Breastfeeding

Thrush help?!

Has anyone had this?! My LO will be 6 weeks old Friday and he doesn't exhibit any symptoms at all he was just seen Friday but my nipples sometimes feel like they are on fire and sometimes usually after a feeding I have excruciating pain that feels like sharp shooting pains that start inside my breast! It's so strange because I only have pain on my right breast and I know my latch is fine because I met with a lactation consultant. I have my 6 week pp visit on Thursday but didn't know if I need to go in sooner or if anyone had any suggestions?

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Re: Thrush help?!

  • That founds exactly like I am going through too and was looking for advice because it hurts SO bad!!
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  • One tablespoon apple cider vinegar and one cup water use it on your nips after you nurse it does wonders.

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  • If you can stand to wait until Thursday it ok. Like pp said, mix vinegar and water and keep it in a bottle where you nurse, with some disposable cotton wipes or paper towels. After every feeding, wipe your nips down with that, let them air dry, then if you need pads, put clean ones on. I would recommend disposable pads right now. The dryer you can keep the area, the better. Yeast loves dark, warm and moist. Anything that touches your nipples or baby's mouth needs to be sterilized after each use. It's a pain, but you will get likely won't get rid of it if you don't. When you see your doc, ask about treatment options. Oral diflucan worked for me. Even if LO has no symptoms, you should call your pedi and ask about treatment for them. Good luck! I had it when DS was a month old and it was AWFUL.
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  • I have to disagree about the disposable pads. They trap any moisture in because of the plastic lining. Use cotton ones that are breathable even if it means changing them and washing then often.
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  • Thrush is a yeast infection of the nipple and/or breast. It's the result of a fungus that thrives on milk on the nipples and/or in the milk ducts. Your baby can get it too. In fact you can pass it back and forth to each other (sweet!).

    The hallmark symptom of thrush is red, shiny, itchy and burning nipples. You may also experience shooting pains during or after a feeding (I could put a picture of it here, but I will spare you...).

    In your baby, look for a shiny or "mother of pearl" look inside the cheeks. There may be creamy, white patches that cannot be wiped off on the inside of the mouth, along the inside of the gums, inside of the cheeks, roof of mouth, or tongue. It may also spread to the diaper area (what? sometimes, yes). If your baby has "diaper rash" that's not responding to regular rash cream? It could very well be a yeast infection.

    Orrrrrr, your baby may also be completely asymptomatic. Just to confuse you.

    **Recent evidence has suggested that thrush (especially persistent, recurring "ductal thrush") is over-diagnosed and may in fact simply be the result of a poor latch or even a bacterial infection. Please read this article before proceeding. It could save you a lot of heartache.

    Prevention

    The best way to prevent thrush is by always keeping your nipples dry. Change your nursing pads promptly when they become soaked. Also, be extra vigilant if you are taking antibiotics, as these make you more susceptible to thrush. (Do you see where I'm going with this? A blocked duct can lead to mastitis, whose treatment can then lead to thrush. AWESOME, the triumvirate!!)

    How to Treat

    I always like to treat things without drugs first, if possible. If you have a mild case, first try the following:

    - Like vampires, yeast organisms hate sunlight, so give your breasts a sun bath. Expose your nipples to sunlight for several minutes, several times a day (if it's wintertime in Minnesota, sorry!). The old man across the street will enjoy this too.

    - Wash your bras in very hot water and let them dry in the sun.

    - Air-dry your nipples after each feeding

    - Change breast pads after each feeding. Remember: moisture is your enemy.

    - Eat lots of yogurt. This will encourage the "good bacteria" and discourage the growth of yeast.

    If that doesn't work, call you doctor. She can prescribe you an anti-fungal cream (mycostatin, clotrimazole, or myconazole). Some docs will say that your baby should also be treated, even if he is asymptomatic.

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