Hi Ruth. I'd look at thrush for this. There may be a relationship here.
This is mentioned in literature, as far as I know. If Kenacomb worked, to
keep it at bay, is there a chance of continuing that treatment?

Reducing animal fats also, might help to prevent chronic plugs.  This may
be what some books term a "bleb." Kathleen


>I am seeing a mum  who has developed a recurring problem with a white/yellow
>spot on her nipple that was causing pain on feeding her 7 month old.
>Salicylic acid cream has been trialled but she was a little over-zealous and
>the nipple became inflamed and sore. Kenacomb (a broad spectrum bacterial
>and fungal cream) was used for a few days and it cleared. There has been
>reoccurrence of this problem on both nipples a few times since. She has
>tried clearing it with a sterile needle or expressing but it seems to
>reoccur. On examination there was a tiny yellowish dot on the end of her
>nipple which looked like a dried collection of milk in the duct opening.
>Nipple otherwise normal. She could not express milk through this duct but it
>appeared to temporarily clear with a feed when she could express a little
>milk through it. Feeds are painful and she is considering weaning earlier
>than she would have liked. There are no breast lumps or thickening
>associated with the spot.
>
>I suggested a sparing and careful trial with the salicylic acid cream for 2
>days, to stop if any irritation occurred and said I would seek other
>suggestions. Have suggested lecithin 1 tblspn/day, more polyunsaturated fats
>and less saturated fats and more oily fish. Some suggestions from others
>have been - thorough manual expression in case the duct is blocked further
>back , while another suggested a galactocele might be a possibility.
>
>Mum is Samoan and this problem only started after the baby was 6 months old.
>
>Does anyone have any idea what is possibly going on and ideas to help this
>mum?
>
>TIA
>
>Ruth Fiedler
>Australian Breastfeeding Counsellor


Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet, Indep. Consultant
mailto:[log in to unmask]
http://homepages.together.net/~kbruce/kbblact.html
LACTNET Archives http://peach.ease.lsoft.com/archives/lactnet.html

             ***********************************************
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html