Thank goodness for all you Learned Ones - I am really looking
forward to your replies.
A young mother with twins - born prematurely, exclusively breast
milk fed, now home, gaining weight, doing very well, four months
old - still exclusively breast fed. Problem - mother has been
battling a yeast infection for the past two months which has not
only affected her breasts but babies mouths and diaper areas. She
tried Nyastatin initially then changed to gentian violet. She 'phoned
me two weeks ago telling me about this problem and we talked
about using Diflucan. Originaly her obstetrician would not
consider using it because of the category risk when pregnant - the
lacatation risk wasn't considrerd until after she and I had talked!
Now she has been on Diflucan 100mg. BID for two weeks. I have
just got back from vacation, she phoned this am. Her nipples
continued to be very sore and cracked so has been pumping (can
only tolerate low pressure) for last three days - they are improving
bur she feels milk supply is falling so back to breast feeding this
morning - good latch, on no discomfort. She is concerned that she
still has a touch of the yeast infection, is wondering if this means
the end of breast feeding - very anxious to continue, I have
encouraged her to continue the Diflucan. She said about two days
ago both babies had white patches on their tongues - where is that
from? She is boiling nipples, pacifiers etc.  She feels the babies
could have it "all the way through". Says Nystatin is useless and
unwilling to over-use the gentian violet. I had suggested originally
she try Dr. Newman's All - Purpose Nipple Cream for sore nipples/
candida - her pediatrician  - an an excellent pedi - refuses to
consider this.
Any further suggestions? This mother really really wants to get this
right. Can you help me?
Thank you - Susan Brewer IBCLC

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