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Subject:
From:
Pamela Morrison <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 27 Nov 2012 21:51:52 +0000
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Claire

What a good and thorough history you've given us!  Clearly, this mom 
has been treated exhaustively for Thrush, but the breast and nipple 
pain is severe and continues.  I've worked with mothers whose only 
symptoms were breast and nipple pain, as you describe, and it turned 
out to be a bacterial infection which needed at least two courses of 
Abx to resolve.  The most recent one was identified as MRSA.  If this 
was my client, I'd recommend returning to her doctor and asking for a 
culture of the milk, and a nipple swab to test for bacterial 
infection.   Please let us know how this turns out.  Best wishes to 
this brave mother.

Pamela Morrison IBCLC,
Rustington, England

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