Dear Lactnetters, could anyone please help me with a very alarming breastfeeding problem that I have never encountered before. The history...mother 37yrs, 1st baby now 8wks old. Mum had immediate difficulties BF (flattish nipples, one partly inverted)and was given nipple shields. Got mastitis and was treated with 3 lots of AB's, Amoxil 7days, Dicloxicillin 5days, and eventually Keflex for about a week, (dreadful I know). Result....persistent inflammation 4-6wks and thrush infection. When I met her I thought she had all the signs of an abscess. Had an ultrasound, nothing confirmed and it appeared to resolve. What did eventuate shortly after this was the most 'toxic' EBM I have ever seen. First there were long stringy clots, soon followed by thick, glutinous, soupy milk, so thick it will not even go through a strainer!! She has had Daktarin Gel treatment for the thrush. She had a culture of the milk done recently....no pathogens, blood, malignant cells or evidence of infection...??? So what could it be... my thoughts so far are....despite this lab report I think she may have had an abscess that has ruptured internally, possible do you think? Ductal ectasia also possible, she said she had some discharge from this nipple antenatally?? Malignancy may be a remote possibility. Persistent thrush, perhaps needing more aggressive treatment. Her GP will not give 14 days of Dicloxacillin as I initially requested. So at the moment she is reluctantly weaning, expressing her BM, giving Bubs the (L) br milk and desperately trying to prevent this current infllammation from developing further. I am recommending of course thorough investigations (mammogram, ultrasound etc) later on. I would so muchly appreciate any and all advice. TIA. Lindsey.
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