Hi everyone,
I have permission to post this moms questions which I have received
today.She is very committed to breastfeeding but needs some advice for her
many challenges. Can you help me to help her ?
Her is her story.
I have an awful problem with blocked ducts. I got mastitis when she was 3
wks old and since then I have had 4 more blocked ducts. She's now 2.5
months old. I just started taking 2tabs of lecithin 1200mg QID today (I was
only doing 1 tab before). As well, I'm not wearing a bra to bed and wearing a
very loose one during the day. I'm also going to purchase some evening
primrose oil as Dr. Newman says he suggested in one case that worked. I
wondered if you might have any other suggestions for me. Will it ever get
easier? I've gone for u/s therapy for the last 2 blocked ducts I've had and had
2-3 sessions each time. The blockages don't resolve immediately after the
u/s, but they will normally resolve in about a week from when they started. I
try to apply moist heat prior to feeding her and massage while she is feeding
being sure her chin is pointed onto the blockage area, if possible. Currently I
have a blockage in both breasts which is so discouraging. It has only been
occurring on one side up until now. Any other preventative measures you
might suggest?
As well, I am at my wit's end with thrush! I think I have tried everything!
She has been on treatment for thrush since she was 2.5 weeks old. She must
have picked this up in the birth canal and at 3 weeks of age, after she already
had this infection, I developed mastitis and had to be put on antibiotics, only
perpetuating the problem. I have consistently been washing my nipples with
vinegar and water after every feeding and have been regularly applying
clotrimazole ointment afterwards. Now I'm using Dr. Jack's cream. My baby
started out on nystatin at 2.5 weeks of age and took that until she was 6
weeks old (1ml 4x daily). This was simply not working at all, so I tried gentian
violet at 6weeks of age and she took this twice daily for 3 days and then once
daily for 2 more days as suggested by a lactation consultant. Unfortunately,
this did not do the trick either. I talked to my doctor and he agreed to put me
on diflucan as you suggest in Dr. Jack's book and he prescribed me the 400mg
loading dose and then 100mg twice daily for one week(but later I realized it
was supposed to be one week, totally pain free.) This seemed to help initially
and I was ecstatic! However, I foolishly stopped applying the clotrimazole
ointment for a few feedings on day 3 or 4 and only washed with vinegar and
water, as a lactation consultant mentioned that this ointment could really dry
out my nipples and I had recently noticed they seemed to be quite dry...
though not uncomfortable. After the breast pains started coming back I
immediately restarted the ointment, but it seemed my baby's white tongue
started becoming more white again after this. As well, my breast pains, though
they had ceased, started again. (I could kick myself!). Anyway, while taking
diflucan I was applying nystatin again to my baby's mouth, but this didn't seem
to be helping. Last week I started a second attempt treatment of gentian
violet - once a day for 7 days, which is done today, but her tongue remains
white (ok, it's purple on the white to be more accurate :). Last week I also
started another treatment of diflucan and will stay on this as Dr. Jack
suggests... at least one week pain free.
I've ordered some grapefruit seed extract by "nutribiotic" and it'll hopefully be
here by the end of the week. Anyway, I'm also taking lactobacillus 3 tabs, 3
times daily, and I've been on a totally yeast free diet for the last week.
Nothing seems to be working!
I should also mention that I have an overactive milk ejection reflex... she
does a lot of tongue clicking during letdowns and I often try laying down,
which doesn't work all that great. There's probably nothing I can really do
about that except accept her tongue clicking though eh? I think this
sometimes contributes to her latch not being as good as it could be.
Thanks as always,
Kim Scott
RNBN IBCLC
Miramichi NB
Canada
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