Hi Sonya, Great history on this mom/baby. So sorry she is in so much pain. Here's what I would recommend: Treat for bacterial infection; it is usually staph. However, one might also culture the milk with a clean catch specimen, and culture the reddened skin. Re-visit the tongue-tie issue. Possibly clipping needs to be revised. Try "laid back" breastfeeding, where the chin and tongue are more forward. Consider CST or chiropractic adjustments which can make things align functionally and have any nerve impingement addressed. Alternatively, the mom could have an allergy to some ingredient she has been using. I think the tongue-tie started the pain but an allergy could have definitely made things much worse. In this case, just the hydrocortisone should help. Laurie Wheeler RN MN IBCLC Mississippi USA ----------------------------------------- Smart Medicine. Inspired Care. And the awards to prove it. Recognized as a Top 50 Healthcare Network. To learn about other recognition and awards Baptist has earned, visit: http://www.bmhcc.org/aboutus/awards/index.asp This message and any files transmitted with it may contain legally privileged, confidential, or proprietary information. If you are not the intended recipient of this message, you are not permitted to use, copy, or forward it, in whole or in part without the express consent of the sender. Please notify the sender of the error by reply email, disregard the foregoing messages, and delete it immediately. *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome