Here are a couple of journal articles I’ve had in my files for a few years.
I’ve never needed to perform cultures, but if I did, I would refer here.
Good Luck!
Morrill JF, Heinig MJ, Pappagianis D, et al. Risk factors for mammary candidosis among lactating women. J Obstet Gynecol Neonatal Nurs 2005;34:37–45.
Caring for new mothers: diagnosis, management and treatment of nipple dermatitis in breastfeeding mothers. Misha M. Heller BA, Honor Fullerton-Stone MD, and Jenny E. Murase MD. International Journal of Dermatology 2012, 51, 1149–1161.
Kay Anderson, MD, IBCLC
> On Jun 30, 2018, at 3:57 AM, Kika Baeza <[log in to unmask]> wrote:
>
> Hi!
>
> I put on my family doctor hat and concur with Debra: 800 mg of ibuprofen
> every four hours IS TOO HIGH A DOSE. I would discuss this with her and her
> MD as soon as possible. Lower (and correct) dose of an antinflammatory drug
> combined with another analgesic like acetaminophen can help.
>
> I would consider, also like Debra, candidosis at this point: burning pain
> plus raw-feeling nipple AFTER TWO WEEKS of an antibiotic like Augmentin...
>
> Soft, gentle massage and warmth on the breast, to get some positive feel
> information into those raw, pained nerves, and some streches of the
> pectoral muscles are usually always helpful too... The pain makes tissues
> contract, and this can reduce blood flow and perpetuate the pain.
>
>
>
>
> --
> Dra. Carmela Baeza
> Médico de Familia
> Consultora Certificada en Lactancia Materna IBCLC
> www.centroraices.com
> http://www.facebook.com/Consulta.Lactancia.Raices
> <http://www.facebook.com/pages/Centro-de-Atenci%C3%B3n-a-la-Familia-Ra%C3%ADces/274415189309122>
>
> Autora de "Amar con los Brazos Abiertos"
> http://www.ediciones-encuentro.es/libro/amar-con-los-brazos-abiertos.html
>
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