I feel like I'm fighting a losing battle.
I had thrush with my 1st son for 2 months and I ended up quitting breastfeeding because of it when he was 7 months old. I had blood in my milk it was so bad.
Now I'm on baby #2. My son was born Oct 29th and I was put on antibiotics at about 2 weeks postpartum which may have caused the thrush. I have had thrush since about mid-November. I started by using gentian violet at the onset of the pain. I rinsed my nipples with GSE diluted in distilled water after every feeding and swabbed the baby's mouth with it. I went to the doctor Nov 27th and she saw white patches inside the baby's mouth and inside of the cheeks and prescribed me 100mg diflucan 2x per day and nystatin cream for my nipples. She didn't prescribe anything for the baby because he was still dealing with jaundice. (I knew this was a mistake at the time and I'm kicking myself now)
I removed all sugar from my diet. Honestly, I read every label and I hardly consume ANY sugar, even the natural sugar found in fruits. I am a vegetarian. I only consume whole wheat and I've limited that for the past month. I don't drink caffeine or alcohol. About 2 weeks ago I insisted they give my son diflucan as well, and his mouth is totally clear now. He is also on infant probiotics once a day.
In addition, I am on probiotics. I now rinse my nipples with a vinegar/water mix instead of the GSE mix. No reason, i just figured I should try something else. I use the nystatin cream about twice a day. I did a 3 day course of gentian violet 2 weeks ago just to give that a try again. I wash EVERYTHING in hot water with vinegar - breast pads, burp cloths, blankets, bras, his clothing, my clothing, towels, bibs - everything. I use a new towel every day for showering and hand towels are replaced daily. I use cotton breast pads and change them after every nursing session, approx every 2 hours. I sleep in just a t-shirt at night. I boil all pump parts and bottles for 10 minutes after every single use. He doesn't use a pacifier at all. I have used coconut oil on my nipples. I just ordered some GSE pills tonight that will arrive Thursday. I have even sat in the sun with my breasts exposed to the sunlight for 20 minutes at a time.
About 2 weeks ago I really felt like it had gone away. I was symptom free for a solid week. But then it just came back on the right side only and it's slowly built to this intense state that its at now. I get a burning hot pain hours after nursing. Latch on is painful. I noticed when I swabbed on the vinegar/water mix or the gentian violet, one little spot on the nipple would burn intensely but I see no broken skin, no redness. There is no blood in the milk I express. The skin itself looks healthy. It was not this bad a couple of weeks ago! I am on my 4th bottle of diflucan! They are 2 week rounds. So that's 4 solid weeks of diflucan.
I feel like I have done everything possible. My doctor doesn't know what to do. He got me an appointment with a dermatologist (?!?!) but it's not for 3 more weeks. I've worked with my hospital's lactation consultant but she is out of ideas.
Any insight you have would be very helpful. I'm just not even sure what type of doctor to try to contact about this kind of thing. I DON'T want to quit breastfeeding because I'd still have to get rid of this thrush!