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
> > Lactation Consultant
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