Jaye wrote - 

"I am working with a young mom who has struggled with BF since her baby was
born 1-21-06.  She had a large lump in her breast which I suspected to be a
possible abscess.  Her Dr (very OLD Dr) did a needle drainage for her, said
it was just a milk-cyst (a very large one 'cause it filled nearly 2/3 of her
breast and cut off milk flow.).  Dr.'s instructions were to wean NOW - and
to definitely NOT breastfeed or pump and he put her on Keflex and she
certainly could NOT breastfeed on that antibiotic.sigh.  The main reason for
weaning was because the breasts send signals to each other and the
unaffected breast would tell the affected breast to make more milk and then
the cyst could reform and cause more problems.  I, of course, corrected all
of that information.   She had not BF in 12 hours and was in agony when she
called me.

 

So now she is concerned about the cyst reforming.  Are there any techniques
we can use to help a cyst not reform?  I haven't worked with this type of
situation in my practice - never came up.  I teased the mom telling her it
just figured that she was going to be the one to make me get more education.
:-)  Hey - it got her laughing.   So she will be pumping and/or
breastfeeding and is waiting for my response to her to see if there is
anything else she can do to avoid a recurrence."

 
I hope one of the Wise Ones reading this has some great ideas.  I've run
into three of these (galactoceles?) w/o any good resolution.  Each time mom
needed repeated aspiration.  One developed infection.  All three saw
(different) breast surgeons.  None had a solution, other than draining.  The
pain was so intense that draining became necessary - even tho' inevitably
the problem would recur.   One mother had this problem from the moment her
milk came in - am pretty certain she lacked an outlet for that duct.

Joanna Koch, IBCLC

 


         

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