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
(315) 730-1858
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