Jan asked for feedback re persistent plugged duct and other than seconding  
the suggestion for ultrasound, I'd add the use of probiotics to decrease  
inflammation, magnesium, Natural Calm brand best to also decrease 
inflammation  and a look at overuse of saturated fats in mom's diet and replacing these 
with  use of coconut oil.  oh, and castor oil compresses several times per  
day.
 
Now I have a question about blockages that feel like plugs versus abscess  
or galactocele.  Can an abscess present deep in breast and feel hard and  
defined with no redness on breast nor pain even when palpated?  Can a  
galactocele be hard, again no pain or redness?  And even though a mom say  has had 
a hardened area for several days but doesn't treat until day 4 or 5 does  
one not count this being an unresolved plug only after a couple of days of  
treatment?  Should such a lump always proceed to biopsy after ultrasound  
imaging?  I do realize the risk of a tumor being the cause and the urgency  in 
diagnosing this, just want to confirm some time frame before more invasive  
diagnostics are recommended.
 
Thank you in advance.
Barbara Latterner, BSN, RN, IBCLC

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