Subject: | |
From: | |
Reply To: | |
Date: | Fri, 29 Jun 2018 00:17:18 -0400 |
Content-Type: | text/plain |
Parts/Attachments: |
|
|
Jan,
Would also look at possible candidiasis (burning in breast; raw feeling nipple) and vasospasm (white blanching on the nipple intermittently). Am including a link to the Academy of Breastfeeding Medicine's Protocols - - please see ABM Protocol #26 on Persistent Pain with Breastfeeding. Am grateful to see that several of the ABM Protocols are now listed in as many as six languages. https://www.bfmed.org/protocols
The manufacturer's labeling for ibuprofen 200 mg tablets advises: "Do not exceed six tablets in 24 hours, unless directed by a doctor", which is a daily total of 1,200 mg. This mother's physician is advising her to take twice that much at 800 mg q 8 hours for a daily total of 2,400 mg. The current high dosing of ibuprofen for pain must be making it difficult to fully assess her pain. I agree that this mother needs help to quickly resolve her breast and nipple pain. Please keep us posted.
Jan's post:
"Permission to post: working with a mother of a 3-month-old infant who presented to her MD 2+ weeks ago with SEVERE burning pain in the superior portion of her L breast. No fever, redness, swelling or firmness of breast. She was put on Augmentin for 2 weeks and the burning stopped. She finished the prescription 3 days ago and she has started to have intermittent burning again in the breast with a raw feeling nipple. Her milk supply did not decrease during this episode. Pumping is the only thing that relieves the burning. Infant continues to nurse one side each feeding q 3 hours on the weekends. Mom pumps q3 hours while away from her at work. She was not on antibiotics previous to the first episode. I instructed her to continue 800 mg ibuprofen q 8 hours (as instructed by MD) for a few more days, try heat on the breast when burning is starting (has noticed an area of white blanching on nipple intermittently) and considered lecithin, in case it is a plugging problem. I am wondering about a possible resistant bacteria and I am wondering if there's a standard protocol for culturing milk to r/o staph that I could share with her MD? I appreciated any suggestions."
With best regards,
Debbie
Debra Swank, RN BSN IBCLC
Ocala, Florida USA
MoreThanReflexes Education
http://www.MoreThanReflexes.org
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
|
|