On Tue, 29 Nov 2005 Cheryl yazell wrote:

.... 2nd baby. .... 7 months old. has had thrush 5 times.  Treated with nystatin and 
diflucan last 2 episodes.  with this last episode has had SEVERE pain deep 
in breast with nipple pain. .... Has been treated this time with antibiotics and diflucan but still 
has nipple soreness.  Latch on is fine and no nipple soreness between 
episodes of thrush. .... currently diflucan 150 mg x 10 days while using nystatin to nipple area and baby is being treated concurrently with diflucan 50mg/5cc -3cc qd x2weeks. Baby has 
no visible signs of thrush. The antibiotics were for possible deep mastitis 
with no signs and symptoms other than pain.  Nodule found in breast per MD 
exam.  Mammogram scheduled.  Mother is on Reglan ...success ... Using reglan due to full-time 
working.  Question, any suggestions ....

Hi Cheryl:
Whenever I come across a case of persistent, long-term "thrush" despite intensive treatment of mother and baby (and, hopefully, investigation of any *other* sites in mother, baby, and partner), I ask, "Is it thrush, or is there something else?"
One suggestion.  Could it be a really deep abscess, behind the breast tissue?  That can be hard to diagnose as the pain is deep, persistent, but there is often nothing easily palpable or visible. A client of mine ten years ago, whom I sent on for medical evaluation, turned out to have a really deep abscess, and about 1 cup of pus was drained.  (I gather it shot out under pressure.)  The abscess was irrigated and that should have been the end of it, but it recurred and needed draining a second time.
Virginia
in Brisbane, Queensland
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