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Thrush? Not thrush? What the heck is going on?From: A. (anonymous@obgyn.net)Thu, 4 Jun 1998 00:18:18 -0500 (CDT)
I'm nearly 9 months into this breastfeeding thing. 2 months ago, my daughter began waking at night to feed, and I began nursing her lying down, out of sheer exhaustion. Coincidentally, I took a 10-day course of an antibiotic for an ear infection. Since then, I've had pain in my nipples, such that latch-on is very painful, though it does ease off during nursing. Between feedings, the skin is hypersensitized, so that any touch is just too much. Nursing is becoming a thing of dread. I've done the 2-week course of topical 2% miconazole (for me) and nystatin (for my baby) twice now. I've taken a 10-day course of diflucan (200mg/1 day, 100mg/X 9 days). Each time, the pain eases off and becomes far more tolerable. Each time it comes back, apparently worse than before. I had to bully the diflucan out of the RNP at my primary-care medical office last time. I don't think they'd give it to me again. I've been advised to ask my OB instead. There are no cracks in my nipples. I do not have a rash. There is no burning between feedings. My nipples are not excessively red. I've quit nursing lying down. I'm back on the miconazole, for lack of a better idea of what to do, but isn't cutting the pain. I'm still not convinced it's caused by yeast. But I don't know what to do. I'm really frustrated. So here's my question: What kind of tests can my OB do, to determine the real problem? What kind of treatment options are available, if it is a yeast problem, and not a positioning/latch problem? Thank you, --angela
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