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Date: | Mon, 21 May 2007 15:44:52 EDT |
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Hello all,
It has been a while since I have even lurked so I will reintroduce
myself before I pose my question. I am an LC, hospital based in Charlottesville,
VI will resit the exam this year. I have learned so much from reading over the
years. I thank you all for your words of wisdom.
I have a mother who has given me permission to post her situation as my
colleage and I are stumped. Our client is a G3L3 with a 6 mo who has worked
hard with this delivery to get her milk supply up. (She had problems w/ the
other 2 and I believe she has PCOS). Anyway, she has a recurring spot on her
nipple that I thought was a bleb but that has not resolved. Let me give you her
history. Within one week after delivery, she and baby were being treated for
thrush.She developed a red raised rash from the Nystatin. Around April 7th,
she noted clogged ducts high up on L breast that resolved. Then she noted the
white spot on her L nipple. She was able to "buff" it away but it would
return. She never felt a clogged duct up the breast from that point. Her PMD
treated her w/ a topical antibiotic cream but it did not change the spot. She
would see it disappear but return after a couple of days. It would be white
right after nursing and then become flesh colored. It is pinpoint in size with
a red semi circle around it and milk flows through it. She describes the pain
as a tender, pulsing achiness. She does admit that side does make less milk
than the Right.
She would like to continue to breastfeed. We have discussed
breastfeeding only on the right since the baby has a good appetite and is eating solids.
We have also discussed the possibility of needing to see a dermatologist.
Any suggestions?
Thank you,
Allyson Michaels RN, IBCLC
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