Jamie,

I remember years ago on reading on Lactnet that thrush is usually dx by the yeast treatments working - so if repeated yeast treatment show no change there is a good chance it isn't thrush.  This list of possibilities can be very long - with the water filled sacs it sounds almost like a bacterial infection (which yeast can weaken the skin integrity and make bacteria find a foot hold) or a reaction to all the nystatin cream.  If they won't prescribe antibiotics she should try to see a dermatologist - as I said the list is long and she should be seen by someone who knows skin.

Just my .02 I hope it helps, the mom must be almost at the end of her rope.

Felicia Henry, IBCLC, BCCE
Oxnard, CA

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