Hi Mary--
have you considered ultrasound?  There was something about in on Lactnet,
yes, now I have it, check Jack Newman's handouts, they can be accessed at
<www.bflrc.com>  This is a treatment that has been used in Canada for years,
is not as well known in the US.  I haven't heard of it being used for a
plugged pore on the nipple face, but if you've tried everything else, why
not?
Martha Johnson RN IBCLC
Eugene Oregon

-----Original Message-----
From: Mary Ann Banaszewski [mailto:[log in to unmask]]
Sent: Tuesday, September 26, 2000 1:04 PM
Subject: Need help with plugged duct


It's been a long time since I posted, so many of you won't recognize me.
Have a mom with a persistent problem with a plugged duct or pore. We've
tried all the known interventions with no success, so decided to tap your
collective wisdom and see if any one can give a suggestion. The problem has
been ongoing (though not a painful, incapacitating situation) for 6 months.
The last 3 weeks it has become more intolerable for her, and last week she
had bleeding from the site when pumping at work. The pain is limited to the
face of the nipple, and more intense at the start of a feeding. Went to the
Dr. today, she stated she had never seen anything like it and felt time
would resolve the problem. No sign of infection, by the way. Mom has been
using moist heat and attempts to remove the white plug when it flares up,
but has now decided to just leave it be. Wants to know if there is anything
else she can do. When she told the Dr. she would be seeing me this weekend,
the Dr. asked that she share any remedies with her. She is very
breastfeeding friendly and wants to be able to help any other patients who
present with this kind of problem. Mom states that site is more painful with
nursing than pumping; this is also the side that baby occasionally bites (he
is 10 months old now). She has no plans to stop nursing, states situation is
tolerable, but would really like to resolve this if possible. Should mention
that the mom is my dear daughter, who thinks her mother has the answer to
any breastfeeding problem. I hope someone out there can help me retain that
trust she has in me.
Thanks in advance for any suggestions.
Mary A. Banaszewski, RN, IBCLC
South Lake Tahoe, CA
mailto:[log in to unmask]

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