Hi everyone,
I have enjoyed reading your comments defending the diagnosis of thrush in
the ducts.
My suggestion that Thrush is not necessarily the cause of shooting breast
pain comes from a suggestion made to me by a colleague in Australia at the
ALCA conference. I had always accepted that thrush was the major cause of
this type of breast pain.
Since then I have made closer observations.Here is one brief case history.
One of my mums presented with shooting breast pain, fussy feeding and black
stools in the baby. The baby definitely had thrush in the mouth and mother
had cracked nipples. So we treated the thrush and everything came right.
A month later the mother rang me saying she had the EXACT SAME BREAST PAIN,
did it mean she again had thrush in the breast? She has been very particular
about cleanliness and diet and has not been on antibiotics.She has never had
vaginal thrush. There was no sign of thrush in the baby or on the nipples so
I observed a feed. This confirmed that the baby did not have enough breast
in her mouth, the nipple was ridged and turned white on the end, 5 minutes
after the feed.
The breastpain disappeared immediately the positioning was adjusted.
Maybe thrush does get into the ducts, but maybe not as often as we think.
Robyn Dunning