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How do I know if my nipples have thrush?

Understanding Nipple Thrush: Symptoms and Diagnosis
Nipple thrush, a type of yeast infection primarily caused by the Candida fungus, is a condition that often affects breastfeeding individuals. Recognizing the signs and symptoms of nipple thrush is crucial for effective treatment and to prevent further complications.
Common Symptoms of Nipple Thrush
The symptoms of nipple thrush can vary, but they typically include:
– Severe Pain: One of the hallmark signs of nipple thrush is intense pain in the nipple and surrounding breast tissue. This pain can be sharp, burning, or throbbing, and may persist even after breastfeeding sessions.

– Itching and Irritation: Affected individuals may experience itching or a burning sensation on the nipple, which can be quite uncomfortable.
– Changes in Nipple Appearance: The skin on the nipple may appear shiny or have a red, inflamed look. In some cases, you might notice white patches or a rash.
– Shooting Pain: Some women report a shooting pain that radiates deep into the breast, which can occur during or after breastfeeding.
– Discomfort During Feeding: If breastfeeding becomes increasingly painful, it may indicate an underlying issue such as thrush.
Diagnosis and Considerations
Diagnosing nipple thrush can be challenging, as many symptoms overlap with other conditions. It is essential to consult a healthcare professional who can help differentiate between thrush and other potential causes of nipple pain, such as mastitis or improper latch.
A skilled breastfeeding supporter or lactation consultant can also provide valuable insights and support in ruling out other issues before concluding that thrush is the cause.
When to Seek Help
If you suspect you have nipple thrush, especially if you are experiencing severe pain or discomfort, it is advisable to seek medical advice. Early intervention can prevent complications, such as early weaning due to pain.
In summary, if you are experiencing persistent nipple pain, itching, or changes in appearance, it may be indicative of nipple thrush. Consulting with a healthcare provider is the best course of action to confirm the diagnosis and initiate appropriate treatment.

How to tell if baby has thrush?

Symptoms of thrush in the baby include:

  1. White, velvety sores in the mouth and on the tongue.
  2. Sores that may bleed when wiped.
  3. Redness in the mouth.
  4. Diaper rash.
  5. Mood changes, such as being very fussy.
  6. Refusing to nurse because of soreness.

How to tell if it’s thrush or milk tongue?

After washing and drying your hands, dampen a clean piece of gauze with lukewarm water. Wrap it around your finger and gently wipe your child’s tongue. If the residue comes off easily, your child likely has milk tongue and not thrush.

What is the fastest way to treat thrush on nipples?

Medications for the nursing parent:
The most effective treatment for topical thrush is Miconazole (Daktarin) cream (2%), which should be applied to the nipple in small amounts after every feed. In mild cases, expect improvement within a couple of days. In more severe cases, it may take 3 to 5 days or longer.

What can be mistaken for thrush?

5 vaginal infections that aren’t thrush (but look or feel like it)

  • Herpes. Herpes, a common and extremely contagious STI, causes painful sores on the genitals.
  • Trichomoniasis.
  • Bacterial vaginosis (BV)
  • A sensitivity or allergic reaction.
  • Gonorrhoea.
  • Whatever your suspicions, get your symptoms checked out.

How to tell the difference between mastitis and thrush?

Thrush will generally always be bilateral, while subclinical mastitis will usually be unilateral. The breast pain associated with thrush happens after or between breastfeeds. Breast pain caused by subclinical mastitis is usually most intense when a mother has a milk ejection reflex (MER) at the beginning of a feed.

What does thrush on nipples look like?

Signs of nipple and breast thrush
your nipples may appear bright pink; the areola may be reddened, dry or flaky. Rarely a fine white rash may be seen. nipple damage (e.g. a crack) that is slow to heal. signs of thrush may be present in your baby’s mouth or on your baby’s bottom, or both.

How do you rule out thrush?

If there are any white or red patches, your provider might scrape the affected area with a tongue depressor. Your healthcare provider may be able to diagnose thrush just from the appearance of the mouth lesions. But a simple lab test of the sample can also often confirm it.

How do you test for thrush on nipples?

If you suspect you or your baby has a thrush infection, see your health visitor or GP. They can arrange for swabs to be taken from your nipples and your baby’s mouth to see if thrush is present.

What can be mistaken for breast thrush?

Sometimes, nipple thrush pain is quite similar to other health issues – some of the most popular issues that get mistaken as a yeast infection are:

  • Vasospasm/Raynaud’s Phenomenon.
  • Micro-fissures due to suboptimal attachment.
  • Tongue tie in baby.
  • Nipple eczema.
  • Bacterial infection (staphylococcus aureus possibly).

How do I know if I have thrush or mastitis?

Thrush will generally always be bilateral, while subclinical mastitis will usually be unilateral. The breast pain associated with thrush happens after or between breastfeeds. Breast pain caused by subclinical mastitis is usually most intense when a mother has a milk ejection reflex (MER) at the beginning of a feed.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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