Help.   I have a mom who has a 4 month old baby.   Baby is doing well,
beautiful wt gain, contented baby.  This is #4 baby of experienced bf
mother.
The mother, on the other hand, had breast pain and general "not well"
feeling about a month ago.  She had had mastitis with a previous child, and
feared she was getting it again.  MD prescribed antibiotic for 10d.  She
felt somewhat better for a few days, then still had pain - one breast only
- so MD prescribed 10 more days of antibiotic (a dif. one).   Not better
after 17 days of antibiotic, and a pea sized whitish lump appeared on the
nipple. VERY painful.  MD not able to help and referred her to
oncologist(breast specialist) who made an appointment for her in 3 weeks!!!
  Between me and the LCs at the local hospital calling they moved her appt
 so they could see her in 5 d, and operated on the "cyst" the following
week.   Baby has continued to bf thru all of this.  In fact, mom gets
relief from the pressure from having the baby nurse.  Works better than her
elec. br.pump(M--)
        After the surgery, there is now a small hole where the cyst was removed,
and now, 1 wk later, she is again having "weird" unwell feelings and the
breast is again painful. The surgeon did do ultrasounds before and after
the surgery to determine if he had gotten all cyst.   She said he squeezed
the area and milk squirted out all over, not the usual way of coming out in
small streams.  Before the surgery she said she could feel where the milk
had congealed in the duct, and she felf it was this clogging that caused
her such pain.
        She doesn't have a lot of confidence in the surgeon, or in the primary
care phys. but feels she must have more help to solve this once and for
all.
My question is:  Could the surgery have severed the milk ducts going into
the nipple so that there is insufficient drainage now?   Or is a new
galactocele forming?   Or was there something else?   None of my texts
explain very much about galactocele.
        Meanwhile mom continues to nurse baby, will try to make sure the painful
side is emptied as much as possible.   She has shooting pains, which is
somewhat relieved by nursing.    Could she now have a yeast infection?
  She was not given antibiotics after the surgery, and is no meds now.
Look forward to hearing in from you.   Michelle Scott, RD,IBCLC
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