Mother has 6 mo old and is traumatic about trying to
wean due to continued pain.  She had a deep burning breast pain (like a hot
poker going into the chest wall).  The OBGYN said "positioning problem".
Talked with childbirth instructor and breastfeeding advocate.  Found LLL and
thought perhaps yeast.  Family doctor gave prescription cream (no thrush
symptoms in baby); then both were treated with Nystatin.  Lactation educator
said 80% yeast and 20% positioning (premature).  At 8 weeks they were put on
Diflucan after every nursing.  She felt like a new woman, off for a day and
a half and symptoms came back.  Another go of Diflucan.  Off 3 days and
symptoms returned.  Tried one more time and put the baby on Diflucan as
well.  She got it back with three days left in prescription.  Husband was
treated with Duflucan (all three of them).  She called LC at hospital and
she thought perhaps it ws contact irritant dermititis and used
hydrocortisone.  She said her left breast did not look normal to her and so
she went to a doctor who tandem nursed and she said felt that it didn't look
normal, but agreed that it would be contact irritant dermititis (speckly red
look).  She used hydrocortisone tape (couldn't bear peeling tape off the
sore nipple).  Tried hydrogel tape which promoted moist wound healing.
After a week there was no change.  Predinisone was a last resort.  It did
nothing.  Did a full course and should have seen results within 48 hours,
but nothing.

She felt she had to just deal with the pain.  Is so devoted to nursing,
doesn't want to give follow- up formula, but has found no relief from the pain.

The right breast seems fine, so I have thought about suggesting nursing on the
right side only, pumping the left, just enough to relieve engorgement and
eventually nurse on the right side only.



Beth Hilleke              [log in to unmask]