You are not logged in.


Unread posts

Dear visitor, welcome to FertilityZone . If this is your first visit here, please read the Help. It explains in detail how this page works. To use all features of this page, you should consider registering. Please use the registration form, to register here or read more information about the registration process. If you are already registered, please login here.

  • "Rocky" started this thread

Posts: 593

Reg: Nov 29th 2010

Location: Cheshire

Thanks: 1 / 0

  • Send private message

1

Saturday, December 17th 2011, 6:20pm

Ductal thrush?

Hi all,

LO is now 18 weeks old and i've suffered with BF from the beginning. I've had treatment for nipple thrush and ductal thrush ages ago (prob when he was 6 weeks) and I eventually had swabs taken but there were no signs of thrush. Since then I've always wondered if I ever did have thrush or whether the medication did the trick. BF has never been completely pain free as my nipples always seem to hurt. I have been told by several people (experts!) that latch and positioning are OK. Over the last 5 weeks I've been getting the deep breast pain again - stabbing and burning pain in my breasts. It comes on usually about 1hr after feeding and is in the breast that the baby feeds from. I see a lactation specialist at the hospital who said it sounds like ductal thrush.The thing is though - I don't always get the pain - last week I had pain on 3 days and not the rest. Surely if it is ductal thrush the pain would be there after every feed? Does anyone have any ideas? When I do get the pain it is really bad and throbs and I have to take painkillers - it's that bad that it stops me sleeping if it's during the night. Is this ductal thrush or something else?

Bells

ADMINISTRATOR

    United Kingdom

Posts: 14,475

Thanks: 40 / 66

  • Send private message

2

Sunday, December 18th 2011, 8:08pm

I thought it was ductal thrush back when you initially had problems, I still do. It's a pig to shift, I had it for months and months with DD2 and still get the occasional stab of pain now and again..... almost eight years later.

I would say that, although your symptoms seem to fluctuate, it would be as well to treat for ductal thrush and if it helps great, if it doesn't then at least you've ruled it out.

You mentioned that you've been treated for it once. Was it ten days of tablets with cream and gel for you and baby? did anyone advise you to take some acidophilous, avoid sugar and bread/wheat for a couple of weeks too? Also boil wash your bras and if you use ultra absorbent breastpads (eg Lansinoh) then switch to a different brand or discard them as soon as they become moist.

  • "Rocky" started this thread

Posts: 593

Reg: Nov 29th 2010

Location: Cheshire

Thanks: 1 / 0

  • Send private message

3

Sunday, December 18th 2011, 8:41pm

Hi Bells,

Thanks for your reply. I have started the fluconazole again today - had some left over and will get the doc to prescribe some more tomorrow. I never knew if it was ductal thrush last time but did take the tablets.I took them for 14 days with cream for me and drops for baby. I just thought this time that it may not be thrush as I don't always have the symptoms. Anyway, during the night last night I was in a lot of pain and it went on for 3 hours - usually it last about 1.5hrs and then either it goes away or the painkillers kick in. So I decided to take the tablets and have ordered some acidophilous. I know that the fluconazole is OK to take when BF but I was concerned about taking them maybe unnecessarily if thrush isn't the problem. What do you think? Could anything else cause these symptoms?
So from tomorrow I will try and eat less sugar/yeast etc. Do I have to cut it out or just cut it down? I'm already trying not to eat dairy - can't even remember why I was told that - either because of thrush or wind (in baby!!). I wonder sometimes whether I'm cancelling out the benefits of BF with all the painkillers/antifungals etc I have had to take!
Eight years on and you still get pain? I hope the pain doesn't last long when you get it as it's just awful. Thanks again xx

mrsjasper

Megastar

Posts: 8,532

Reg: Nov 2nd 2005

Location: Lancashire

Children: 2 gorgeous girls

Thanks: 15 / 4

  • Send private message

4

Monday, December 19th 2011, 9:16am

Rocky, there's some fantastic stuff about ductal on the breastfeeding network site if you have time for a google. Also the general opinion seems to be that breastfeeding is soooooooo much better than artificial feeding that, even with some pretty powerful drugs, much more powerful that the ones used to treat thrush, its still best to continue breastfeeding for as long as you can. So, no you are not in anyway cancelling out the benefits by taking medication. I would take the painkillers at bedtime as a matter of routine for the next week or so and then again when you do a night feed (as long as its more than 4 hours after your last dose. The only thing I would say to contradict Bells is that I was advised to add white vinegar to the wash with my bras to kill the spores rather than to boil wash them. Also any dummies or other teats you use should be chucked out and replaced. The other thing I would suggest is gel rather than drops for baby, its thicker and will therefore 'stick' to the inside of his mouth better so possibly be more effective.

