Hi  Denise,  sorry about your sore mommy.  If it were yeast, we go by dr Hales 
book and give 200mg stat, then 100 -150 daily x21 days.  So if yeast were 
the case, and it does sound suspcious, i believe she was undertreated. From 
what I have personnally seen is it takes about 5 days for some relief.  In the 
meantime, I usually have them start with APNO, and/or gentian violet until the 
diflucan kicks in.  She certainly could have several things going on at the 
same time.  Funny they can't feel a blocked duct, maybe its really deep.  If 
you can get your hands on a copy of Dr Hales protocol for deep ductal 
candidas, you will see what I mean about underprescribing.  I have had a 
nurse friend who just had her 3rd. ....Had yeast with everyone and never 
treated it because they didn't know what they had.  BB had no signs in 
mouth.  I helped her right after delivery of her last BB.  In two days you could 
see the tell tale sign of pink cracked yeasty nipples.  When I asked her about 
is she said " I always get pink sore and cracked and just live with it" IN some 
women it goes dormat then when that warm moist "sweet" enviroment 
becomes ripe, the yeast come back.  We talked to MD who took one look at 
her and put her on the above course of diflucan.  Yeast free now.  So, maybe 
you could try some APNO, mom can get it otc, and/or gentian violet.  Dr 
Newman has a wonderful  page on diagnosing nipple pain.  I would earge you 
to look at his website www.breastfeedingonline and go to Jack Newman 
handouts.  He has wonderful info for reasons for sore nipples.  Apologies if you 
have already "been there and done that".  If it is Candida, Gentian usually 
gives an immediate result in relief.

Good Luck
Wishing her pain free nursing

Robin

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