I was considering thrush as an invader after microabrasion (maybe from teeth). She is definitely not pregnant so this makes sense. Thank you for help. Dana _____ From: [log in to unmask] [mailto:[log in to unmask]] Sent: Sunday, March 30, 2014 10:42 AM To: [log in to unmask]; Dana Schmidt RN IBCLC Subject: Re: stabbing pain in breast This is neuropathic pain. It is caused by irritation/inflammation/injury/invasion to a nerve along its course (instead of from the nerve ending). It could be that that breast had some damage or infection, which healed but there may be residual inflammation or even scarring that causes the pain. At Hospice (my day job), we treat this with a drug like carbamazine, amitriptaline, gabapentin, pregabalin, or prednisone. But we aren't worried about a baby or even long term future; only about relieving pain immediately. So I think I'd try intensive thrush treatment; if local meds like nystatin didn't work, I give fluconazole. That usually works (perhaps candida affects nerves? I am not sure. I use it because it worked well when we thought all of these pains were caused by thrush) Nan Dr NE Jolly MB BCh IBCLC LLLL Port Elizabeth South Africa Sent from Windows Mail Date: Thu, 27 Mar 2014 19:57:33 -0400 From: "Dana Schmidt, RN, IBCLC" <[log in to unmask]> Subject: Stabbing pain with weaning PTP. Mom of a nearly 2 year old that only nurses at night with complaint of "stabbing-like pain through the nipple." She denies feeling any plugs, hotness, redness or any other signs or symptoms of mastitis. No blebs and says it does not feel like vasospasms. It can happen during nursing or throughout the day. Thoughts? *********************************************** 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