This wonderful first time mom I have worked with has ongoing problems that  
just never seem to resolve.  Baby is now over two months old.  Mother  had 
chronic plugged ducts from beginning and treated them appropriately with  baby 
getting better latch, pumping with Symphony, using Lecthin, compresses,  
homeopathy, etc.  She has a history of fibrocystic breasts but these  plugged ducts 
tended to be in a line and were relieved upon nursing or pumping,  but came 
back.  She is still taking Procardia for high blood pressure that  she had during 
pregnancy.  Baby transfers milk well and has had appropriate  weight gains, 
output, etc.  Just when things were improving and  breastfeeding was settling 
in, both developed Thrush.  Mother had forgotten  about the antibiotics 
administered during labor.  Now,  baby has been  on Nyastatin and mother on Diflucan 
for about a week or so. Doctor did not want  to prescribe APNO, because she 
said that there was nothing "red or itchy" on  breasts.  Mother called the other 
day in a panic because her plugged ducts  were so much worse and came to the 
conclusion that perhaps, this had been  related to Thrush all along and once 
that would be resolved with Diflucan, so  would the plugged ducts.  I wondered, 
but hoped.   She has just  called and now has about 4-5 milk blisters or 
blebs, she thinks and wants to  aspirate them to relieve the pain, relieve the 
worsening plugged ducts and get  her milk flowing. She says that olive oil feels 
good, but she does not want to  use the Nyastatin cream the doc gave her to 
apply to her nipples any longer, b/c  she thinks that has caused all these blebs. 
 Of course, to add to the mess  -- she is returning to her demanding job as 
an attorney in the next couple of  weeks!   Your thoughts??? Help! Thanks, Ann 
 
Ann  Conlon-Smith, IBCLC 
Triangle Lactation Consultants 
_www.trianglelactation.com_ (http://www.trianglelactation.com/) 





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