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Subject:
Re: Research re: bacteria vs thrush as cause of nipple pain
From:
Beverly Curtis <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 7 May 2016 04:58:47 -0400
Content-Type:
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Try the University of North Carolina's OB Algorithm on Breastfeeding Associated Pain  http://www.mombaby.org/wp-content/uploads/2016/04/PainProtocols.v3.pdf

Beverly Ann Curtis
DNP, PPCNP-BC, IBCLC

> On May 6, 2016, at 10:05 PM, Molly Brannigan <[log in to unmask]> wrote:
> 
> Hello-
> 
> I have a client who has very painful red nipples. Her doctor had started
> her on diflucan and topical clotramizole/betamethasone four days before we
> met. Mother had seen no relief; in fact pain had gotten worse.
> 
> I suggested cause could be bacterial, in part because of lack of response
> to diflucan and part because it looked red not pink/fuschia. Mother was
> unconvinced. Course of diflucan is now complete; mother reports pain and
> redness worse than ever. Doctor feels that bacteria only presents as
> inflammatory mastitis and is unwilling to consider treatment for bacteria
> without research.
> 
> Any research I can share with this doctor? She seems open to learning
> something new, but only if I can provide documentation.
> 
> Thanks, Molly
> 
> Molly Brannigan, IBCLC
> Oakland, CA
> 
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