Hi,

Have a mother who called me regarding complicated case of recurrent mastitis for which have permission to share. I searched the archives and found some useful info from a post in 2010. But wanted to see if anyone has had more recent experience and success with any similar circumstances. Mother has 2 year old and 2 1/2 month old. Persistent mastitis prevented continued breastfeeding with first baby. A revised tongue tie was an issue as well. Second baby has breastfed without difficulty, painfree latch, consistent on cue feeding, good output and weight gain. However, mastitis has returned and has occurred every 2 weeks with sudden onset fever >102, pain, general ill feeling for which Bactrim helps temporarily.  Mother is being evaluated for IgA deficiency and hyperprolactinemia, and started a probiotic 10 days ago. Confounding PMH includes autoimmune disorder, celiac disease and epilepsy (taking Keppra) all diagnosed 4 years ago. Other supplements include Vit D, pre-natal with folic acid. Additionally, mother reports to have D-MER with feedings. Her wish is to breastfeed as long as possible, wondering if there is some way to control mastitis with long-term low level antibiotic or any other strategy. She is getting mixed messages from various professionals regarding risk of frequent antibiotic with breastmilk vs switching to formula. Any insight appreciated!

Allyson Wessells, PT, IBCLC, LLLL
Columbus, Ohio
www.naturalnurturinglc.com

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