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Subject:
From:
"Linda Pincus, RN, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 20 May 1997 13:21:13 -0400
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For those of you who followed along as I was trying to help this mom with the
(then)14mos. old and deep-seated, misdiagnosed candida infection...after 5
doctors, she finally went on two weeks of Diflucan (last dose today) and is
ASYMPTOMATIC!
She is euphoric in her pain-free status...I thank Jack Newman and everyone
else.
SOMETHING NEW: another case...mom has a 3 month old with no prior bf
problems.  Had one nsg. episode of "the most vigorous nsg. he ever did".
 Following that nsg., she has experienced pain in and behind the nipple occ.
radiating up into her axillary area.  No other sx. She is limited nsg. and
just pumping on that breast more out of fear than anything.  I am thinking
injury to that part of the nipple/areola...she has no evidence of bleeding,
etc.  Here is a big part of the problem: she called her OB who put her on an
antibiotic (she will let me know which one) and told her she cannot nurse at
all on the affected breast, she must pump and dump. The doc. said the baby
would get the infection by nursing on that breast, but could nurse on the
other breast.  She is to take the med x7 d and on day 4 she can resume
nursing on the affected breast.  This was all over the phone with the
doctor...
and I am speechless so much that I pulled out five textbooks, and all of them
say to continue nsg. both breasts ( which did not surprise me in the least.)
 If she gets better, and it was injury, she would have gotten better anyway;
if it IS mastitis (which I doubt) she will get better too...so we will never
know.  She may wind up with one very large breast (can be fixed)..and worse
she may have to supplement with  abm because one breast, at least initially,
will not produce what heretofore two have.
The doc. was adamant (mom says) about no nsg. on the affected/"infected"
breast.
Your ideas?  Thanks.
Linda Pincus, RN,IBCLC

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