Good morning.  I need some help with a current situation and the mother 
involved has given me permission to post.

Mom with twins 10 days old

Symptoms over weekend:

Slight pain when feeding
Intense "shooting" pain after feeding
Nipples bilateral unremarkable
No redness on breast 
Mom reports "clumps" in breast milk
Clumps 1" long "stringy"
Yellow mucus appears to coat nipple after pumping (mom describes as "yellow 
snot")

Symptoms over last 24 hours:

General aches and pains
Clumping discontinued
Still no visible redness on breast
Yellow mucus on nipples after pumping remains

Mom was placed on antifungal topical cream and an antibiotic on Friday.  
Symptoms over weekend worsened except for clumping.  Mom noticed over 
the last 24 hours that clumping had discontinued, but now is reporting general 
aches and pains with low grade fever.

Due to the clumping, I am leaning towards a Mastitis infection.  How can I find 
out what bacteria is causing infection (culture milk/nipple?)?  How do I rule out 
yeast infection (and do I have to rule out a yeast infection)?  I have heard of 
clumping, but not the yellow mucus before, any thoughts? Her OB will need to 
diagnose and prescribe but what direction should we go?

Standard plan of care for infection, including emptying of breast, has been 
priority.

I would love to offer mom more information to assist her with a proper 
diagnosis and treatment plan; her OB is receptive. I would appreciate any 
assistance offered; you can email me privately at [log in to unmask] 

Thank you,

Cassandra Leahy
BA, RN, MSN, LCCE, IBCLC

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome