In a message dated 11/24/2003 5:11:15 AM Central Standard Time,
[log in to unmask] writes:

<<Jan, this sounds like fungal infection to me. The bullet dose of
Diflucan would not have touched it, ...I would really suspect it.>>

Do you really think so?  Remember she had diflucan for a vaginal yeast
infection, not for suspected yeast infection of the breast.

Keep in mind:  latch on pain only for about 2 minutes,  one breast only, with
no visual evidence of yeast on nipple.   Baby completely asymptomatic.  The
sharp shooting pains are chest wall to nipple, not nipple to chest wall and
*feel* (mom's report) like breast "filling" pain.  If this is yeast, then why no
burning pain on nipple?  Why only on latch?  Why not on both breasts since
it's been going on for 3 weeks, and certainly has had time to infect both
breasts?

I'm reluctant to recommend diflucan (14 days worth) because I think we have a
tendence to overuse it and I'm afraid yeast is becoming resistant to it.
While I realize she is a perfect setup for yeast (antibiotics and vaginal yeast
infection), her symptoms are so atypical that I'm skeptical.

Of course, if this is the only thing that we can come up with, I'll go with
it....

Any other ideas or rationale as to why it might be yeast in the face of the
odd symptoms?

Jan Barger, RN, MA, IBCLC, RLC
Wheaton, Illinois
www.lactationeducationconsultants.com

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