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How do you know if you have nipple thrush?

Understanding Nipple Thrush: Symptoms and Identification
Nipple thrush, also known as a yeast infection of the nipple, is a common concern for breastfeeding mothers. This condition is primarily caused by an overgrowth of the fungus *Candida*, which can lead to discomfort and complications if not addressed promptly. Recognizing the symptoms of nipple thrush is crucial for effective treatment and maintaining a healthy breastfeeding relationship.
Key Symptoms of Nipple Thrush
The symptoms of nipple thrush can vary, but they typically include:
– Intense Nipple Pain: One of the hallmark signs of nipple thrush is a sharp, burning pain in the nipples during and after breastfeeding. This pain can be severe enough to discourage mothers from continuing to breastfeed.

– Itching and Rash: Affected individuals may experience itching around the nipple area, along with a rash that can appear red and inflamed. This rash may also be accompanied by flaking or peeling skin.
– Shooting Pain: Some mothers report a shooting pain that radiates from the nipple into the breast, which can be particularly distressing and may indicate a deeper infection.
– Discomfort During Feeding: If breastfeeding becomes increasingly painful, it may be a sign of thrush. Mothers often describe a feeling of discomfort that persists even after the baby has finished feeding.
Risk Factors and Causes
Nipple thrush is particularly common among breastfeeding mothers due to the moist environment created during nursing, which can promote fungal growth. Factors that may increase the risk of developing nipple thrush include:
– Antibiotic Use: Taking antibiotics can disrupt the natural balance of bacteria and fungi in the body, leading to an overgrowth of *Candida*.
– Weakened Immune System: Conditions that compromise the immune system can make individuals more susceptible to infections, including thrush.
– Poor Latch or Positioning: If a baby is not latched properly, it can cause trauma to the nipple, making it more vulnerable to infection.
Diagnosis and Treatment
If you suspect you have nipple thrush, it is essential to consult a healthcare professional for an accurate diagnosis. They may perform a physical examination and consider your symptoms and medical history.
Treatment typically involves antifungal medications, which can be applied topically or taken orally, depending on the severity of the infection. It’s also important to maintain good hygiene practices, such as keeping the nipple area dry and clean, to prevent recurrence.
Conclusion
Identifying nipple thrush early is vital for effective treatment and to ensure a comfortable breastfeeding experience. If you experience any of the symptoms mentioned, seeking medical advice is the best course of action. With appropriate treatment, most mothers can continue breastfeeding without significant interruption.

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 to tell the difference between thrush and 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.

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.

Will breast thrush go away by itself?

Thrush is a yeast infection that can lead to very damaged, cracked, and painful nipples, a nursing strike, or early weaning and it needs treatment to clear up. While you can take care of some breastfeeding issues on your own, this isn’t one of them.

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.

What will happen if thrush is left untreated?

In some cases, the symptoms of oral thrush can make eating and drinking difficult. If left untreated, the symptoms will often persist and your mouth will continue to feel uncomfortable. In severe cases that are left untreated, there is also a risk of the infection spreading further into your body, which can be serious.

How do you get rid of nipple thrush fast?

Thrush in breastfeeding women is usually treated with a cream that you sparingly spread on and around your nipples after feeds. You’ll need to wash your hands thoroughly after treating yourself. Some women may need to take antifungal tablets to clear the infection.

Can I breastfeed if I have thrush?

Yes, carry on breastfeeding if you can. If you cannot because it’s too painful, try expressing your milk instead. Previously, parents were advised to avoid expressing and storing milk during a thrush infection to avoid possible re-infection, as freezing does not kill yeast.

What does thrush on nipples feel like?

Nipple thrush pain is often described as burning, itching, or stinging and may be mild to severe. The pain is usually ongoing and doesn’t go away with improved positioning and attachment of your baby to the breast. Your nipples may be tender to touch and even light clothing can cause pain. Breast thrush pain can vary.

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.

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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