Thank-you to all those who responded to my question re: nerve damage last week. This is what I see. I believe this mother had (has) a breast infection. Perhaps brought on from systemic thrush irritating the ducts and causing them to plug easily. She is on Dyclox now and is feeling somewhat better although her yeast symptoms are increasing as the infection symptoms decrease. She is having a lot of shooting pains now and her nipples are pinker and more tender. She is also complaining of puffiness in one breast. Sounds like edema to me but I haven't seen it. No masses, lumps, plugs, redness or anything to indicate abscess. I talked with her last night and she was very receptive to begin treating the yeast with some of the treatments available over the counter. Baby has no white patches in mouth or rash on bottom to indicate she has thrush. This is also a very allergic mother with a long history of multiple food allergies and eczema. We discussed avoiding the most common allergens for a trial period to see if baby's suck will improve and if this is perhaps exacerbating the symptoms. I asked her to call me today so we could see more about the puffiness in the left breast. Curious. Mother does experience relief when the baby is on well and feeds well. Unfortunatley baby doesn't feel well often. She is off and on, tugs and pulls even when the milk is plentiful. Weight gain is no problem. What happens is yeast is treated systemically at the same time as antibiotics are being taken? Does this work? Anybody ever hear of this puffiness? Denise Parker, BA, IBCLC