Cross posting for a desperate mom.  Bear with a somewhat 
long history to help me try to unravel some answers for a 
client of mine.  I have a number of different questions 
with this situation.  Mom called me several days into 
breastfeeding her third baby.  With her first two she had 
sore cracked nipples and mastitis in the early weeks but 
powered through and went on to bf. for 1 ½ years each.  
With this baby same history, by the time she called me 
she was already taking Cephalexin for mastitis and had 
deep gorges on both nipples.  Worked on deeper latch, mom 
had TT clipped a few days ago.  Latch is improving and 
mom is using APNO on nipples.  Mom also started Diflucan 
300 mg. the first day and 150 mg. a day a few days ago.  
Mom is still having a lot of deep breast pain.  With her 
first two the mastitis resolved quickly.  OB doesn´t want 
to do a culture but said she has "ductal" yeast and 
suggested she call me and ask about natural remedies.
So here are the questions:  Is this the correct dose of 
Diflucan for yeast?  I know that ductal yeast is 
controversial, but what are other ways to reduce yeast 
(she is taking probiotics)?  I know that early mastitis 
is often hospital acquired bacteria, but three times in 
each postpartum and she never had occurrences again while 
nursing, any thoughts?  Any other ideas for the pain she 
is experiencing?Karen Kurtz, IBCLC
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Professional Lactation Services for
Breastfeeding Success.
http://www.BreastfeedingSuccessNJ.com
(856) 448-4666   (856) 448-4MOM

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