Thursday, August 7, 2008

Flush with Thrush

I thought it might be a good time to tackle some common problems I’ve faced throughout my 19 months of breastfeeding. Thrush wasn’t the first problems, but it has been the most persistent one so I choose this to discuss first.

What is Thrush?
Oral thrush is a condition in which the fungus Candida albicans accumulates on the lining of your mouth.
Oral thrush causes creamy white lesions, usually on your tongue or inner cheeks. The lesions can be painful and may bleed slightly when you scrape them or brush your teeth. Sometimes oral thrush may spread to the roof of your mouth, your gums, tonsils or the back of your throat.
Although oral thrush can affect anyone, it occurs most often in babies and toddlers, older adults, and in people with compromised immune systems. Oral thrush is a minor problem for healthy children and adults, but for those with weakened immune systems, symptoms of oral thrush may be more severe, widespread and difficult to control.
http://www.mayoclinic.com/health/oral-thrush/DS00408

What and the symptoms?
Oral thrush usually produces creamy white lesions on your tongue and inner cheeks and sometimes on the roof of your mouth, gums and tonsils. The lesions, which resemble cottage cheese, can be painful and may bleed slightly when rubbed or scraped. Although oral thrush symptoms often develop suddenly, they may persist for a long time.
In severe cases, the lesions may spread downward into your esophagus — the long, muscular tube stretching from the back of your mouth to your stomach (Candida esophagitis). If this occurs, you may experience difficulty swallowing or feel as if food is getting stuck in your throat.
Signs and symptoms in infants and breast-feeding mothersHealthy newborns with oral thrush usually develop symptoms during the first few weeks of life. In addition to the distinctive white mouth lesions, infants may have trouble feeding or be fussy and irritable. They can also pass the infection to their mothers during breast-feeding. The infection may then pass back and forth between mother's breasts and baby's mouth. Women whose breasts are infected with candida may experience the following signs and symptoms:
Unusually red or sensitive nipples
Shiny or flaky skin on the areola
Unusual pain during nursing or painful nipples between feedings
Stabbing pains deep within the breast
http://www.mayoclinic.com/health/oral-thrush/DS00408

Personally my symptoms where subtle and we first saw them in my daughter. She had to have an antibiotic shot for an infection and about a week later I noticed her tongue has white splotches on it. About the same time she started having problems at the sitter, being very fussy and clingy. At first I just dismissed it for the natural separation anxiety infants begin to feel at about 6 months, but I finally took her to the doctor where he said part of the problem might be the thrush which could cause her a little pain and discomfort.
I found about two weeks later I started having some subtle nipple pain while pumping. Then I noticed little tiny bleeding spots on my nipples and a little blood on my breast pad after I would pump. Finally came the unbearable itching, I would want Emily to nurse just to soothe it as scratching your nipples isn’t the best idea.



What is the treatment?

At this point I made several mistakes. The doctor told me to get her some infant probiotics, which I had a very hard time finding. I asked is Acidophilus would be ok, but the doctor told me if I couldn’t find it them don’t worry about it. Well it only got worse. I was finally able to find infant probiotics in powder at a Whole Foods store and began giving her one serving a day. These are perfectly safe to give more than once a day and I didn’t see any improvement until I gave her three servings a day. My next mistake was not insisting on getting her treated with some medicine (Nystatin or similar). The thrush had gone so long that I finally had to get her doctor to prescribe something. This goes into my third mistake, not treating myself. The thrush will transfer from mom to baby and back if both aren’t treated at the same time. The best way to do this I found is take a little of the medicine prescribed for your baby and put it on your nipples. Also use cotton nursing pads and be sure they get washed in hot water and clean all the toys your baby puts in his or her mouth until both your symptoms are gone. You’ll have to be sure the sitter does this also otherwise you will have multiple outbreaks.

Can I prevent this fun experience?

Yes you sure can. I personally believe if I had been better informed and knew what I was doing I would have not had problems with it at all. First I read to take Asidophilus while taking antibiotics to replace the good bacteria that is getting killed along with the bad. A good way to help your infant is getting the power probiotics and including it once a day while on antibiotics. This can also help to prevent the antibiotic diarrhea that seems to accompany some treatments. If anything just eat one yogurt a day, it is packed with the healthy organisms you need and good for you too. You can even find infant yogurt now. If you are still concerned, or like me have bad luck with reoccurrences, you can clean your nipples a couple times a day with a solution of vinegar and water. I used about a half mL of vinegar to 10mL of water or more water if that seems to irritate your skin. Just dap it on once or twice a day. This will dry out your skin though so I also suggest adding a dap of Lanolin cream after each application to avoid a different kind of soreness.



On an ending note these are just my personal experiences, yours may be different. It is common to get, but you will probably find a lot of nursing moms who have never had problems with it. Everyone is different. You can find lots of good tips and information online too, I just did a Google search and found a plethora of information in just one search on “thrush”.

2 comments:

Debbie Jones said...

What is the picture of? Sounds like something to be avoided.

AJ Lewis said...

That's what thrush would look like in a baby's mouth. White patches all over the tounge and inside of the cheeks. It's nothing horrible, just not fun either.