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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