Hi Everyone I am hoping that someone on Lactnet may be able to help me with this case. I saw this mother a week ago. She presented with a mastitis in her L breast from 3-9 o'clock inclusive.It was extremely red and painful but she had no lumps. She also had signs of thrush(razor like stabbing pains in her breast, burning nipples.)There were no other visual signs. She had finished a 3 1/2 week course of Flucloxacillin(500mg 8 hourly orally)for the mastitis, (with only a slight change in the redness of her breast) 5 days before I saw her. She was told to stop the antibiotics as she 'had been on them long enough'. I recommended to her Dr that she be admitted to hospital for IV antibiotics and that she start Diflucan as well as topical antifungal cream and oral treatment for the baby.The mother was admitted to hospital several hours later and commenced on the above treatment but was discharged 48 hours later on oral antibiotics for the next 4 days.There was only a slight change in redness to the L breast. After 1 week of Diflucan, topical and oral treatments and the antibiotics the pain has not improved and is excruciating. She has been back to the Dr and the antibiotic has now been changed to Erythromycin with little effect as yet(36 hours later).She has also consulted a homoeopath who prescribed homeopathic Staphlococcus and Streptococcus to take while she was taking antibiotics. Mum is pumping or hand expressing off the affected side and using this EBM to top up breastfeeding from the R breast.Her 7 week old baby girl is contented most of the time and gaining well. She has been using ice prior to expressing on the L breast and she finds this helps with milk flow.She is breastfeeding and expressing about every 3 hours. Has anyone any further suggestions as to how this mother can be helped and why this mastitis has not improved? I look forward to your replies. Regards Barbara Fletcher RGON IBCLC New Zealand *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html