Hello,
I have a mom (PTP) who had cracked and bleeding nipples in the first week,
and developed symptoms of thrush.  Her provider had her take Diflucan, one
dose every three days for 4 or 5 doses.  She says it helps on the days she
takes it, but then it just goes back to what it was.  She has continued
itching and burning in her breasts.  Her nipples are now healed and she
doesn't have any external signs of trauma or thrush on her nipples.  Baby
was also treated with Nystatin, even though baby never had any signs of
thrush.  There is still some compression when baby latches, and some
frenulum issues that haven't been addressed yet, but it has gotten better
with improved positioning.  I have read here about how some have found that
it's actually more a bacterial issue than fungal in cases with cracked and
bleeding nipples, and the mom did have a slight fever when she went in to
her provider with the cracked nipples during that first week.  Are moms
being given antibiotics for that?  Is there anything else that can be done?
 Her nipples are now totally healed though.
Many thanks for any insight,
Sonya Shaver, BS, CHES, IBCLC

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