This is my first post, so be kind!
My daughter was born at 35 weeks via c-section. She did extremely well at birth and was able to room in from the beginning. She had a great latch with little discomfort on my part right from the start. She was slow to gain the first 2 weeks, but has since been gaining exceptionally well (averaging an oz/day or more) so clearly she's transferring milk well.
Everything was going swimmingly until 5 weeks when suddenly both nipples were a bit sore. Rightie wasn't terrible, but leftie was pretty uncomfortable. And by the 2nd day of this, it was excrutiating.
As I did some reading, I suspected thrush.
-I had antibiotics with my section
-I had another round of antibiotics with a severe sinus infection right afterward
-I had a vaginal yeast infection at the end of the 2nd round of antibiotics (shocker, right?)
-the pain is not just at latch, but continues throughout the feeding and sometimes after
-it is worse at night than during the day
My daughter does not have any signs of thrush herself, though. And when I called my OB, she didn't think it was thrush.
I was extra cautious with her latch, varied my nursing position and started doing vinegar washes after each nursing session and taking a probiotic. I had a little improvement, but still had pretty severe pain at night on the left. The right side completely cleared up and is still pain free.
I then decided to try gentian violet. I've now down 4 nights of GV on my nipples and the only thing I can say is that we're both very blue and I hope I can get it out of my bedding. She only occasionally takes a pacifier, but I've boiled them for 20 minutes daily as well.
But I'm still in severe pain.
My reading says if 4 days of GV doesn't improve the pain, it wasn't yeast, but I really don't know what else to say. I really don't think it's a latch problem because everything was fine for 5 full weeks, and my right side doesn't hurt at all. (Though to be fair, my right nipple is significantly smaller than my left, so I'm sure he latch is different on each side.)
I don't see a crack or bleb. The only thing I can *MAYBE* see is that by the end fo the night when the GV is mostly worn off, there is one little "dot" of GV left, like perhaps it's still in a milk pour that is blocked? It looks fine otherwise. I just don't know.
The tips of my nipples do feel a little "tough" for lack of a better explanation, but I would assume that's somewhat normal after 6 weeks of EBFing. But I don't know how I would know if it's a callous or not?
I would love anyone's thoughts. I am seeing my OB for my 6 weeks PP check tomorrow and will discuss it with her as well, but I'm in a lot of pain and hoping someone has some advice!