I have been breastfeeding my second son since his birth 8 weeks ago today. Until now he has been gaining around 200g a week. He was 3.5kgs at birth and is now 5.3kgs.
We have been battling thrush for over a month and have used gentian violet, canesten cream, daktarin cream, nystatin drops, daktarin oral gel and lots of washing, changing and sterilising (we use a nipple shield).
On Sunday night I started taking Diflucan, a 400mg loading dose, followed by 200mg daily since then. My son had been going to sleep around 8pm and usually waking around midnight and 3am. Then from 4.30am he is awake and feeds every two hours, if not more and then feeds pretty much continually for three hours before bed.
On Monday night he slept for 9 hours. I pumped 3ozs before i went to bed. I kept checking on him when he stirred thinking he'd be up in a minute but no. When he did wake up he was happy and alert but not feeding strongly the way you would expect after such a long sleep. I stopped worrying when he seemed happy after a slow feed of 1.5hrs. The rest of the day was as normal but I noticed he wasn't swallowing quite as much and I didn't have a second letdown during feeds.
On Tuesday night he woke twice but again didn't feed as strongly as usual. I pumped one ounce after he fed. Wednesday I noticed I really didnt have enough milk so we nursed all morning, afternoon and evening and I pumped two more times after he fed. I got one ounce each time.
Last night he slept from 8.30pm until 4am then fed again at 6am and that's where we are now. Five days ago he weighed 5.3kgs. This morning he weighs 5.27kgs.
Output has been normal with the exception of a not too wet nappy this morning. Other than that, lots of wets and 3 big stools the past three days and one this morning.
The doctors here know nothing about breast thrush, I have seen two. The baby's thrush is gone but I'm in agony. There is one board certified LC but she hasn't responded to me yet.
Has the diflucan caused our problem? Could it be making my baby sleepy and lowering my milk supply at the same time? I was engorged the first night when milk wasn't removed for 6 or so hours but not this morning after 7.5hrs.
I am worried to the point that I feel ill. There's nobody here who can advise.