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Subject:
From:
Kim Ann Lorber <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 17 Nov 2007 00:52:28 EST
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Update on the mom with one sided nipple/areola "eczema" that has now been  
going on 10wks. The APNO (Newman) didn't help, the family dr. referred her  to 
surgeon. The surgeon's plan is to treat as eczema with a higher potent  steroid 
Halog (Halcinonide) for 7-10 days and see what happens then if  no 
improvement try a good yeast medicine (didn't say which medicine)  and if that doesn't 
work (she said the dr. really doesn't think  it is yeast though and that is why 
she is trying the steroid first) then a  punch biopsy if it does not clear 
completely. She didn't want to do the punch  biopsy first since she is young at 
35 and no risk factors for cancer and  felt like a mammogram would not be 
helpful right now since she felt no lump and  mom is young and lactating. 

I do have Hale's 2006 which all it says  about this drug is "Do not use on 
nipple. Some caution is
recommended if used  on large areas on the body." The only thing the dr. said 
was not to nurse
on  that side. Mom says she is a horrible pumper and worries about finding 
the time  to be able to pump often with 5 kids and is also worried about getting 
a  plugged duct or infection. 

So my question is, can she nurse around  using the medication? She is 
supposed to use twice a day so maybe  she could apply early morning and late 
afternoon and then wipe off  so she can nurse at evening/night/through night. Mom felt 
it would be  harder for her not to nurse at night because during the day she 
can distract by  offering food/drink and going places (she says baby is less 
likely to ask for it  out in public) and keeping her busy. The baby is 17mths 
and weighs 20 lbs.  The baby nurses a lot and still gets about 50% of her 
nutrition from mom. 
 
I am awaiting a reply from a breastfeeding friendly family dr. on this  drug 
but welcome other opinions. 
 
Thanks again for your help!
 
Kim Ann 
LLL Leader
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