Hi!  This is my first time posting to LACTNET.  I have a puzzling case
and need help.  I received a call from a co-worker several weeks ago
with a patient who had burning in the breast after nursing (yeast?).
She was treated with diflucan and the baby with nystatin.  The pain
and burning in the breast is better, but today I received a call and
the patient is complaining of minimal pain during breastfeeding.  She
reports that the nipple and areola are dark red and tender to touch,
but appx. 10 minutes after nursing the nipple turns white and is very
painful for about 5-10 min.  The nurse also said that 5 times during
the past 8 wks (baby is 8 wks old) the patient has c/o of temperature,
chills, and body aches that resolve with 1 dose of tylenol.  She has
been evaluated for mastitis on more than 1 occasion.

Thank you for your help in advance.  I have really enjoyed reading all
the posts.

Beverly, IBCLC