A problem I can't seem to solve.  From a frequent lurker.  Mom  gave 
permission to post.  
Baby boy is exclusively breastfed at 4 1/2 months and mom states that  
problems began about 1 month ago.  She describes "serious, sharp, jabbing  jolts" of 
pain in the left breast from beginning of feeding and sometimes  lasting an 
hour after feeding. She also noted blanching of the nipple after  feed.  This 
pain occurs primarily at night feedings.  No signs of  thrush in baby.  No 
problems with right breast.  She does note when  pumping that the right breast has 
milk spraying out, but on the left it "kinda  clumps out to the side."
 
In brainstorming, I thought of yeast, vasospasm, or clogged ducts.   She has 
tried heat to the affected breast with no improvement, but only tried  for a 
few days.  She is now cutting way down on saturated fat, as she noted  the pain 
seemed worse after a day of fast food.  She is adding lecithin  now, but has 
not noted improvement yet.  How long would an improved diet be  expected to 
take to improve clogged ducts? 
 
Would it be helpful to try the special nipple ointment, even though the  pain 
is only one side.  Yeast would affect both sides, wouldn't it?  
 
This mom is becoming extremely discouraged, but wants badly to continue  
breastfeeding as she has excema and a family history of allergies.  But the  pain 
is really starting to get to her.  Any new ideas or advice would be  
appreciated.  Reply to the list or personally.
 
Janet Thornton, RNC, IBCLC
Duluth, MN
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