Excellent, thank you! I would love to update on this mom, but I've been
unable to reach her since our last appointment together. If anyone is
interested, I'm happy to update if I do hear from her.
On Thu, Aug 1, 2019 at 3:14 AM Sharon Knorr <
[log in to unmask]> wrote:
> So Theresa, I have no idea how common this might be. As for culturing, I
> think it would be very difficult. The best course of action may be a course
> of antibiotics and see what happens. if the pain goes away, then a
> bacterial infection may have been the issue. I would point out that many
> antibiotics also have an anti-inflammatory affect so may provide some
> relief even before any bacterial infection is knocked down. There is also
> the possibility of treating with probiotics in order to reestablish a
> healthy microbiome in the breast, although not sure what kind of probiotics
> one would use - the more we study probiotics, the more we realize that we
> don't totally understand how they work or even if they help at all in most
> situations. There is also the possibility that the mother has developed a
> pain syndrome that remains even after the infection is gone - sometimes
> pain pathways remain stimulated even when it seems like they should have
> calmed down.
>
> Sharon
>
> On Wed, Jul 17, 2019 at 8:48 PM Theresa Moutafis <[log in to unmask]>
> wrote:
>
> > This is fantastic info. Thank you Sharon. How common are these scenarios
> in
> > your opinion? Is there a way to test for this breast bacteria if not
> > present in the milk?
> >
> > On Wed, Jul 17, 2019 at 12:34 AM Sharon Knorr <
> > [log in to unmask]> wrote:
> >
> > > It can be difficult to determine the source of an infection, especially
> > if
> > > a biofilm is involved. If the organism is not being actively shed into
> > the
> > > milk, but is instead mostly adhered to the ductal tiissue, then it may
> > not
> > > show up in a standard milk culture or perhaps in very small numbers
> that
> > > may not signal an infection to a physician. We now know that human milk
> > is
> > > not normally devoid of all microorganisms, but develops its own
> > microbiome.
> > > Just as in other parts of the body, that microbiome may be very healthy
> > or
> > > it may be skewed more towards less beneficial or even pathogenic
> species.
> > >
> > > Sharon Knorr, BSMT(ASCP), BfUSA counselor
> > > Colorado, USA
> > >
> > > On Wed, Jun 19, 2019 at 6:16 AM Theresa Moutafis <[log in to unmask]
> >
> > > wrote:
> > >
> > > > Fantastic Pat - she mentioned getting tested for bacterial infections
> > as
> > > > well (which were all negative), but it's not clear what exactly was
> > > tested
> > > > for. I'll put this on my growing list of to-dos! Thank you!
> > > >
> > > > On Wed, Jun 12, 2019 at 11:05 AM Patricia Young <
> > > > [log in to unmask]> wrote:
> > > >
> > > > > The description seems to reflect dysbiosis/subclinical mastitis
> > > > >
> > > > > A Lactnet quote from Marsha Walker Mar 26, 2018 said "Burning
> breast
> > > pain
> > > > > is often indicative of subacute mastitis, not yeast. The bacteria
> > > > > responsible for subacute mastitis can form thick biofilms impeding
> > the
> > > > flow
> > > > > of milk through narrowed ducts, contributing to the inflammation
> that
> > > is
> > > > > responsible for needle-like pain. This is a dysbiosis model of
> > > mastitis
> > > > > which is being treated with specif strains of probiotics rather
> than
> > > > > antibiotics in a number of research papers.
> > > > > Marsha also wrote an article for Clinical Lactation 9(3) 130-136,
> > 2018,
> > > > > Mammary Dysbiosis: An Unwelcome Visitor During Lactation.
> > > > > I think I remember reading that abx treatment needs to be longer
> than
> > > the
> > > > > usual 10 days.... not sure where-sorry.
> > > > >
> > > > > the white coating on the infant's tongue may reflect reflux.....
> > > > > another article "Role of oral antibiotics in treatment of
> > breastfeeding
> > > > > women with chronic breast pain who fail conservative therapy."
> > > > > Breastfeeding Medicine 9(2) 63-72. 2014. Ann Witt et al.
> > > > >
> > > > > Pat in SNJ
> > > > >
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> > > > Theresa M. Moutafis, MA, RD, LDN, CDE, IBCLC
> > > > Nutrition and Wellness Consultant
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--
Theresa M. Moutafis, MA, RD, LDN, CDE, IBCLC
Nutrition and Wellness Consultant
Lactation Consultant
(315) 730-1858
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