Fellow LactNetters: Now I am asking help for the MD/IBCLC who has been seeing a mom for over 2 months. She started with slow weight gain and needed pumping and an SNS to increse supply. She then developed Thrush, and was treated with Nizoral. Mom, baby and dad were all treated simultaneously for about two weeks. Symptoms seemed resolved. Now she presents with: Pain in her breasts, at the sides, relieved with let-down She describes the pain as everything from stabbing pain to pins and needles to burning pain. Blisters with clear liquid at nipples, usually near ducts. Is this thrush again? If so, should she try gentian violet or an oral med? Help!!! Jeanette Panchula, BSW, RN, IBCLC