I agree with Pam's comments about inflammatory/noninflammatory mastitis. I am telling all my patients to start with ibuprofen (just check they are not allergic to NSAIDs), and to start the antibiotic if no improvement in 24 hours. I have a fantasy that one day there will be an international scientific meeting on mastitis - with scientists, microbiolgists, vets, lactation consultants, doctors. There are so many questions, and so few studies.... Now I am really starting to fantasize - what about a meeting at Bellagio? (where they met about LAM) - on a lake in Italy..... Lisa Amir GP / IBCLC in Melbourne, Australia.