant) to use diflucan.

Oral nystatin isn't well absorbed from the g-i tract, so it really
"shouldn't" help with nipple thrush, but I've wondered:  might some moms be
reinfecting themselves and their babies from their own mouths?  We moms do
a lot of hand-mouth-baby stuff, from kisses to licking a finger to take
baby off breast, and perhaps their thrush persisted because no one had
gotten to every source of their infection?  Anyway, it worked.  One mom -
who had no visible signs of thrush in mom or baby - was painfree for the
first time in 9 months!

Diane Wiessinger, MS, IBCLC, LLLL  Ithaca, NY

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