Someone posted about inflammed Montgomery's tubercules concurrent with tx
for nipple candida.  (Mom had been applying nystatin for 4 days with no
relief.)  I often see women who treat appropriately for candida with no
resolution of pain, and upon further discussion, turn out to have
pre-existing eczema or  a hx of easily stimulated contact dermatitis, or who
are allergic to nystatin itself.  Theyoften report rough skin on hands or
behind knees  during stressed periods, or some such scenario.  Reading Lisa
Amir's work has encouraged me to suggest that they see a dermatologist and
try short term topical steroids in combination with the anti-fungal (and
sometimes concurrent anti-biotic) topicals.  I have a friend who recently
had a 4th baby who developed oral thrush.  Mom had vaginal sx, so we were
pretty sure her pink, tender nipples indicated fungal over-growth.  Diligent
tx with hygiene measures and approp. meds (including diflucan) failed to
reduce inflammation and pain.  Within 24 hrs of initiation of topical
cortisone she felt improvement, and was pain free in 48 hrs.

Barbara

Barbara Wilson-Clay, BS, IBCLC
Private Practice, Austin, Texas
Owner, Lactnews On-Line Conference Page
http://moontower.com/bwc/lactnews.html