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Subject:
From:
Pamela Morrison IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 10 Dec 1998 00:48:52 +0200
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Jill, my deepest sympathy with this mom.  I have just had a client with
*very* similar complaints.  The pain went on and on, and occurred a little
during the breastfeeding, but mostly afterwards, lasting for 1 - 2 hours.
We thought Thrush, but it didn't quite "fit".  I sent her back to her
doctor, who did a milk culture and found a staph infection.  It was treated
with appropriate antibiotic, but the pain went on and on.  Could it be
Thrush after all, what *was* it?  Mom elected *not* to treat for Thrush,
just hung on and finally reported to me yesterday that the pain had
resolved.  I still don't know what it was, but the baby had one sore throat
after another, now has yet another infection with fever and sores in the
mouth, which is being treated with Abx. I wonder if the bacterial infection
just never really cleared and they were both suffering from the same thing.

For your mom, I would be hesitant (as I was with my client) to recommend
unilateral weaning, which might pose an additional risk of mastitis if the
cause of the pain *is* bacterial.  I would ask for a culture of the milk,
and maybe the baby's throat, and see what comes up, meanwhile I'd suggest
very careful drainage of the affected breast for now, and maybe ibuprofen
for pain and anti-inflammatory benefits.

Please keep us informed of how this one turns out.

Pamela Morrison IBCLC, Zimbabwe
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