I don't know what bag balm and aquaphor have in them, but perhaps the 
steroid in the other mix is controlling eczema.  Another possibility is 
psoriasis.  Has she seen a dermatologist?

Nan Jolly MB BCh. IBCLC. LLLL
Port Elizabeth, South Africa

> I posted a couple days ago about the mom whose Dr told her to use bag balm
> and aquaphor on her irritated and oozy nipples.  The Dr did at least do a
> culture.  He called mom today and told her the culture was negative for 
> what
> he cultured for - thrush and bacteria/staph.
>
> Now what?  Nipple and areola (where the pump parts are) are pink and
> irriated, they itch and burn, they ooze and blister (not where the flange
> touches) and hurt like heck.  She is using bactroban, hydrocortisone and
> miconozole and is looking for Gentian Violet to treat for thrush.  I am at 
> a
> loss.
>
>
>
> The flanges I fit her for personally - they fit fine.  She is using the
> Pumpin Pal shields.  When I first saw here she had been dealing with
> blisters on her nipples that were HUGE.  She was in the same discomfort
> (more so) then as she is now.  The blisters were on the tip of the 
> nipples -
> not where the flange was touching.  After switching out to the Pumpin Pals
> and getting the bactroban, hydrocortisone and miconozole and treating with
> this for about a week she had noticeable improvement.  Redness started 
> going
> away, blisters stopped showing up entirely.  She was nearly pain free. 
> Then
> all of a sudden it came back.  The only thing she changed was that she had
> stopped the APNO - but she can't remember exactly when.
>
>
>
> I am stumped - I don't know what else to offer her.  If the cultures came
> back negative - what does that mean?  That she just has irritated 
> nipples??
> I have pics she sent me and can send them to someone who can take a good
> look and give me some feedback.  I have her permission to share.
>
>
>
> Thanks for any thoughts or ideas - she is miserable.
>
>
>
> Warmly,
>
> Jaye
>
>
>
> Jaye Simpson, IBCLC, CIIM
>
> Breastfeeding Network
>
> Sacramento, CA
>
> www.breastfeedingnetwork.net
>
>
>
>
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