You are all probably getting really tired of hearing about my pain. I've been battling nipple pain for over two months (my twins are almost 4 months old). The pain is worse with pumping and I've tried 5 different pumps. Currently I'm using the Medela Pump in Style. There is pain when feeding, too, so it isn't just a pump issue. I have had four rounds of antibiotics including the one given to me during delivery and one round that I just completed for a root canal. The pain feels like an electric shock, though sometimes my nipples are itchy and I get some shooting breast pains. The nipple often turns white after a feeding and at other random times. My nipples are bright pink and they look cracked and blistery.
I'm on my 4th thrush treatment. The babies were only treated the first time (they never had symptoms). They had oral diflucan while I used topical Nystatin. I saw no improvement over the course of 3 weeks. Then I got one pill of diflucan and saw no improvement. Then I tried the Nystatin again, leaving it on for longer periods, but saw no improvement. I'm now on day five of a seven-day diflucan prescription and am not yet seeing improvements.
I saw a lactation consultant (not IBCLC, I've had a hard time finding one!) and she suggested B6 for Reynauds and the week of diflucan. I've been taking the B6 for a week and haven't seen any improvement. I asked repeatedly, and she said I do not have to treat the babies again because they have no symptoms and that there are two different kinds of thrush. She said to take the diflucan every other day because it stays in your system. My doctor was SHOCKED by my request for the week of diflucan and had me go in to check for signs of an infection. She said my nipples looked irriated, but nothing else looked wrong. She gave me the diflucan and confirmed that I did not need to treat the babies again, but said to not take it every other day. I followed her advice, and am taking it daily. When I got the one day of diflucan, I asked my pediatrician and he said we didn't need to treat the babies again, either.
But everything I've read here, on Dr. Sears, on Kellymom, etc etc etc says that you have to treat both mom and baby at the same time. You have to treat for two weeks after the symptoms go away. You have to do all of these intense things that leave me overwhelmed like replace bottle nipples every week, wash things in vinegar, leave things in the sun, take specific blends of probiotics, and on and on. You can't use paper breast pads, but also don't use cloth ones because they harbor yeast. It's so much information and I feel like I need to do spells, too, just in case.
SO, here are my questions:
1. Do you think it's not thrush at all?
2. Are there two kinds of yeast, and for one the baby doesn't have to be treated?
3. Should I be seeing an improvement in my symptoms five days into a diflucan treatment?
4. Do I need to take 3 weeks or longer of diflucan, and if so, how does one even get that if none of your doctors believe that you need it at all?
5. How do I find an IBCLC? The search function on this website doesn't work for my state.
6. What is really necessary from the lists to treat possible thrush effectively?
Any other information? I've begun to resign myself to two more years of pain...