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
> (315) 730-1858
> [log in to unmask]
>
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