I was considering thrush as an invader after microabrasion (maybe from
teeth).  She is definitely not pregnant so this makes sense.  Thank you for
help. Dana

 

  _____  

From: [log in to unmask] [mailto:[log in to unmask]] 
Sent: Sunday, March 30, 2014 10:42 AM
To: [log in to unmask]; Dana Schmidt RN IBCLC
Subject: Re: stabbing pain in breast

 

This is neuropathic pain.  It is caused by
irritation/inflammation/injury/invasion to a nerve along its course (instead
of from the nerve ending).   It could be that that breast had some damage or
infection, which healed but there may be residual inflammation or even
scarring that causes the pain.

 

At Hospice (my day job), we treat this with a drug like carbamazine,
amitriptaline, gabapentin, pregabalin, or prednisone.  But we aren't worried
about a baby or even long term future; only about relieving pain
immediately.  

 

So I think I'd try intensive thrush treatment; if local meds like nystatin
didn't work, I give fluconazole.  That usually works (perhaps candida
affects nerves? I am not sure.  I use it because it worked well when we
thought all of these pains were caused by thrush)  

Nan

 

Dr NE Jolly  MB BCh IBCLC  LLLL

Port Elizabeth

South Africa

 

Sent from Windows Mail

 



Date:    Thu, 27 Mar 2014 19:57:33 -0400
From:    "Dana Schmidt, RN, IBCLC" <[log in to unmask]>
Subject: Stabbing pain with weaning

PTP.  Mom of a nearly 2 year old that only nurses at night with complaint of
"stabbing-like pain through the nipple." She denies feeling any plugs,
hotness, redness or any other signs or symptoms of mastitis.  No blebs and
says it does not feel like vasospasms.  It can happen during nursing or
throughout the day. Thoughts?

          


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