>Good point re: Rob's baby - thrush HURTS, contrary to popular pediatric
>opinion that it is a benign condition.

Yes, thrush hurts.  Ask any adult who has had it.  My mother says that it
feels like her throat is on fire and everything hurts going down.  Many
babies whom I have worked with show reluctance to feed deeply and for a
full feeding as an early sign of a yeasty mouth. With treatment they return
quickly (sometimes at the next feeding) to their former pattern of
effective feeding.

>Re: sore breast.  I think we need to keep an open mind - and do whichever
>feels best.  Heat for plugged ducts has a long history of helping even tho
>we "know" it is contrary to physiology for inflammation.

For "simple" plugged ducts I still recommend heat, because I see it as
softening the plug of milk.  I saw my milk plug once.  I had been in the
shower with the warm water pouring over the breast.  I got out and leaned
over the sink while firmly stroking toward the nipple, and there it was--a
formed concentration of milk about the diameter of a straight pin and about
1/8 inch long.  It fell into the sink and that duct sprayed for about a
minute.

With any engorgement and inflamation, cold is what I use, usually cold
cabbage.

Pat Gima, IBCLC
Milwaukee, Wisconsin


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