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Subject:
From:
Barbara Wilson-Clay <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 2 Nov 1998 14:00:26 -0600
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If I had something on my finger that I was certain was one kind of problem,
and treated it diligently and appropriately for months and it still didn't
go away, logic would prompt me to at least consider a different diagnosis.
The thing that bothers me about yeast fixation, is that treating it is a lot
of work for mothers and often the obsession prevents or delays investigation
of  other solutions.  Diflucan probably has some antiinflamatory properties
which made the breast feel better.  It may be that is why the pain went
away.  There are lots of reasons for deep breast pain, and in a woman with a
normal immune system, after this kind of thorough treatment, yeast is not
what I would be thinking at this point.

What would I be thinking?  Mechanical trauma of some kind, muscle spasm in
the chest wall which feels like its in the breast.  Bacterial infection.
Chronic inflamatory mastitis.   I have had a few women who needed to do a
unilateral weaning.  Maybe that would be worth a try.

Barbara



Barbara Wilson-Clay, BSEd, IBCLC
Austin Lactation Associates, Austin, Texas
http://www.jump.net/~bwc/lactnews.html

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