A mom I am working with, has been plagued by plugged ducts since the   
beginning.  Baby is now four weeks old and mom has been breastfeeding  and  
pumping to 
keep herself comfortable whenever she feels these hard,  plugged  ducts.  
Baby 
has done well weight gain and satisfaction  wise.  I  questioned this mom 
about antibiotics, past vaginitis,  etc. and she said she had  had none and 
so, 
nothing seemed to point to  thrush.  I have not seen her  for three weeks 
assuming 
all was  well.   She called yesterday and said  that she had been to  doctor 
for white patch in  baby's mouth and was given  Nyastatin  rinse.  She then 
got 
Diflucan (in incorrect dosage -- the one for   vaginitis, not Candida) from 
OB 
as she was experiencing severe pain  sounding  very much like thrush.  She 
later 
requested dosage  correction.  She  also began using Grapefruit seed extract 
on her  and on the baby and was going to  get a Rx for APNO as well.  Now, 
she  
happens to mention that indeed she was  Group B positive and oh yes,  she did 
have some antibiotics at birth.  I  see.  So, my  question to you is this -- 
could the persistent plugged ducts  be from  on ongoing case of Thrush, most 
likely 
ductal and could we then hope   that following treatment for thrush, they 
will 
resolve as well?     Thanks, Ann

Ann  Conlon-Smith, IBCLC 
Triangle Lactation Consultants 
_www.trianglelactation.com_ (http://www.trianglelactation.com/) 




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