> Hi Loretta!
>

Ouch, poor mom, she must be needing a lot of emotional support!!!

You didn´t write any case details, so it´s impossible to pinpoint anything
:(

To assess nipple pain you have to go from basics to rare things. Here is a
nice article that I had the privilege to be a part of, maybe it will help
you:
If you cannot find it, send me a private message and I will email it to you.
Identifying the cause of breast and nipple pain during lactation
BMJ 2021; 374 doi: https://doi.org/10.1136/bmj.n1628 (Published 13 July
2021)

Cite this as: BMJ 2021;374:n1628



> Date:    Fri, 4 Aug 2023 20:22:03 -0400
> From:    Loretta Haycook-Haught <[log in to unmask]>
> Subject: Persistent nipple pain
>
> I have a mom of a 12 week old with persistent bilateral nipple pain.   She
> has been treated with Clindamycin x 10 days TWICE for mastitis.   Has been
> on Diflucan proper dose x 10-14 days for yeast.  Nothing helps. Nipple pain
> continues.   Mom is mentally exhausted!   What are we missing????
>        Loretta Haycook
>        Jacksonville Bch, FL
>

             ***********************************************

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