Hi all. I have a friend who has a 4 week old baby. SHe has called me for advice...she is in constant pain during and after feeding. She is an experienced mother of 3. Bf all. LLL Leader applicant. She is experiencing very pink nipples. with a blister on one. Lots of pain. Baby has a high palate. Baby also has a yeasty diaper rash, as she put it. She has been on nystatin ointment for 3 days...no improvement. She took Auerbach and Riordan's book with her to her primary doctor, who immediately went ballistic...especially when she intimated that he hadn't diagnosed yeast properly. He hadn't treated the BABY, by the way, just the mother. Baby has it in mouth visibly. Mother suggested oral yeast medication...such as Difulcan. I have had clients use this with success for yeast. Question: Is it possible to have yeast in ducts? Bad yeast infections do not in mky experience, respond to topical medication. Has anyone used Difulcan or Nizoral on yeast infections of nipple/breast? It is my understanding that Difulcan is safer than Nizoral, and that some NICU infants are treated with systemic antifungal medications when they get yeast infections....The physician today stated that these two medications were unsafe for Pregnant or bf moms. I don' tKNOW if she has yeast, but I advised her to go to the dermatologist that we work with who has seen Billings article in JHL, and Auerbach/Riordan info on yeast, and who will treat a mother systemically if he feels it is required. Any suggestions or info or comments? ********************************************************** Kathleen B. Bruce RN, BSN, IBCLC Williston, Vermont USA [log in to unmask] Remember to stop and smell the "roses!" **********************************************************************