Denise, I have a mother I have been dialoguing with online who is in the earlier stages of your mother's story. She was treated for mastitis, has had many plugged ducts recurring despite good drainage attempts, lecithin (though lecithin added only recently) and low fat diet, and now has red, puffy, inflamed breasts with shooting pains bilaterally. OB has diagnosed yeast and given her the one-shot diflucan therapy used for vaginalis candidasis (AAARGH!), but the day before the mother also started on ibuprofen, after which she has already begun to see a reduction of the inflammation and plugs (?!). I am becoming a fan of ibuprofen very quickly. If all of this does not work for your mom or mine, another possibility, given the bilateral nature of the problem, is strep-B mastitis, which requires erythromyacin rather than diclox. This can be cultured for. (BTW- for anyone wondering, my "mom" lives across the US from me and I have repeatedly urged her to be seen by an LC. Her first one didn't have any clues as to how to proceed, and she has now consulted via telephone with Kay Hoover, who suggested oversupply as one possible issue and an outside possibility of the strep-B, which will be watched for if no improvement occurs). I'll be watching your case closely, Denise! Hope you come up with some answers. -Lisa ****************************************************************************** Lisa A. Marasco, IBCLC / [log in to unmask] International Board Certified Lactation Consultant / [log in to unmask] ******************************************************************************