We are on our second go with nystatin (cream and oral). Both times I saw improvement at first and then the pain/reddness got progressively worse after the first couple days of treatment. I just saw a nurse practitioner at my OB who was very skeptical because I told her that the baby had no white patches (why does every healthcare provider think you both have to have symptoms when I've read the opposite from several reliable sources?), but after hearing my description of the stabbing breast pain and buring sensation traveling up my boob along with looking at my poor nipples, she did prescribe me diflucan. Only two tablets though, one today and one a week from now. Is this common? I was under the impression that it would be a several day course or something. Can't say if there is improvement yet since I just took the first one a few hours ago but it sounded as if she was out of ideas. She said she was all for breastfeeding but that I need to consider quality of life.. I said I didn't know how long I could hang in there but I'm not ready to give up yet. I'm worried the diflucan will not work.
I've been cleansing my nipples with vinegar water, using nystatin on both me and the baby, boiling bottles and pacifiers. I am using vinegar in the laundry too. I am afraid to use gentian violet because I'm concerned about it's safety. I've read that it is a carcinogen. what do you think? Anyone with advice?
by the way my baby is 7 weeks old I had pain since birth and ended up with cracked and bleeding nipples. I worked on latch multiple times with multiple lactation experts and while his latch has greatly improved, the pain has not.. that coupled with the fact that he is gaining excellent weight and my symptoms.. I"m pretty sure it's thrush but I could be wrong.