Hello-

I have a client who has very painful red nipples. Her doctor had started
her on diflucan and topical clotramizole/betamethasone four days before we
met. Mother had seen no relief; in fact pain had gotten worse.

I suggested cause could be bacterial, in part because of lack of response
to diflucan and part because it looked red not pink/fuschia. Mother was
unconvinced. Course of diflucan is now complete; mother reports pain and
redness worse than ever. Doctor feels that bacteria only presents as
inflammatory mastitis and is unwilling to consider treatment for bacteria
without research.

Any research I can share with this doctor? She seems open to learning
something new, but only if I can provide documentation.

Thanks, Molly

Molly Brannigan, IBCLC
Oakland, CA

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