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Lactation Information and Discussion

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Subject:
Painful Breast
From:
"Dr. Leeper" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 8 Jan 2009 17:39:43 -0600
Content-Type:
text/plain
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text/plain (25 lines) 
The clumps in the milk are from inflammation in the breast...probably
infection.  Sounds like she started out with a smoldering "subclinical"
infection....but is now more angry.

I would use Dicloxicillin 500mg QID X 10 days. (Or clindamycin if she is
penicillin-allergic)  It would be nice if someone could get a "clean catch"
milk sample for culture first, though.



Kathy Leeper, MD, IBCLC
Medical Director, MilkWorks
Lincoln, NE

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