Thrush When Breastfeeding

Expressing helps you to keep up your milk supply too. Yeast loves warm and moist areas, which sounds just like breast pads kept in your bra. Even though yeasts are normal inhabitants of the skin, mouth, digestive tract and vagina, sometimes there’s too much and the result is a thrush infection. What is “breastfeeding thrush”? If you use breast pads choose disposable ones and wrap and dispose of them immediately after use, or wash re-usable ones immediately at a high temperature. They may go pale, or appear red and shiny. Babies need to suck differently on breasts and bottles, and they can get confused if they’re being offered both in the early days of breastfeeding. Often the best clue that a diaper rash is due to yeast is that it does not respond to regular rash ointments over a period of a few days but responds rapidly to an antifungal cream.

Use a nail brush to scrub under your fingernails. If topical treatments don’t work, Diflucan, (generic name fluconazole), should do the trick. The symptoms of thrush on nipples can be very similar to the symptoms experienced with a bacterial infection of the nipple or when a baby is not not attached to the breast (latched) correctly—causing pinching or vasospasm of the nipple. Yeast infections: causes and risk factors, this overgrowth of yeast can develop into a yeast infection. How is breast and nipple thrush diagnosed? It's normal to be worried and a little scared about spreading an infection to your baby. Use for at least 14 days. For more information on diagnosing thrush see below.

  • Yeast can easily spread to other family members, too.
  • Unlike with vaginal thrush, itching is not typical.

Eat a balanced diet and reduce your sugar intake. Try yogurts low in sugar, probiotics or acidophilus (viable units) (1 capsule TID x 4 days). If you or baby are infected with thrush, you need to be treated together. Are you experiencing deep, stabbing breast pain during or after feedings? It can also spread to other members of your family. Second line treatment: Nystatin suspension or miconazole oral gel for infant’s mouth.

Here's what to know about thrush and breastfeeding, and getting through this temporary rough patch. Some mothers are aware that they always have cold extremities, reinforcing the likelihood of this as a cause of pain. You may see white patches inside babies' mouths.


If your baby has thrush , white patches that look like milk curds or cottage cheese will usually appear on his tongue, gums and on the inside or roof of his mouthThese white patches do not wipe away easily, unlike a harmless coating of milk. It necessitates the healthcare professional who prescribes or sells the medication outside of its license application to take responsibility for the use of the product. Use the full course of medication suggested by your doctor, and continue using the home remedies for several weeks so that the infection will not reoccur. It may be a sign of minor infection or just a transitional symptom as the body adjusts to breastfeeding.

You'll also need to clean pacifiers, bottles, and breast pump parts thoroughly. These spots will look sort of like cottage cheese, and won't come off easily if you wipe his mouth with your finger or a soft cloth. Yeast grows in our bodies normally. It's fine to breastfeed your baby, and if you do so, you'll be doing really well, as it can be painful and difficult. Pay careful attention to the positioning and attachment of your baby. Stress and yeast infections, ” He booked us on the first flight home, and the rest of the tour was called off. Hunter had a tongue tie, and my early scars were likely the result of a poor latch. Fluconazole (DiflucanTM): You may be able to pump rather than breastfeed, or you might have to take a break from nursing until your breasts heal.

With proper treatment, many mothers and babies overcome thrush and continue their breastfeeding journey.

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Clean baby's toys with vinegar and water to prevent another infection. If baby is nursing at the breast, thrush may be indicated by obvious symptoms in baby’s mouth which appear as white plaques on baby’s cheeks or gum tissue. Breastfeeding moms are usually instructed to use a topical cream, such as miconazole or clotrimazole. Thrush is a common yeast infection in a baby's mouth that can affect your nipples during breastfeeding. Nipple vasospasm may sometimes feel like a thrush infection of the nipple or breast. Note that fruits and juices contain sugar in the form of fruit sugar.

Miconazole 2% cream applied SPARINGLY to the nipple & areola area after each feed. 5% – 1% strength. Any distribution or duplication of the information contained herein is strictly prohibited. ● Thrush is an overgrowth of the yeast organism candida albicans. You will not typically see white spots the way you would with oral thrush. Itching or burning pain , especially after breastfeeds. What is Thrush? Your doctor may also want to assess your latching technique during breastfeeding before initiating treatment.

