Anna Swisher writes about a mother who is experiencing deep, radiating
breast pain.  While I appreciate that fever is a clinically important
symptom in identifying mastitis, some mothers appear to have chronic
low-grade, subclinical mastitis.  This can be inflammatory or obstructive in
nature, or may be the result of colonization of some pathogen which their
immune system sort of deals with, but then, when they get tired or stressed,
flares up again causing pain.  I've come to consider chronic deep breast
pain a warning sign for undiagnosed breast disease (usually mastitis) but
perhaps obstructions caused by galactoceles or even tumors are involved.  I
would suggest that this mother see a breast surgeon (there are several
really good ones in Austin) and have the breast visualized with ultrasound
and the milk cultured.

Barbara Wilson-Clay, BS, IBCLC
Austin Lactation Associates
LactNews Press
www.lactnews.com

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