Expert Q&A

	By Mary Kay Smith IBCLC, Lactation Consultant

What herbal or alternative treatments are available for thrush?

Anecdotal information on the use of herbal and homeopathic remedies has shown them to be helpful when used both with and without conventional medical treatments. Women have reported relief from nipple pain with the use of topical application of calendula (tincture of marigold) or tea tree oil. A weak vinegar solution (1 tablespoon of white or cider vinegar to 1 cup of sterile water) can be used to rinse the nipples after each feeding. Oral antifungal treatments include Pau d' Arco, acidophilus capsules or Echinacea capsules.

Gentian violet can be used to treat both Mother's nipples and Baby's mouth and diaper area. It is intended for short-term use only and misuse can cause painful mouth ulcers more painful than the thrush. It is effective; however, it stains clothing and skin. You definitely should not use it right before a special occasion where picture taking will occur!

Women who experience frequent yeast infections are often advised to cut down on their intake of sugary foods, wheat, cheeses and fermented food products. The addition of dietary supplements such as vitamin C, zinc and B complex vitamins may be helpful, as is adding garlic and yogurt with live cultures to the diet.

Above all, remember that Baby and Mother need to be treated simultaneously. If you continue to experience nipple pain after treatment, consider seeing your doctor to rule out a simultaneous bacterial infection or dermatitis of the nipple. Mastitis can be caused by long-term yeast infection. Sore nipples or breasts are the No. 1 reason why women stop breastfeeding, so getting quick and appropriate treatment essential.

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