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How do you test for thrush while breastfeeding?

Understanding Thrush During Breastfeeding
Thrush, a common yeast infection caused by the fungus *Candida albicans*, can significantly impact breastfeeding mothers and their infants. It manifests as painful symptoms in the breast and can be transmitted between mother and baby, making it crucial to identify and address the issue promptly.
Symptoms of Thrush
For breastfeeding mothers, the symptoms of thrush may include sharp, shooting pain in the nipples, a burning sensation during or after breastfeeding, and sometimes a rash on the nipples. In infants, thrush can appear as white patches in the mouth or on the tongue, which may resemble milk but do not wipe away easily.
Testing for Thrush
Testing for thrush while breastfeeding typically involves a combination of self-assessment and professional evaluation. Here’s how to approach it:
1. Self-Assessment: Mothers should first observe their symptoms closely. If they experience persistent nipple pain that does not improve with proper latch techniques or if they notice white patches in their baby’s mouth, these could be indicators of thrush.
2. Consulting a Professional: It is essential to consult a healthcare provider or a skilled breastfeeding supporter. They can help rule out other potential causes of breast pain, such as improper latch or other infections, before confirming a thrush diagnosis.
3. Physical Examination: A healthcare professional may conduct a physical examination of the breasts and nipples, looking for signs of thrush, such as redness, swelling, or lesions. They may also examine the baby’s mouth for white patches.
4. Treatment Considerations: If thrush is diagnosed, treatment options typically include antifungal medications for both the mother and the baby. It is important to note that breastfeeding can continue during treatment, as the benefits of breastfeeding often outweigh the risks of temporary discomfort.
Importance of Accurate Diagnosis
Accurate diagnosis is crucial because thrush is often over-diagnosed. Many mothers may experience nipple pain due to other factors, such as poor latch or other infections. Therefore, a thorough evaluation by a knowledgeable professional is essential to ensure appropriate treatment and avoid unnecessary interventions.
Conclusion
Testing for thrush while breastfeeding involves careful observation of symptoms, professional consultation, and a thorough examination. By addressing the issue promptly and accurately, mothers can continue to enjoy the benefits of breastfeeding while managing the discomfort associated with thrush.

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 commonly misdiagnosed as thrush?

Several conditions can mimic oral thrush. These include: frictional keratosis: a persistent, usually isolated, low-grade irritation of the oral mucosa. hairy leukoplakia of the tongue: commonly seen in HIV patients.

Is there a test to confirm thrush?

Candidiasis of the mouth or throat (Thrush)
Healthcare providers can usually diagnose candidiasis in the mouth or throat simply by looking inside. Sometimes a healthcare provider will take a small sample from the mouth or throat. The sample is sent to a laboratory for testing, usually to be examined under a microscope.

What does thrush look like when breastfeeding?

Signs of thrush in the nursing parent may include:
Flaking and/or shiny skin on the nipple or areola. Nipple skin and areola may be red on lighter skin and darker brown, purple or grey on darker skin. This can be more difficult to see on darker skin tones. White patches/tiny blisters on the nipple or areola.

What does thrush on breast 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.

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).

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.

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.

How do they test for thrush while breastfeeding?

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.

How common is thrush in breastfed babies?

Because it’s relatively common for new birthing parents and newborn babies to need antibiotics, thrush is also common. Anything else that depresses the immune system—diabetes, chemotherapy, even a common cold—can result in an overgrowth of yeast.

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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