Thrush infections can also occur after you or your baby have had a course of antibiotics. An LLL Leader will be able to share information on other possible causes of nipple and breast pain. It took me several rounds of recurring thrush to learn this lesson, so please spare yourself the agony and just do it! ● There is pain: Breast pain during lactation that resolved with fluconazole: Instead, wash with plain water. Since yeast grows in moist, warm environments, mouths and nipples are prime places for yeast to overgrow during breastfeeding. What causes thrush?

Expose the nipples to the sun for a few minutes twice a day.

How Is Thrush Diagnosed?

Change nipple pads and shields often. If you already have vaginal thrush, there’s a good chance that it can spread to your nipples, especially if the skin is already damaged. Vaginal yeast infection (thrush): overview, if you’re concerned about transmission, talk to your doctor about all the ways yeast infections could be contagious in your situation. Use a fresh cotton ball for each application and mix a new solution every day. Sometimes white spots are seen inside the cheeks. While you can still breastfeed baby during a thrush infection, you can’t store or freeze your milk. Change your breast pads FREQUENTLY and do not use plastic lined pads. Adding more of this to the diet when yeast is present or preventatively when antibiotics must be taken is an effective way to regrow the good bacteria. Is it okay to feed my baby milk I pumped when I had thrush?

Some women and babies are simply more susceptible than others. Here are a few additional causes of nipple pain that should keep an eye out for. Your likelihood of developing breast and nipple thrush during lactation can be reduced through careful antibiotic use, professional training regarding breastfeeding, hygienic feeding and other simple measures. You may be at increased risk if you’re taking certain medications, such as antibiotics, corticosteroids, and certain types of cancer drugs. Hang in the sun to dry or dry them at a hot temperature.


Get all members of the family treated for fungal infection occurring at any site (e. )The thrush infection can then pass to your nipples. This is the vaginal dosage and is seldom effective when the yeast is present on the nipples or within the breast ducts (intraductal yeast). Thrush diagnosis is likely if: Raised, patchy, or bright or dark red yeast diaper rash with distinct borders. This study will also document transmission dynamics of S. If you pump make sure you use up any milk within 24 hours.

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Redness, shininess, irritation and/or peeling skin on the areola or nipple. On the other hand, if your breastfeeding baby has oral thrush, it's possible you got the infection from him. White plaques in the mouth or on the tongue that you cannot remove. In the meantime, following the measures listed in “Treatment Measures for Sore, Cracked, or Bleeding Nipples” may bring some degree of relief. Wash your baby’s hands too.

Other Measures

If the baby has plaques in his/her mouth the mother may exhibit no symptoms but should be treated topically with the cream to prevent re-infection of the baby. If you (like me), leak a lot and don’t change your breast pads, your bra becomes an inviting wet, sugary environment for yeast. The article Causes of Sore Nipples may also be helpful. If you suspect you and your baby may have thrush, you’ll want to see a doctor as soon as possible to get relief. This post may contain affiliate links, which means that if you click through and make a purchase, I’ll be compensated at no additional cost to you. On a last note, I need to warn you that sometimes what looks like thrush isn’t really thrush. If the pain affects only one breast and is experienced during the feed positioning and attachment on that breast should be optimised.  Breastfeeding thrush is very painful and distressing.

  • It may take a little time and persistence to deal with a thrush infection and enjoy comfortable feeds once more.
  • Every two hours, my son and I would cry.
  • • NYSTATIN (Nystan) oral suspension is recommended as the second-line of treatment where miconazole is ineffective or causes side-effects.
  • • Yeast organisms hate sunlight, so give your bra and breasts a sun bath.
  • Thrush is an infection, and it needs to be killed, so you will have to use some form of medication.
  • The infection may lead to severe nipple and breast pain, especially during breastfeeding.
  • When deciding whether to use medications you will want to weigh the potential benefit against the possible side effects.

