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Fri, 30 Jan 2004 01:56:01 -0500 |
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Good Afternoon,
This is my first posting to Lacnet, but I must confess that I have
personally learned an abundance of information from viewing over the last
few months. I hope I can get some help for a mom I am currently seeing. I
have her permission to post. Mom had mastitis and she was treated with ABX,
baby developed a nasty case of thrush, but was not treated for a few weeks.
She finally got Nystatin for the baby, but then developed the classic
symptoms of a breast yeast infection. She was started on Lotrimin which
helped a lot but not completely, so GV was used for 3 days. She started to
develop some deep breast pain, so Diflucan 200mg load 100mg x 14 days was
ordered. She also had a small fissure near the nipple base and was given
hydrocortisone 1% tid. The whole time mom has been religiously cleaning
everything in sight, started acidophillius, decreased daily, sugar, yeast
etc. This mother is very maticulous. Nystatin didn't completely clear baby
so Diflucan was given to baby. The deep breast pain has resolved, but
looks to have developed dermatitis on both nipples. She took a nipple
holiday and has been pumping for several days and it help while she was
pumping. When she started again to latch the baby, she develops large red,
burning, itchy patches around the nipple, where the mouth is. I talked to
the dermatology clinic and was told to have mom stop BF and it would
resolve. That was not an acceptable option for me...or Mom! Mom is willing
to do about anything to continue breastfeeding but would rather not have to
pump for the remainder of the lactation. Thanks in advance for your help.
Sincerely,
Johanna Gilbert RN
Lactation Office
USNH Okinawa Japan
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