On 03/02/2012 17:48, [log in to unmask] wrote:
> Hi all,
>
> PTP. Mom has had a plugged duct since Monday -- upper, mid-outer
> quadrant, right breast. Baby is 4 months old, nursing well. First plugged duct.
> Did the hot compresses, frequent nursing, taking baby to bed with her,
> pumping....no avail. Saw her midwife who had her call me. I, of course, am
> always suspicious of an abscess if people doing the right thing for 48 hours
> with no resolution. Talked to her on Tuesday, tried the comb trick. On
> Wednesday called her back and she told me about a nipple bleb, so I talked
> her thru that -- we talked on Thursday, and she had been able to scrape the
> bleb off, the breast emptied, the hard spot went away (as did the painful
> breastfeeding) and all was well.
>
> For about 12 hours. Then the plug came back. I suggested round the clock
> ibuprophen in case there was inflammation there, lecithin, continue
> compresses and gentle massage with frequent nursing. She only works one day a
> week, pumps during that time. Normally gets 4 ounces from that side when she
> pumps at work, now down to 2 ounces. Went back to her midwife who put her
> on Keflex. No fever, no redness, no real discomfort (since she got rid of
> the bleb), except this hard spot that won't go away.
>
Is there anyone she can see for an ultrasound of the breast? I would
want to be looking for a cyst or other lump that might be obstructing
the duct.
Best wishes,
Sarah
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