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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