It sure as heck sounds like Raynaud's Syndrome. The Nifepidine may not have 
been a large enough dosage, as it worked some. Perhaps she needs to 
increase the dosage, of course, while her MD keeps an eye on her BP. 

Also, there are other treatments for Raynaud's. Topical Nitroglycerin, AFTER 
nursings, (make sure to remove it before the next feeding, though) will help 
the blood flow. This is usually only used with the most severe cases of 
Raynaud's, but it sounds like she has it pretty badly. Also, making sure she has 
WARM water for immediate compresses just before and just after every nursing 
can help a lot. 

I have found that the old standby, Diflucan, 2 weeks, for mother and baby can 
be invaluable for Thrush. I have asked a number of docs to prescribe it for 
Thrush for Mom and Baby and it rarely fails to work, IF it is really Thrush. 
(Does baby have a diaper rash or any other Thrush sx? Pearly membrane ect?) 

It saved my life, when my youngest dd Hannah and I got 
thrush, due to a tight labial frenulum, and finally developed thrush at 8 
months, and again at about 20 months. IMO, Nystatin is basically useless, in 
our area, we have found that nearly all the yeast strains are no longer 
responsive to it, so Oral Diflucan for both mom and baby are helpful. If doctor 
won't prescribe Diflucan (*argh*) then you can use Gentian Violet, .5% (that's 
point five percent, you can cut the one percent in half strength with sterile 
water, as much as mom and baby will use per day) and use that 2 to 3 X per 
day for no more than 3 days. Make sure to get it on every part of the baby's 
mouth, and mom's nipple and areola. And have them wear "raggy clothes" as if 
you have never used it before, you won't believe how it stains. 

Make sure mom keeps her nipples warm. It sounds simple, but it can help, 
although not cure this condition. 

Good luck,

Mary Jozwiak IBCLC, RLC, LLLL
Private Practice 

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