Hi Pam. Has her milk been cultured for Staph A? (See Livingstone Article in currnet Journal Club #2 discussion). I find that Nystatin is not very effective if it is thrush, which it may be..or some sort of fungal infection. 5 days of Diflucan is not enough to be effective. See Tom Hale's book for recommendations on dosing for Fluconazole in ductal fungal infections, or do a search for Diflucan where Hale is the sender, ie Search Diflucan in Lactnet since Jan 1999 where sender contains cortex to [log in to unmask] This will get you anything Tom has written on this subject in the past year. Another thing would be to Search Thrush in Lactnet since Jan 1999 where sender contains newman Fungal infections are often characterized by a burning pain that is most severe in between feedings. Kathleen Date: Wed, 15 Mar 2000 13:17:00 -0600 From: Pamela D Berens <[log in to unmask]> Subject: Breast Pain I have a mother who is about 1 month post-partum. All was well until about 1 week ago excluding minor L breast pain. About 1 week ago she developed excruciating L breast pain primarily begining after nursing and continuing for some time. The pain radiates to her back and arm. This is requiring Vicodin to control. She did have some erythema of the nipple and the infant had a diaper rash so they have both begun Nystatin and she has also used oral Diflucan x 5 days due to the severity of her symptoms. She states the pain is little improved thus far...What I think is interesting is that the pain doesn't start until she finishes nursing - on either breast. Infant is positioned properly and latches well. Any ideas? TIA Pamela Berens Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet, Indep. Consultant Williston, Vermont mailto:[log in to unmask] http://homepages.together.net/~kbruce/kbblact.html LACTNET Archives http://peach.ease.lsoft.com/archives/lactnet.html *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html