I would say cut out bread/yeast/sugar as much as you possibly can for at least 10 days. I know its hard,I'm not sure I could do it, but for a short period of time if it stops this pain and gives you a comfortable feeding relationship then its got to be worth it. Then you can reintroduce it slowly.

And a bloody huge pat on the back for sticking with it thus far, well done. :D

  • "Rocky" started this thread

Posts: 593

Reg: Nov 29th 2010

Location: Cheshire

Thanks: 1 / 0

  • Send private message

5

Monday, December 19th 2011, 10:39am

Thanks MrsJasper, I will have a look at the info. I was just worried as the pain doesn't happen after every feed. Although it does seem to be getting more frequent. Thanks for the reassurance about taking medication as well - I always worry and never took anything at all whilst pregnant and it just seems that since he's been born I've had to take all sorts on and off. I'm going to do my best to cut out the yeast/bread/sugar.

Bells - when you had this with DD2, how did you finally shift it if it went on for months? Did you keep having the fluconazole. My GP has said that the PCT have now advised not to prescibe it as there's not enough evidence to suggest that it helps. She has prescribed it today but I think this will be the last time. So if this lot of tablets doesn't clear it I don't know what I'll do. The GP said it could also be blockages in the ducts and to make sure the baby is emptying them. But surely if this was the problem the pain wouldn't keep coming as he's bound to clear the blockages after a few days?

Anyway, I'm hoping these antifungals will kick in soon and start to reduce the pain xx

  • "Rocky" started this thread

Posts: 593

Reg: Nov 29th 2010

Location: Cheshire

Thanks: 1 / 0

  • Send private message

6

Thursday, December 22nd 2011, 5:17pm

Hi Bells and Mrs jasper. Just to let you know that I saw the lactation specialist at the hospital yesterday who suggested a higher dose of fluconazole (100mg twice a day) and dactakort cream 3 times a day with daktarin cream inbetween after every feed. So I will try this and see how it goes. She also said I have a bleb on one nipple - don't think this is anything to do with it though as I get the pain in both sides. The pain is really on and off. Today it isn't so bad but on Tuesday night through the night feeds it was unbearable and the painkillers didn't shift it. The doc said the only other thing it could be is blocked ducts where the milk is straining to get though and giving pain expanding the ducts. I've also cut out yeast and sugar and am taking acidophilous. So I'm really hoping that I can shift it. Thanks for your help and words of wisdom. I'll let you know how I get on xx

This post has been edited 1 times, last edit by "Rocky" (Dec 22nd 2011, 5:18pm)


Bells

ADMINISTRATOR

    United Kingdom

Posts: 14,475

Thanks: 40 / 66

  • Send private message

7

Friday, December 23rd 2011, 12:38pm

I can't remember whether I was on one or two tablets a day but I know it was the same dosage as the Canesten Once capsules that you buy from the chemist. They're 150mg per tablet.

When I had it, it was before I had the internet so I had no way of researching it properly. I was diagnosed with thrush quite early on and kept getting cream/drops/fobbed off and eventually (through a contact at a midwifery uni) got put in touch with a woman who was properly experienced in treating thrush. It was her who told me about the different things I needed to do in my diet. She phoned my GP and told her what to prescribe for me. By then I was months down the line and the thrush had taken a deep hold. The tablets and changes did get on top of it but I wish I'd had all the information I have now so that I hadn't spent those months crying and dreading feeds. I also wish I'd had some follow up because, like you, I think I could've probably benefited from another dose later on to remove all traces.

I just remember the HV and midwives kind of saying "oh take a couple of paracetamol and put this cream on, off you pop" when I felt like I was being stabbed in the ribcage while someone sawed off my nipples with rusty razorblades. That's why I jump on anyone who seems to be showing the signs of thrush :O

Similar threads




FERTILITYZONE



MEDHURST – PROUD HOSTS OF FERTILITYZONE