Usually I encourge the physician to rx Diflucan 200 mg loading dose and
100mg per day for 21 days.  Dr. Hale's book gives excellent advice. I would
also consider the yeast free diet for the mother.  Could you please send me
information on the cream.  Thank you, Kate
Kate Y. Pierce RN, IBCLC
Lactation Station, Inc.
Maternity and more
527 Southland Dr.
Lexington KY 40503
859-277-2988
859-278-0880

----- Original Message -----
From: "Susan Brewer" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, June 26, 2003 11:28 AM
Subject: Yeast


> Thank goodness for all you Learned Ones - I am really looking
> forward to your replies.
> A young mother with twins - born prematurely, exclusively breast
> milk fed, now home, gaining weight, doing very well, four months
> old - still exclusively breast fed. Problem - mother has been
> battling a yeast infection for the past two months which has not
> only affected her breasts but babies mouths and diaper areas. She
> tried Nyastatin initially then changed to gentian violet. She 'phoned
> me two weeks ago telling me about this problem and we talked
> about using Diflucan. Originaly her obstetrician would not
> consider using it because of the category risk when pregnant - the
> lacatation risk wasn't considrerd until after she and I had talked!
> Now she has been on Diflucan 100mg. BID for two weeks. I have
> just got back from vacation, she phoned this am. Her nipples
> continued to be very sore and cracked so has been pumping (can
> only tolerate low pressure) for last three days - they are improving
> bur she feels milk supply is falling so back to breast feeding this
> morning - good latch, on no discomfort. She is concerned that she
> still has a touch of the yeast infection, is wondering if this means
> the end of breast feeding - very anxious to continue, I have
> encouraged her to continue the Diflucan. She said about two days
> ago both babies had white patches on their tongues - where is that
> from? She is boiling nipples, pacifiers etc.  She feels the babies
> could have it "all the way through". Says Nystatin is useless and
> unwilling to over-use the gentian violet. I had suggested originally
> she try Dr. Newman's All - Purpose Nipple Cream for sore nipples/
> candida - her pediatrician  - an an excellent pedi - refuses to
> consider this.
> Any further suggestions? This mother really really wants to get this
> right. Can you help me?
> Thank you - Susan Brewer IBCLC
>
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