Dear Friends:
     Barb in Wisconsin writes about a mother where the breast is just as red
and sore after 7-10 days of antibiotic therapy. If the diflucan brings no
change or relief in 2-3 days, I would suggest a mammogram.
     Dahlbeck SW et al. "Differentiating Inflammatory Breast Cancer from
Acute Mastitis" Am Fam Phys 1995;52:929-934. The authors state that no
clinical change in an unhappy breast after 7-10 days of antibiotic therapy is
a marker, and needs to be followed up.
     Now it may be a nasty yeast infection, which is why I suggested waiting
for the diflucan to kick in.  I've seen a woman who went through 3 courses of
antibiotics and the breast was still miserable; because it had an abscess
with 500 cc of pus in it!
     Lack of clinical improvement after some time of therapy deserves further
investigation.
     Warmly,
Nikki Lee RN, MSN, Mother of 2, IBCLC, CIMI, CCE, craniosacral therapy
Adjunct faculty, Union Institute and University, Maternal and Child Health:
Lactation Consulting
Supporting the WHO Code and the Mother Friendly Childbirth Initiative

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