Julie tells of a mother with these symptoms:  "Today, the plug seems =
somewhat better but the breast is very red and hot and the nipple kills =
during the feeding and after baby nurses. Breast more painful after =
nursing."  And she mentioned that the mother was afebrile.

Julie I'd be inclined to look for a white spot (bleb, I think some people
call it) on the nipple.  You may actually have to get a magnifying glass to
look at the nipple, but what you have described sounds remarkably like
one.  If it is, soaking it in a little oil to soften it, then gently trying
to unblock it off while gently expressing may be the only treatment you
need.  Then putting the baby onto the breast to finish the clearing of that
blocked duct.

The most recent case I had like this did look like quite a bad mastitis
with the red flare going right up to mother's axilla.  There was very
little to see on the nipple, until I looked really closely.  But the big
thing was NO fever.  Her doctor too had prescribed her antibiotics, but
within 24 hours we had it completely cleared and she never filled the script.

Definitely worth a look.
Denise


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Denise Fisher MMP, BN, IBCLC
BreastEd Online Lactation Studies
http://www.health-e-learning.com

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