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Discussion Starter · #1 ·
OK. I have had thrush for months. I can't beat it. I have done everything I have read and can think of. Here's what hasn't helped:<br><br>
1. Nystatin (rx)<br>
2. Vinegar/baking soda<br>
3. Stop eating essentially all sugars (including fruit, milk, etc)<br>
4. 15 billion strength probiotics...then 3 of those a day. Helped some, not enough<br>
5. Miconazole topical on nipple<br><br>
It has been months (over 3) I have nursing on cracked, raw, flaking, nipples. It is killing me and makes me resent nursing. My son is 13 months and I am so close to giving up. I night weaned as soon as I started the miconazole becuase I wanted a big gap of time where it could be on without him nursing. I really worry about the stuff in it and feel that it may be worse to nurse him using that junk than to wean--but it is the only thing keeping it remotely under control. Then I quite using it when started the mego doses of probiotics which seemed to help at first and then not so much, even though I took more and more. I went in for a "blood test" (where they look at your live blood under microscope) at the health food store and it showed no sign of yeast. She said my blood looked very healthy. No problems.<br><br>
This is so frustrating but I don't know what else to do. Any advice?<br><br>
ETA: Ds has never had any signs of yeast. I had it when dd was nursing and she had no signs either. The miconazole was what cured it with dd. This time is hasn't worked.
 

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Are you 100% positive that thrush is still your problem? It's possible that you had thrush, and beat it, but are now facing a bacterial infection or allergic reaction. Especially since your DS doesn't have any signs of thrush, my thinking is that you may have some other sort of problem that needs a different kind of treatment.
 

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<div>Originally Posted by <strong>KarmaJoy</strong> <a href="/community/forum/post/12376497"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I went in for a "blood test" (where they look at your live blood under microscope) at the health food store and it showed no sign of yeast. She said my blood looked very healthy. No problems.</div>
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okay, yeast does not normally live in the bloodstream to my knowledge. that is totally weird that the health food store offers a blood test like that. what kinds of things are they trying to diagnose? that is crazy.<br><br>
anyway- have you tried systemic Fluconazole (Diflucan)? I would see if your HCP can prescribe you a month regimen for fluconazole (usually you take it once every 3 or 4 days, i think- going off of memory here so i may be wrong), along with topical nystatin/hydrocortisone/bacitracin cream. we call that nipple cream. the pharmacy mixes it. I can't remember the exact percentages, though.
 

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I was going to see if you had thought of fluconazole as well. If it is yeast, Jack Newman has a great protocol:<br><a href="http://www.drjacknewman.com/pdfs/Candida%20Protocol--2008.pdf" target="_blank">http://www.drjacknewman.com/pdfs/Can...ocol--2008.pdf</a><br><br>
You may also get some ideas from his nipple pain handout:<br><a href="http://www.drjacknewman.com/pdfs/Sore%20Nipples-2008.pdf" target="_blank">http://www.drjacknewman.com/pdfs/Sor...pples-2008.pdf</a><br><br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> it sounds like it has been a rough go for you - hang in there <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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have you tried gentian violet? that always works for me.
 

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I was just going to suggest gentian violet too. Or Grapefruit Seed Extract - I was on a long term dose of anti-biotics and I took GSE orally and applied it topically to nipples too after each feed and it staved off a serious thrush infection.<br>
Maybe try even upping the dose of probiotics?<br>
And as a PP suggested I'd make sure that it really is thrush you're dealing with, not something else. HTH and that you feel better soon. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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If you are worried about the cost of the Diflucan (if you don't have insurance, like me), get it at WalMart. It's one of their $4 generic prescriptions. I went to the campus health clinic and got my 10 days of fluconazole (per Dr Newman's rec's for thrush treatment when gentian violet, etc doesn't work.) THe NP I saw divided it into 2 doses to make sure it would fall under their $4 plan thing, and I got both prescriptions for $6. THe first one is $4 and then next 2 are $2 each, I believe.<br><br>
THe NP sent me there, I don't go to WalMart often. I was very thankful they have this program, though, because that script would have been hundreds of dollars anywhere else.<br><br>
Good luck!
 

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Another thing to try is to completely cut out any sugar out of your diet.<br><br><img alt="" class="inlineimg" src="/img/vbsmilies/smilies/hug2.gif" style="border:0px solid;" title="Hug2"> to you for the pain.
 

