Mom could take a daily dose of lethicin to help alleviate plugged ducts. Treat the bleb even if it "is not bothering her." Mom may have interductal yeast if said treatments don't alleviate pain. This could be treated with Grape Seed Extract and both topical and internal use of raw coconut oil.

Kirsten Stock
IBCLC, Eugene OR

Sent from my iPhone 

On Nov 9, 2012, at 2:31 PM, Star Rodriguez <[log in to unmask]> wrote:

> I apologize for second posting. Again, P2P. There's a lot going on here, and I would love to pick your brains.
> 
> Unbeknownst to me, mom had not had confirmation of thrush via culture, but via urgent care nurse based off mom's assumption. Ordered culture to check for yeast and bacteria. Breasts do not appear yeasty, and baby has no symptoms. Mom had mastitis that she did not complete antibiotics for, so I am wondering if this is a lingering infection. However, it's been over a month and the pain is the only symptom. 
> 
> Pain is sharp, shooting, stabbing. Only in right breast, after feedings, worsens when breast is fully drained. Cold helps, warmth makes it worse, but there is no nipple blanching. Patient has a bleb on affected breast that has not troubled her. Patient breastfed first child. 1 year + without issue. History of plugged ducts, but she resolves them with pumping/nursing and this feels different to her. Patient has pituitary gland benign tumor causing high prolactin levels.
> 
> Baby is 7 months old.
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