This same situation was discussed on a private practitioners' list I am on.
That Mom was pumping for premies, too.  It was diagnosed by a clever MD-MPH
as fungal in origin -- but *not* Candida/thrush.  Antifungal therapy
improved the situation.  The pump parts Mom is using probably need a
heavy-duty cleaning, as well.  My thanks to Robin Frees and Liz Flight,
PPLCers who shared their wisdom on crusty-nipple moms.

-- 
Liz Brooks JD IBCLC FILCA
Wyndmoor, PA, USA

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome