(This is more or less a duplicate post of the reply I recently posted to my first thread, but I am recreating it here in hopes of getting some additional views/responses...)
I have a 20 day old LO and despite jaundice, thrush (in both of us) and what seems to be a milk oversupply or overactive let down and not the most supportive husband, I have been exclusively breast feeding him from day one (with the exception of a few bottles of expressed breast milk to make it through the night, thrush, mastitis, etc.). I am happy to say that at his last weight check he had gained a whole pound in less than a week.
Now, for the bad news,
1. I have mastitis in both breasts,
2. The thrush is back in both of us,
3. When I pump, I am only getting about half of the production that I was getting before the onset of the mastitis, and
4. My LO is somewhat refusing to nurse again, I think due to the thrush.
I am being treated for the mastitis (doxycyclin and terazol suppositories just in case of a vaginal yeast infection) and the thrush (continuing to take swish and swallow nystatin left over from the first infection, terazol cream for infected nipples, and another single dose of diflucan).
Additionally, we are continuing to give my LO the nsytatin left over from the first outbreak (at roughly 6-7 days).
So, here are my questions:
1. What can I do to protect my milk supply through the mastitis and the thrush recurrence? I am applying warm compresses and nursing and/or pumping as frequently as possible, but am very worried about the apparent reduction in supply.
2. Is there a different course of treatment for this second bout with thrush? It seems more resistant this time in that the first go round, the visible thrush in my LO mouth was gone after about 2 doses, but this time I can still see it in his mouth after 36-48 hours of the oral nystatin. Is there another course of treatment for me?
Thank you in advance for any insight, advice you might have! The advice I've gotten on this board so far has helped pull me through many a difficult day and night. Before my most recent medical maladies, my LO really seemed to be getting the hang of it and was latching on better (finally!) and this most recent set back is very disappointing!