Jay, I would consider testing her milk for bacterial infection, and
probably, assume that there is also some candida (of some sort) in
there.  She may have a bacterial infection, like Staph A, concurrently with
thrush.

I have noticed that sometimes, one might need systemic treatment of some
sort..for a problem as severe as this, and of course, perfecting latch is
crucial. Kathleen

At 02:53 AM 12/17/2002 -0500, you wrote:
>A mother (wonderful mother!) of a one month old baby has damaged nipples to
>the extent that she can place a pea (I don't believe she has ever tried) in
>the fissure in the center of each nipple after her baby nurses.
>
>We have tried nipple rest with pumping and finger/syringe feeds for some
>weeks alternating actual baby to breast half days and on and on.
>
>Her nipples seem to heal and then open when she nurses for a little while.
>Jack's APNO has helped some but I have run out of ideas.
>
>Again, she's rested and pumped and done many permutations of those ideas
>without complete healing.  Please, what am I missing?
>
>Jay Gordon
>
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