Quite a while back I posted quuestions about thrush and I just wanted to give an update.
I began to have thrush symptoms when my son was 2.5 weeks old, I was experiening extreme burning pain in my nipples. I tried to suck it up for a while thinking that maybe my body was still just getting used to bfing but when it got to be too painful I contacted an LC.
Based on my symptoms she thought thrush, even the DS had no symptoms. DS had a pedi appt and I mentioned it to his Dr, she prescribed nystatin for me but not him. After a week I still wasn't getting much relief. Sometimes bfing would be excruciating and at other times I felt no pain. Also, sometimes I would feel the pain in between feeding but not always. I began to have such anxiety about nursing b/c I never knew if it was going to be painful or not.
A few more weeks went by and I contacted the LC again, who recommended that I be put on diflucan and DS on nystatin. She also gave me a bunch of home remedies to try. So I was taking diflucan, GV, probiotics and rinsing my nipples with vinegar and applying lotrimin cream.
After another week I was still not getting any relief so I called the LC again and we were both pretty frustrated. The LC mentioned that with thrush I should not be having pain in between feedings (which I was). I mentioned that my nipples had been changing color after a feeding and this tipped her off to my real problem...vasoconstriction.
Apparently I have some variation of Raynauds syndrome. When I'm cold and after nursing the blood vessels in my nips become extrememly constricted. My nipples would be blanched, then blue/purple before returing to a pink color. Many of the home remedies for thrush were actually making this condition worse (rinsing nipples with vinegar and then letting air dry...COLD).
The solution...heating pads, so simple. I have more recently begun taking procardia b/c the heating pads just weren't cutting it when the weather got colder.
Anyways, I hope this helps anyone else out there who thinks they are battling thrush and are getting no relief. My OB hadn't even heard of this so I think many people are mis-diagnosed and probably give up bfing.
Here is a link to a journal article that explains this a little more in depth.
thanks for reading.