How Is Thrush From Breastfeeding Treated?

Wash your hands often, especially after putting on the antifungal cream and changing your baby’s nappy (LLL 2020, NHS 2020a). When this makes a baby’s mouth sore they may find feeding painful and appear fussy. Keep a separate towel for each person in the family, or at least for you and your baby. While you and your baby are being treated for thrush, it’s totally fine to give your baby your milk. Vinegar is a natural remedy for thrush (Source). Thrush and yeast both refer to an infection caused by the fungus Candida Albicans. Male yeast infection: symptoms and treatment options, some guys swear by white vinegar and others say it does not work. It's possible for both you and your baby to have thrush even if one of you is symptom-free. But when a stint of thrush threatens to interfere, it’s reassuring for a new mom to know that she and her baby can be successfully treated.

Candida and the lactating breast: Thrush is a common fungal infection that affects breastfeeding moms and infants. 2020 Jun; 4(2): Nipples may appear shiny or flaky, and may have a rash of tiny blisters extending onto the areola. Some moms also lower yeast and sugar intake to help maintain the body’s inner balance. When we think of thrush, we usually think of a vaginal infection, or perhaps oral thrush in baby’s mouth. Your nipple may also look unusually bright pink if you have white skin; on black skin, the nipple usually turns a lighter, slightly more pink colour than the areola. No responsibility can be taken by the author or the Breastfeeding Network for the way in which the information is used.

For Baby:

Chetwynd EM, Ives TJ, Payne PM et al. Nursing should be an enjoyable experience for both mother and baby. Make sure to wash your hands thoroughly before and after breastfeeding and after applying the medication in order to prevent the yeast from spreading. Is thrush contagious? The pharmacist will direct you on how to give it to your baby. Your nipples might burn or sting. And baby’s diet. Breast and nipple thrush is treated with antifungal medicine and antifungal nipple gel/creams.

If your baby is well positioned and attached, there could be another reason for sore nipples. A calmer baby will be gentler on your nipples. CAN BREASTFEEDING CAUSE THRUSH IN YOUR BABY?

The oozing of liquid that occurs often from cracked nipples encourages Candida albicans to change from its harmless form to an invasive form.

Apart from medications, there are a number of other things that you can do to help you get rid of a thrush infection: They might suggest that an experienced lactation consultant or paediatrician examines your baby’s mouth. First, you will need to go to your doctor or your baby’s pediatrician to confirm the thrush diagnosis in order to get treatment prescribed. Clinical decisions remain the responsibility of medical and breastfeeding practitioners. Frequently change wet breast pads for new dry ones, to keep your nipples as dry as possible.

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When wiped off they leave red sore areas which may bleed. Vasospasm happens when circulation to the nipple gets restricted due to pressure between the baby’s tongue and soft palate. Dosage is 200-400 mg on the first day (loading or stat) dose followed by 100-200 mg for 10-14 days after or longer if yeast is especially resistant. There is evidence that the use of miconazole oral gel is preferable to nystatin suspension with greater efficacy within a shorter period (Hoppe).

Some hospitals have their own breastfeeding clinics. Yeast loves sugar, and there is lots of sugar in breastmilk. I never want this to happen to me again. These organisms thrive in warm and moist environments (like your bra) and under certain conditions they multiply excessively, causing pain, itching and irritation. Ideally, your baby should take at least one inch of your areola into the mouth. IS THRUSH CAUSING MY SORE NIPPLES? Another sign of thrush could be breast pain:

Use of intrapartum antibiotics and the incidence of postnatal maternal and neonatal yeast infections. These treatments can be done together, and can continue for 2-4 weeks or more, depending on instructions from your health professional. Stinky feet: the dangers of thrush, though we shoe if needed and have great luck with it too. Other causes of thrush include: Boil any items that baby’s mouth has been in contact with for five minutes or replace to avoid re-infection. You may find it helpful to share this page with your doctor. Baby’s saliva with a white shine or a pearly sheen on the inside of baby’s lips. Thrush can develop on your nipples and in your baby’s mouth We all carry the fungus candida albicans in our bodies.