Candidiasis
Symptoms of candidiasis of the breast include pain, itching, burning and redness, or a shiny or white patchy appearance. The baby could have a white tongue that does not wipe clean. Candidiasis is common and may be associated with infant thrush. Both mother and baby must be treated to get rid of this infection; first-line therapies include nystatin, ketaconacole or miconazole applied to the nipple and given by mouth to the baby. Strict cleaning of clothing and breast pumps is also required to eradicate the infection.
Another effective treatment of candidia is the use of gentian violet. When the nursing mother has a Candidal infection of the nipple, she may experience severe nipple pain, as well as deep breast pain. Please note: Gentian violet 1% in water also contains alcohol. Apparently some pharmacists are now dissolving it in glycerin, thus avoiding the use of alcohol. It is believed that gentian violet is the best treatment of nipple soreness due to Candida albicans for the breastfeeding mother. This is because it usually works, and relief is rapid. It is messy, and will stain clothing (actually, it will usually wash out), but not skin. The baby's lips will turn purple, but the purple will disappear after a few days. Gentian violet is available without prescription but is not available at all pharmacies. Call around before going out to get it.
Read more about this topic: Breastfeeding Difficulties, Breastfeeding