Gentian violet can be effective against yeast.

In my first article in this series, I explored positioning and latch as a cause of sore nipples.  If you are experiencing pain and you are sure your baby is latching on correctly, then there are other possibilities to consider.  In this article, I will explore a common cause: thrush/ yeast.

Thrush is fairly common, but it can be difficult to diagnose and treat.  Here are some symptoms of yeast in the mother:

~ intense, burning pain that occurs throughout a nursing session and can even continue after the baby is done nursing

~ sudden pain after a period of pain-free breastfeeding

~ itchy or burning sensations, sometimes accompanied by redness, shininess, flaking, rash

~ cracked nipples

~ shooting pain  deep in the breast

~ vaginal yeast infection

Symptoms of yeast in the baby:

~ none! The baby can be completely asymptomatic.  This is very important to remember!

~ persistent diaper rash

~ white patches in the mouth

~ fussiness at the breast due to pain in his mouth

There are predisposing factors to thrush.  If you were given antibiotics recently (during pregnancy, birth or afterward) you are at an increased risk of developing a yeast infection.  Also, if you consume a lot of sugar or dairy, this can feed the yeast.  If you have a history of vaginal yeast infections, you may also be predisposed to thrush.

If you feel that you have a yeast infection, you can do several different things.  There are home remedies that some mothers find solve their problems.  Gentian violet has been used successfully to treat yeast.  Some mothers find using a solution of vinegar and water or plain yogurt on their breasts helps to get rid of the yeast.  However, most mothers see their doctor for a prescription for an anti-fungal.  Remember it is imperative that both you and your baby are treated for thrush even if your baby is not showing symptoms!

Dr. Jack Newman has a very comprehensive protocol for yeast that includes using "all purpose nipple ointment" (APNO) which he recommends as a first line of defense against yeast before using prescription anti-fungals or even gentian violet.  He also says that nystatin (a commonly prescribed anti-fungal)  is not particularly useful in treating yeast and he prefers using fluconazole (diflucan).  

Also, remember to take other precautions during treatment to be sure you don't reinfect yourself or your baby.  Wash all clothes in hot water, make sure to disinfect anything your baby puts in his mouth (pacifiers, toys, etc).  More info here.  You can help make sure the yeast doesn't come back by cutting back on sugar and dairy consumption, taking probiotics and/or grapefruit seed extract.