I have just searched the archives and didn't find what I need.

I am working with a mom who has had nipple pain for almost 2 months since
her daughter was born. First she had cracked nipples and positioning fixed
that, then she began to have yeast symptoms and was treated with Nystatin
ointment for her and suspension for the baby, followed by the whole 2 week
course of Diflucan,and following of Pat Gimas yeast tx plan, all of which
made NO improvements.  I am wondering if I should do a breast/nipple/milk
culture to look for strep  or staph infections.  Does this sound reasonable?
Exactly how do you culture a nipple? What type of swab is used? Should the
milk be cultured as well?

This is this womans 4 th baby, she fully breastfeed the first 2 for a long
time, the third she didn't breastfeed because she was discovered to have
cancer and had radiation/chemo after he was born. Not breast cancer.  Could
this cancer treatment effected her nipples in any way?

In addition to this person being a client of mine she is also a good friend
and we have tried everything I can come up with. PLEASE help me if you can.

Thanks,

Cindy

Cindy Curtis,RN,IBCLC
mailto:[log in to unmask]
http://www.erols.com/cindyrn

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