HI Rachel,
Here are a few ideas:
raynauds
eczema
bacterial infection
resistant thrush.
I would reculture off topical for 24 hours. I would culture the milk adding
ferrous sulfate if you can arrange it with the lab. I would then add
bactorban and a topical steroid to her nipple cream. I would evaluate for raynauds.
Is she ingesting alot of caffiene? Good luck
Christine Betzold NP IBCLC MSN
www.theBFclinic.com
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