With permission to post...
Mom with 12 week old baby who was given large doses of antibiotics at birth 
and for weeks thereafter due to a tear that got infected and subsequently a 
small blood clot as well. Of course developed thrush, her nipples were sore at 
first, then came baby with white patches, and then pain in her breasts. She 
was given Difulcan for 10 days at first and baby was treated with Nystatin 
however mom did not follow directions and put plunger back into bottle. Began 
next round of Diflucan for 14 days, baby on Nystatin using correctly but mom 
was not changing breast pads, etc. Now finishing 3rd round of Diflucan where 
she has taken 100 mg two times per day and baby is on Diflucan as well. She 
was given a nipple cream by her OB because she could not find a pharmacy to 
compound Newmans cream but just got some yesterday to begin. Father is 
very controlling and when he saw the baby had a purple mouth from the gent. 
violet he made her stop that.

She still after 2 weeks of treating baby, herself, changing breast pads, using a 
vinegar wash, a basic nipple cream for yeast (she still does not know what it 
was) she says she has pain in her breasts and is on a no sugar diet as much 
as you can be. She has a very large oversupply and I think some pain may be 
due to that but she is supposed to start another round of Diflucan since she is 
not pain free and her nipples are that wonderul pink color. She says she wants 
to wean and her friends are telling her to so the thrush will go away.....any 
other advice or can I hope that this next round will be it, or a combo of yeast 
and supply....this is the most stubborn case I have had. Overall, this has been 
going on for about 6 weeks.

Emily Lindsey, BSPsy, CLE
Private Practice
Merced, CA

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