It might not be your kind of thing VP - but getting your nipples exposed to sunlight also helps
Candida diet is good, but really only necessary if you're struggling to get on top of it and its *****ised your gut, specifically your upper GI tract. It's not a whole lot helpful in treating external flora, including vaginal.
However I would look at some inner health or equiv. for the lifetime of your bf'ing. It will help keep it at bay from your nipples, and prevent it *****ising your gut. You can also buy probiotic powder for bub if it becomes an ongoing problem, but I would be waiting a while...from memory your LO is only a month or so old right?
Canesten wash is great - but expensive. I would be only using it to wash your bras and pj tops etc if you sleep braless. Wear a fresh pj top each night, and if you normally sleep naked, wear a cotton tee or singlet so your sheets arent dirty or reinfecting. Also change your breast pads frequently and keep your nipples as dry as you can. If you're big busted and your breasts touch in your bra and get a bit sweaty/clammy, use the cream or canesten cream in your crease. Or use curash powder to keep the area dry.
It's not an STI but intimacy involving infected areas and your partner's moist areas (mouth, arm pits, groin) can transfer spores, which means you end up tag-teaming the infection backwards and forwards. Treatment for the partner is often good at making sure its really gone. That said, I doubt your nipples are getting too involved in your intimate moments if you're bf'ing only a few weeks post partum!
Lol the swiped out word is c.o.l.o.nising.
And no need to worry about my partner getting infected... We haven't had hanky panky for about 9 weeks and when we do he's not going anywhere near the boobs!
I was just reading on the canesten web site that fluconazole (diflucan) is not suitable for breastfeeding.
This is different advice from what was in the royal women's hospital guideline that piyami posted:
Has anyone been told specific guidance from their pharmacist/doctor about this?
(After nearly a week on Daktarin oral gel things are better but I'm still getting pain in my right nipple that is pretty bad during a feed. I'm considering the tablets/capsules. My doc said not to worry about them unless the gel didn't work).
Clinical guidelines (hospital notes) are to be used under hospital supervision, ie for patients. It would be a worst-case-scenario thing. Another example is using Restavit as a Hyperemesis treatment - contraindicated by pharmacist and GP and packet, but listed in the clinical guidelines of a couple of Aussie hospitals.
I would continue to use the cream you have for now, it doesn't work overnight and your nipple needs time to heal from the physical damage as well as the infection itself. Are you making sure you get the cream as far into the nipple hole/folds as you can?
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