Dear Cindy and all,
    Have not noticed an answer on Lactnet yet so thought to respond.
This mom may have a galactocele, mentioned in Ruth Lawrence's book, a
pocket of milk pooling in the breast.
An extreme measure would be for a surgeon to insert a sterile needle and
drain it, perhaps culture the milk, after visualizing on ultrasound.  No
promise of preventing a recurrence!  Don't recommend this!    I have
heard of a couple of women who went on long term, low dose antibiotic,
such as is tried for some toddlers with multiple ear infections, with no
further cases of mastitis.  One of the women was a friend of mine, a
dietician, who tried the low dose antibiotic after the birth of her third
baby with good results.  The galactocele was never diagnosed, but that is
my hunch.
    Susan Potts rn ibclc
    Minnesota
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