Erika,

We use a lot of Lecithin, and herb that emulsifies fat. 1200mg 3x/day. I have seen amazing results and it often works right away. Once the plugging settles down, some moms stay on the herb at 1200mg 1x/day to keep from plugging again. If they go off and it comes back, then I recommend starting over and keeping on the low dose thereafter.

Jane Helgesen RN IBCLC







Date:    Tue, 18 May 2010 19:35:01 -0600

From:    Erika Lance <[log in to unmask]>

Subject: persistent plug ducts



I have a client that is having persistent plug ducts. She has given me

permission to address all of you.  She birthed her baby at home. She had

sore, cracked nipples which turned into full blown mastitis with high fever,

pain, feeling miserable. She refused antibiotics at this point and tried

alternative methods with essential oils, etc. She seemed to get better. Baby

was off the breast at this point to heal the nipples and she was pumping.

After it seemed like the mastitis cleared up there was a large plugged duct.

She did ultrasound and got the baby latched and the plugged seemed

completely drained. However a few days later, mastitis hit her harder and

she finally agreed to take antibiotics. After 10 days on the antibiotics and

now yeast...she doesn't want the baby at the breast due to the yeast and is

now exclusively pumping to preserve milk supply yet that side with the

previous plug duct now has a larger mass and ultrasound, heat, continual

pumping all the steps to help relieve plug ducts has gone unsuccessful. She

barely gets any milk out of that side. A few cc's if lucky at each pumping

session.  I am at loss to figure out how to release the duct and get her

milk supply back up. Do we just let her dry up on that side and hopefully

start over?



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End of LACTNET Digest - 18 May 2010 (#2010-411)

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