The clumps in the milk are from inflammation in the breast...probably
infection. Sounds like she started out with a smoldering "subclinical"
infection....but is now more angry.
I would use Dicloxicillin 500mg QID X 10 days. (Or clindamycin if she is
penicillin-allergic) It would be nice if someone could get a "clean catch"
milk sample for culture first, though.
Kathy Leeper, MD, IBCLC
Medical Director, MilkWorks
Lincoln, NE
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