Barbara, I didn't read your original post, and haven't read all of the
replies so hopefully I'm not repeating someone else's suggestion, but...here
goes anyway, just in case :-)
I swear I JUST had a client with these symptoms a couple of weeks ago! Baby
was either 2 or 3 months old, I've forgotten which. I went with my "When in
Doubt, See Her" philosphy, and (as usual) ended up being really glad I did.
It turned out to be a bleb combined with a nasty plugged duct, really deep
in the breast. The plugged area of the breast would heat up and become
quite warm to the touch right after the feeding. It was almost as if the
milk was trying to let-down there, and couldn't because of the plug, and so
the breast would heat up. There was a small white bleb at the tip of the
nipple, and a stiff line (not visible, but obvious upon palpation) leading
back from there to where the plugged lump was deep in the breast.
After further conversation, I learned that she'd just moved across the
country to Miami from New Jersey, LOL! I reminded her that the stress, work
and busy-ness of packing herself and her family up and moving across country
could well have led the the plug, and she agreed. I made the usual bleb &
plugged duct suggestions, and it resolved.
I don't know if you've already seen her, so perhaps you've ruled out that
possibility, but I thought I'd run it past you just the same. Just a
suggestion :-) Hope it helps, and keep us posted!
Regina Roig Lane, BS IBCLC for Miami-Dade County WIC
-----Original Message-----
From: Barbara Berges [mailto:[log in to unmask]]
Sent: Tuesday, November 20, 2001 6:25 PM
Subject: Re: Pain in one breast after BF
Original message: I got a call today from the mom of a breastfeeding 2
month old girl.
> > Everything has been goin very well with the BF....until the last week.
> She describes a generalized feeling of "burning, sharp-twinges, pins and
> needles" after BF on one side only. This has been going on for the last
week. She
says it happens after every BF, on the left breast only, as "the breast
refills."
Thanks for the replies and suggestions. There is no nipple pain on either
side, so that is what really had me questioning whether yeast could be the
cause. Also, there is no pain during BF, only after "as the breast
refills" and only in one breast. I'm a little reluctant to suggest systemic
diflucan without some better indication that it is thrush. I'll check on
who her OB doctor is and
see if it is someone I have good rapport with. Maybe I can discuss it with
the doc.
Also, she says that she has been pumping regularly for about a month now,
and she feels the "burning when the breast refills" after pumping, too,
although it is not quite as bad as after BF. She is only able to pump one
ounce or less from the affected side, while she usually pumps 4-7 ounces
from the other breast.
Maybe ductal spasms, but would they just be starting in the last week? The
baby is 2 months old and everything was going well until then.
I can suggest the calcium and magnesium supplements and see what she says.
Any other thoughts based on this additional information?
Barb Berges BS, RN, IBCLC
Rochester, New York
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