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I was just logging on to post a very similar scenario except I have had it for 6 weeks and my son is only 8 months old.<br>
I am doing the diflucan for almost 2 weeks now and the grapefruit seed extract with no relief. in fact one of my nipples is so bad that I cannot nurse on it at all anymore. Today I am going to get the GV to see if that works. My midwife just told me to start doubling the diflucan so I will be taking 300 a day.<br>
It makes me very sad because I teach and support breastfeeding and cannot dream of not doing it till at least 2 years but this is awful!<br>
I completely understand being close to the breaking point - feel free to pm me and keep me posted on how you are doing.<br>
p.s. I am SURE this is thrush. I am under the care of an LC and a LM and have had it with both of my other boys also.
 

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It could also NOT be thrush. We had an IBCLC talk at one of our LLL conferences who said that one of the reasons Gentian Violet works for some moms is that it also clears up bacterial infections and sometimes what a mom thinks is thrush is actually a bacterial infection. This can also be why Jack Newman's ointment works.<br><br>
You have to get your doctor to write a prescription for the all purpose nipple ointment, and then have it filled at a compounding pharmacy (around here we have The Apothocary Shop), but it can help.
 

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Your doctor or midwife can have your expressed breastmilk sent to a lab to culture it and find out what's going on there. In addition to this, the baby's mouth can be swabbed to see what, if anything, is growing there. Thrush is thought to be over-diagnosed. It could be a bacterial infection as the pp mentioned. It could be an allergic dermatitis, or something else. Get it cultured to find out what you're fighting, so you can get the correct treatment. I hope you're feeling well soon. Hugs
 

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Gentian violet is the only thing that helped me during my last bout with thrush. I had tried multiple medications and nothing worked. The only downside to gentian violet is that your breast will be stained purple and your baby will drool purple for a couple of days.<br>
You can buy it over the counter at any pharmacy.<br>
Good luck
 

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We're there, too. Have had thrush for months, on and off, back and forth. Some things have worked for awhile, then stopped. The diet about killed me, and have found that it really doesn't make a huge difference (for me, at least.).<br>
The best thing (so far, knock on wood) has been drinking kefir and kombucha tea (and I mean a LOT) during the day, taking good-quality probiotics, and enzymes--AND giving the good stuff to DS--he'll do little sips of kefir (he's not really doing solids yet) and I got an infant probiotic for him. I'm making another dr. appt this week and am hoping he'll prescribe something systemic for us. Otherwise I'm looking into ordering some nystatin pills for myself.<br><br>
feel free to pm if you want a thrush buddy. so sorry you're dealing with this. you can beat it, and you *can* keep nursing. GL!
 

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I'm so sorry you're dealing with this! And I know a couple of other people have suggested this, but it may not be thrush. I was treating for thrush when we first brought my boys home, and it seemed to help at first, and then NOTHING helped, no matter what I did or how much. My OB was completely SURE it was thrush, but after two months of any and all treatments not working, I demanded a culture. Turned out I had a raging staph infection in my nips. THEN, it turned out it was a MRSA infection. THEN it turned out we also had a latch problem and my poor nips couldn't heal.<br><br>
Anyways, it never hurts to get it checked out.<br><br>
And here's what worked for us when we actually did have thrush:<br>
-crazy hygiene. Treat everything that touches breastmilk (including spitup and baby diapers) like toxic waste. Use it once and throw it either in the trash or the laundry. As much as we hated to, we used disposable nursing pads, wipes, and paper towels during this period. Everything else got washed with vinegar and grapefruit seed extract. This is to prevent reinfection.<br><br>
-oral diflucan for AT LEAST two weeks solid. Don't let them give you the one-dose thing that they use for vaginal yeast infections; it doesn't work.<br><br>
-grapefruit seed extract topically. you have to dilute it with distilled water, but I swabbed it on after every single feeding. On my nipples and in the babies' mouths.<br><br>
-Gentian violet. once a day for seven days. I just went around topless and kept the babies as naked as possible to avoid having EVERYTHING get stained purple.<br><br>
Anyway, hope that helps. Good luck, and stick with it! You can do it!
 

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Discussion Starter · #16 ·
OK, I don't know if this is coincidence or what but a couple days ago I stopped doing everything I had been doing to beat the thrush. I stopped my probiotics, and I starting eating sugar again. I know that seems like a bad choice...but all of sudden, it seems to be improving. All I did do was use lanolin cream for the cracking (which I was using before occasionally, too). I am still flaking and peeling dead skin, but it doesn't hurt as bad. Does this indicate anything?
 

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I have no idea but I am so happy for you!!! Fingers crossed it keeps improving <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up">
 
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