Guest Author - Jessica Gunsch

Breast Pain can be caused by a variety of problems for example mastitis, engorgement, eczema and/or soreness from improper latching. In this article I will discuss a common condition known as thrush.

Thrush is a fungal infection, specifically yeast called monilia, which affects both mother and child. It is characterized in infants by tiny white spots or sores in the mouth or appears in the form of a diaper rash. If your child has thrush, it is likely that the infection will also spread to your nipples.

Thrush nipples are painfully swollen, reddened and tender. In some instances they may become cracked, itchy, and sometimes a rash of the white spots may be present on the nipples. Mother and baby both need to be treated for thrush to prevent reinfection but most importantly to relieve the pain that it causes for both. Untreated thrush can make it difficult for the baby to nurse and difficult for you to comfortably breastfeed. It is very important to seek treatment at the first signs of thrush because it will only worsen with time.

If you think that your nipple soreness may be the result of a thrush infection, first check the inside of your baby’s mouth. The tiny white spots typical of thrush can appear anywhere inside the mouth but are most commonly found on the inside of the cheeks and on the tongue. Even if your child does not have the characteristic spots he or she may still have thrush. Another telltale sign of a thrush infection is a diaper rash that will not heal with over the counter creams and conscientious diaper changing.

If you suspect thrush make an appointment with your pediatrician to get treatment for your child. The pediatrician may also be able to supply you with a prescription for your nipples, otherwise contact your obstetrician. A drug called Nystatin is commonly used to treat thrush and will consist of oral drops for the baby, ointment for the diaper rash and a cream for you.

Over the counter treatments are also available. Gentian violet, available at most pharmacies, is sometimes recommended for treating thrush. Use a Q-tip dipped in the solution and swab the affected areas of the baby’s mouth twice a day. You can also use this on your nipples. Note: Gentian violet will turn everything that it comes in contact with purple including your baby’s mouth and your nipples.

Until the thrush is cured, be sure to sterilize everything that comes in contact with your baby’s mouth and your breasts such as pacifiers, bottles, toys, breast pumps, etc. Also be sure to frequently change breast pads and bras. Yeast thrives in damp, warm environments.

To hasten the healing of your nipples, try exposing them briefly to sunlight and keep them bare as much as possible. If you are very uncomfortable try applying a few drops of expressed breast milk to your nipples and let them air dry. You should notice a drastic difference within a few days of treatment but be sure to continue the medication for the specified time even if symptoms have disappeared.