I am anxious to hear any other ideas for this mom who has given permission to post.
Breast pain Rt breast
Nipple pain with nursing extending breast pain that goes from pressure to aching to sharp, shoots toward axilla
No fever, no redness, no shininess or white film on nipple.
Had a mole on that breast removed PP (benign) but the symptoms were there before removal.
Once, while pumping she pumped very red bloody milk, but that only happened once.
The pain is intermittent and not only associated with feedings : she can breast feed comfortably if there is no pain prior to the feeding.
Pain is worse after the feeding .
HISTORY:
12 weeks PP, first baby
Baby nurses 8-10 times a 24 hr period
Baby is a good feeder/ growing well. Baby has no signs of yeast.
Mom is back to work part time (4-5 hours at a time and pumps) since 6 weeks, pain began before this
+ beta strep and got abx in hospital- no abx since
Used a nipple shield for 3 weeks, then baby on breast only.
Has treated with round the clock ibuprofen with no change
Heat makes it feel better but it does not go away
No signs of over active letdown.
Had a breast ultra sound with normal findings.
Milk examined for leukocytes and bacteria and findings were normal.
I wonder about ductal yeast but she is not "classic" for yeast. Treatment would be on pain symptoms alone.
Interestingly, she went for 3 days, vigorous feedings on unaffected side and snacks and pumping on the affected side and she had no pain for 3 days, then on the evening of the 3rd day she had the worst episode of pain she has ever had.
I am not sure what to suggest next. Any ideas welcome.
Sue Gehrman , in Battle Creek Mich were we are having a very white Christmas season !!
Susan Gehrman RN, IBCLC, CCE
Battle Creek Health System
300 North Ave.
Battle Creek, Michigan 49016
"The world may not honor your honorable intentions, but you should have them anyway" Mother Theresa
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