I just saw a mom with matitis.
Second one in 4 to 5 weeks.
Symptoms started with pain in right breast in middle of the night and a few
hours later a burning left nipple.
Right side did not burn but no other description. Left side had a few hours
of superficial burning then self resolved. No evidence of thrush in baby,
moms nipple looked OK.
Shortly after burning on left resolved mom developed body aches, 101+ temp
and redness on right breast.
The last episode of mastitis was on the right also treated with frequent
nursing and ten days of cephalexin.
I started this mom on cephalexin again for 10 days.
Baby nurses in a cross cradle hold in day and side lying at night. Baby
sleeps with mom "like velcro"
This is mom's second baby, no mastitis with the first.
I reviewed risk factors with mom, cracked nipples (no) fatigue (she has a 2
year old) stress (no) tight bra (maybe) baby does drain the breasts well but
better on the left, no symptomatic blocked ducts.
Any other ideas? Treat for 14 days?
Tx,
Rob


Rob Cordes, DO, FAAP, FACOP
general pediatrician
Wilkes Barre PA
mailto:[log in to unmask]

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