Thrush While Breastfeeding: How To Deal With It

Yeast overgrowth causes problems with breastfeeding when it occurs in specific areas. So if you only treat one or the other, you’ll keep passing the infection back and forth. 5% – 1% strength. Athlete’s foot is also a type of fungal infection. You as Mum have been taking the Oral Contraceptive Pill (OCP) or if you or Bub have been treated with antibiotics or corticosteroids.

However, doctors and pharmacists are often reluctant to give it to young babies; in that case you may want to give nystatin to the baby and use the miconazole for your nipples.

Suspect candida as the cause of your sore nipples if: Your doctor may also prescribe an antifungal cream like Nizoral (containing ketoconazole). What can I do about sore and painful nipples when breastfeeding? BREASTFEEDING SHOULD BE PAIN-FREE from the point of attachment (the moment the baby goes to the breast) onwards. Drink as much fluids as you can but not anything containing sugar! Sometimes mom and baby gaze lovingly into each other’s eyes, drinking in the moment. The cotton Sherpa on the breast pad secures silver molecules to the surface that only “turn on” when in the presence of unwanted bacteria, yeast, and other fungi. Babies may have white patches of fungal growth inside their cheeks, or on their gums or tongue which don’t rub off.

Nipple pain is common in the early days of breastfeeding. • Be aware that symptoms may get worse as the thrush starts to die off, before you notice any improvement. Even if the baby has no signs of infection, the mother may still be infected, and needs to seek treatment from a health professional or lactation specialist. That first attachment pain is normal, and usually goes away shortly after they start feeding. If you have thrush, you will need to see your doctor or midwife for treatment. Women with breast and nipple thrush are also advised to take the following measures: Longer durations and higher concentrations may cause ulcerations and skin necrosis. After nursing, rinse your nipples in a solution of 1 cup water mixed with 1 tbsp of white vinegar or baking soda.

  • Thrush and breastfeeding.
  • Probiotics are good bacteria.
  • • If your healthcare provider advises you to wash the creams off your nipples prior to breastfeeding, do so gently with warm water.
  • The drug is also available on prescription as a daily regimen for 10 days.

How Does Breastfeeding Cause Thrush?

If that is not possible or practical, suggest she boil the milk to kill any yeast before giving it to the baby. Dietary supplements that may be helpful include: To address this improve attachment and feed frequently to drain both breasts effectively. Rinsing the vaginal area with a vinegar and water solution after using the toilet may be helpful. If your little one has a rash, I encourage you to take him to his health care provider. These are available without a prescription. Why does thrush happen?

  • Yeast infections are common following antibiotic treatment.
  • Apply this solution to the affected areas in the baby's mouth with a Q-tip.
  • It may take hold more easily if your nipples are already sore, perhaps because your baby isn't latching on well.


Mohrbacher, N. There is often more than one symptom present so it's important to get checked by your GP. Wash your hands and baby’s hands often. Youtube, contains allicin, a sulphur-containing compound with specific-to-Candida anti-fungal properties. The rash may be localized (the area looks like it has been dipped in scalding water) or it may be diffuse and lacy, covering a large area. For laundry, you can add 1 cup (250 ml) of bleach in the wash cycle, and 1 cup (250 ml) of vinegar in the rince cycle to boost washing power. Unforuntaely it may not look like anything. Those good bacteria usually make sure that there’s no room for Candida to get out of control, kind of like your gut’s police force – but with the good guys killed off by the antibiotics, the bad guys quickly get out of control. 3 or 4 times a day.

Make sure to wash these things separately from other clothing. It describes, among other things, how to use Gentian violet and systemic fluconazole, which you will need to speak to your doctor about. Change nipple pads and shields often. When an imbalance between the body and concentration of fungus occurs, it may colonise a range of body sites, causing infection and tissue damage. Candida quickfish®, glucose, Sucrose, Maltose, Lactose, Cellobiose, Raffinose and Trehalose. Before we start talking about the treatment for thrush, there’s one very important thing you must remember:

Changing shirts and bras regularly can help prevent yeast infections. Stone suggests seeing a lactation consultant. Breastfeeding during this time can help because breast milk delivers supportive antibodies to help develop a child's immune system, and rinsing your baby’s mouth with some water after delivering antibiotics can help reduce the chances of the antibiotic having an acute adverse effect in the oral cavity. Also, apply a small amount once a day to baby’s mouth, but be aware that overuse of gentian violet may irritate the sensitive oral mucus membranes of baby’s mouth. Thrush cannot thrive in acidic conditions.

Treatment Of The Baby

Itchy nipples which may be extremely sensitive to any touch, even to loose clothing. Attention to improving attachment will help thrush to clear. It also provides the perfect environment for thrush to grow. Some women seem to be more prone to developing yeast infections than others. Breastfeeding and thrush. • Warning – gentian violet has been used for many years to treat thrush. Wash towels and linens in hot water, and dry thoroughly. Midwifery and gynaecology [online].

Flu-like symptoms like fever, chills, body aches, nausea, vomiting, or fatigue. Without culturing the yeast (which is very difficult to do) you don’t know exactly which strain you have, so if one medication doesn’t work, try another. New babies are still developing their immune systems (especially in the first 8 weeks), so both can be prone to infection. If you are using cloth diapers, wash with HOT water and bleach or a similar alternative. Antibacterial soaps kill both good and bad bacteria, and good bacteria keeps yeast in check. If a mother has cracked, damaged or sore nipples. Thrush can show up on your breasts or in your baby's mouth.

