In the case you describe IMHO it is important that she has nipple soreness with 
latching even though the baby is 6 weeks old already. How do the nipples look 
like after bf? Do they change form and color? Does she have the pains when 
exposed to cold? Most of the time I work with moms with these complaints it is 
vasospasms and not candida - the pains are very similar and it is hard for the 
moms to decide what it is. I don't know how, but all the moms I meet know about 
candida and think they have it - and virtually none knows about vasospasms. 


Please correct me if I am wrong, but according to research wasn't dry 
flaky shiny pink skin a better predictive sign of candida then the shooting 
burning pains in the breast?

Christina Yaneva
BF Peer Counsellor
Bulgaria


----- Original Message ----
From: judy h. upstate NY <[log in to unmask]>
To: [log in to unmask]
Sent: Tue, October 26, 2010 3:24:11 AM
Subject: Ductal Candida?

What do the great minds of Lactnet think of this:

Received a phone call from a mom 6 weeks post partum.  She is complaining of 
burning, stinging, shooting pains in her breasts.  Also describes breasts as 
achy.  Pain is worse after feeding.  States she just fed baby from one breast 
this feeding and the full, unused breast is not painful.  She does however  
describe a night when both breasts were full and also symptomatic.  My first 
thought was possibly discomfort with refilling, however the burning, shooting 
pain were red flags waving at me for candida.  Saw her HCP  for  6 week check up 
recently and mom mentioned symptoms and candida, but HCP said no.  This mom is 
so uncomfortable she is thinking of weaning. Baby is asymptomatic.  Mom states 
nipple soreness with latching that lasts about 30 seconds, but then is gone.
A great artice for J Midwifery Womens Health (2006) has a chart for Positive 
Predictive Valuse of Signs and Symptoms of Candida of the Breast which puts her 
symptoms at 74%.
Would referring her back to OB for another look at Candida be appropiate?
Judy Hatfield RNC, IBCLC
Upstate NY



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