Here Are Some Other Helpful Things To Do

Fungal or staphylococcal? Tran suggests infants see a pediatrician for treatment and parents with persistent thrush see their healthcare provider, but mentions that in addition to Nystatin, Mupirocin and Fluconazole are other possible medications helpful for thrush treatment. Microbiologics, all clinical C. Your healthcare provider may recommend some of the following remedies, which are safe for both babies and breastfeeding moms. How do I know that I have it? Be sure to also make sure you receive a proper diagnosis, O'Connor says.

Change your bra and breast pads if-and-when they get wet and always keep your nipples as dry as possible. Before a feed or during the night – breast not being emptied properly – ducts become over distended. She'll prescribe an antifungal cream or gel, usually Miconazole, for your nipples and your baby's mouthYou need to spread a thin layer of cream over your nipples after every breastfeed. Be sure to ask for a 0.

It is also important to note that if you have yeast on your nipples or in your milk ducts, weaning your baby will not necessarily make it go away and you will still need to treat the problem.

How Is Thrush Treated?

Wash hands often (before and after nursing, after using the bathroom, and before or after changing the baby’s diaper). Use a fresh cotton ball for each application and mix a new solution every day. There is some anecdotally reported evidence that using 1% clotrimazole cream as an alternative is associated with allergic reactions. Having a whitish tongue isn’t uncommon in babies who only drink milk. If you are susceptible to getting vaginal yeast infections or have one already, you may be more likely to get thrush from your baby while breastfeeding. It is usually experienced immediately after breastfeeding or after expressing milk. 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 is normally found on and in your body.

Diagnosing thrush is difficult, because skin tests are considered unreliable, and the results aren’t available for several days – a lifetime when you have pain! It’s also fine to give your baby any milk that was pumped before you had thrush. Any skin that touches other skin is especially vulnerable for the breastfeeding dyad: Thrush thrives in sweet sugary environments so change breast pads often and you could try reducing your sugar intake during an active episode of Thrush. Fungal skin infection images, breast and nipple thrush in breastfeeding mothers is commonly associated with oral thrush in their newborn infants, since about one in four infants (24%) will develop oral thrush before reaching 18 months of age. The pain is often described as "burning" and does not improve with better latch or positioning techniques.

If your man or your other little cheeky monkeys, go in for the bear hug, it could be very painful for you but a beautiful gesture at the same time. This is especially important if: Look for the any of the following symptoms: Used occasionally for persistent with triamcinolone eczema-like inflammation associated with a thrush infection. Apply the Gentian Violet once a day and no more. Continuing to breastfeed helps your baby to build up a strong immunity. Generally the organism lives in harmony with the human body, but it can cause infection when imbalances occur.

Your Breastfeeding Rights

If thrush has infected the milk ducts or reoccurs after a full course of treatment, a pill version of nystatin may be necessary. These organisms like warmth and moisture and are normal inhabitants of the skin, mouth, gut and vagina. ● There was recent nipple trauma, which may predispose to thrush. A lactation consultant should be your first port of call to rule out the other possibilities. And if the strain of thrush is resistant to nystatin, the doctor may prescribe other drugs, as well as suggest over-the-counter medications to use at the same time. This diagnosis is controversial, as recent research has found that mothers with suspected yeast infections may actually have bacterial infections or Raynaud’s vasospasm, and that yeast hasn’t been cultured in the milk of mothers with suspected interductal thrush.

Although most are not serious enough to keep you from breastfeeding , some can make breastfeeding a more uncomfortable and less fulfilling process for you and your baby. Paget’s disease of the breast is a rare condition associated with breast cancer. Mothers often describe the pain in very graphic terms ‘feeding through broken glass,’ ‘unbearable’ and dread their baby waking up for feeds. 2020 Jul;106(1): Thrush infections are flat-out difficult to deal with. “Women with a yeast infection of the nipples are usually diagnosed by description of their symptoms,” Tran adds.

A baby can get thrush inside his mouth (seen as white patches that don’t wipe away) or in his nappy area (an inflamed nappy rash) and under certain circumstances it is thought that a breastfeeding mother can get thrush on her nipples causing pain and soreness. Your doctor may ask to take a swab of your breasts to check for a bacterial infection, and prescribe an antibiotic to treat it alongside your thrush treatmentYou could try adding probiotics to your daily diet to help the friendly bacteria that suppress thrush to grow again in your digestive tractYou can take probiotics in pill form, or by eating live, natural yoghurt, but don’t rely on them to fight your thrush infection. The skin on the nipple is shiny or flaky. 11 candida symptoms & how to eliminate them, additional support in the form of healthy bacteria (called probiotics) is also used to compete with Candida in the intestines, resulting in a re-balancing of the microflora. Women describe the pain of thrush as severe, even excruciating.

  • Toys, teethers, bottles, nipples, pacifiers – anything that baby puts in their mouth need to be washed.
  • Following your doctor’s instructions properly is important, as non-compliance can delay treatment, healing and make breastfeeding more difficult.
  • Breast and Nipple Care tells you what to expect as your breasts change during pregnancy and briefly covers how breastfeeding works.


If symptoms of pain do not improve or deep breast pain develops, oral treatment with fluconazole may be necessary in addition to topical treatment of mother and baby. Babies’ tongues normally have a white coating. When a breastfeeding woman or breastfed infant presents with symptoms suggestive of thrush, both mother and baby will need to be examined. Continue using the medication for at least 2 weeks after symptoms are gone. The infection may lead to severe nipple and breast pain, especially during breastfeeding. Painful nipples in nursing mothers: You may find that your baby is unsettled, or pulls away from your breast while feeding, because his mouth is sore.