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Discussion Starter · #1 ·
<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/help.gif" style="border:0px solid;" title="help"><br><br>
When DD was first born she was put right to the breast (home/center birth), she had a bad latch that first day before I was shown otherwise, and gave me a blister. That blister burst within a day, creating a large open wound. It hurt more then I can describe! I was consulting with both my midwife, and an LC about the problem, as the wound was /not/ healing with her nursing. We tried a shield, but it still didn't heal, and a plugged duct formed. So I was advised to stay off that breast for two days and pump instead (every 2-3 hours, no more then 5 at night). I started using homeopathy for the wound three times a day, which was helping. I was also using compresses/heat/massage for the duct. I developed mastitis, which is apparently not uncommon with wounds the likes of that one. it was bad enough to warrent antibiotic useage. halfway through this treatment we reintroduced the 'bad' side, which had now completely healed. After a week of that, the mastisis was gone and the plugged duct was still there. Within a day of going off the AB's, the plugged duct turned very red, inflammed and swollen. It was determined the next day that it had abcessed. I went in for surgery the following morning, under twilight as the abcess was too large to drain with a local. The wound is very large, cannot be stitched, and will remain bandaged until nearly Christmas. DD likes to pull at the gauze when nursing on that side. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/yikes.gif" style="border:0px solid;" title="EEK!"><br><br>
I had about a week and a half of no problems (outside of one other plugged duct, that was easily rid of) and then started getting pain in the 'bad' breast again. I thought it was a bruise, since I'd slept wrong one night and crushed it (I'm very large-busted), but the pain went on. I started using an acetominophen/ibprofun combo, massage and compresses just in case, even though there was no redness or hardness that I could tell. Last night I woke up feeling awful, my temperature was over 100, and a patch on that breast was hard. I have mastitis again! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/banghead.gif" style="border:0px solid;" title="banghead"><br><br>
I've researched, and read, and studied and advocated for breastfeeding. I'd like to think I really know my stuff, but I'm beginning to doubt I know a thing about the subject. I don't wear constricting clothes, I was fitted for a nursing bra and had to special order one (they don't make them in my size in this country) so that I would have wonderful 'breast health' in time for BFing, I use compression, she always drains a breast, I even pump twice to three times a day on the 'bad' side as the supply is a tad down from the surgery. I'm so careful, and yet I've developed mastitis twice in <i>one month?!</i> <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/bawling.gif" style="border:0px solid;" title="bawl"><br><br>
Is there something I'm doing wrong? The surgeon said that breast would be prone to re-infection but I didn't think he meant it like this. Can anyone offer advice, a lecture, anything? Is this just really, really bad luck?<br><br>
Thanks in advance,
 

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Wow! Sorry you have gotten off to a rough start!<br><br>
Perhaps you have a very curly duct on that one side?<br><br>
Are you anemic or allergy prone?<br><br>
Ideas--(if you haven't tried them already):<br><br>
Now that you already have had the plug opened and drained, you have pain again? Are you still on antibiotics? Is it in the same spot or different? If different treat like this:<br><br>
You say you used compresses on the plug. Do you mean warm wet compresses? 2 ways to do this are, fill a disp diaper with very warm water and place over breast. Or use washcloths or a cut up old towel, fill a crockpot with them, and sit and rest and keep changing them. You would want to sit and do this for hours at a time. The warmth will open the duct. Massage as firmly as poss every so often and pump or nurse to get plug out. I hope you have a good Medela pump (such as a rental Lactina, or a Pump-in-Style), or some moms like the Avent Isis.<br><br>
Can you take showers? Pump with a hand held pump or hand express in a very warm shower, or leaning over in the tub, soaking your breast.<br><br>
Now, are you run down? How is your health? Do you take a good multi-vit? Take extra C now too, and echinacea. Take a good probiotic (from health food store refrigerator). Have people make you healthy meals. Drink lots of water.<br><br>
Start taking a soy lecithin supplement.<br><br>
Do not do anything but rest, drink, eat and nurse. NO housework. Have friends help with housework and do not try to entertain them.<br><br>
Call your local LLL Leader. It's OK to cry, she will listen.<br><br>
Now, if all else fails, it is no problem to give up on the "bad" breast. Let the milk supply dry up gradually. You will have plenty of milk in the other breast. It will adjust to make the full milk supply.<br><br><a href="http://www.kellymom.com/bf/concerns/recurrent-mastitis.html" target="_blank">http://www.kellymom.com/bf/concerns/...-mastitis.html</a><br><br><a href="http://www.lalecheleague.org/FAQ/repeatmastitis.html" target="_blank">http://www.lalecheleague.org/FAQ/repeatmastitis.html</a><br><br>
Good luck! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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I don't have anything to add but a <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">!<br><br>
Oh, and watch out for thrush with all the antibiotics. If you start getting itchy, or get sharp shooting pains (like there's glass in your breast), or your dd gets really fussy/gassy/clicks on the breast and/or has white patches, then start treating for thrush immediately. I got thrush almost on top of starting antibiotics for mastitis and it was a total PITA to get rid of.<br><br><a href="http://www.kellymom.com/bf/concerns/thrush-resources.html" target="_blank">Kellymom's thrush page</a><br><br>
I hope you're feeling better soon.
 

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Discussion Starter · #4 ·
Thank you for replying so quickly!<br><br>
I am both anemic and allergy prone. Don't even get me started on my allergies - I've only ever met one person in my entire life who has allergies like I do.<br>
About the anemia: doctors, homeopaths, specialists and so on have tried for years to get my iron storage up. We've done every treatment you could imagine, and it never gets above about 15 maximum (the normal is 60). I take a multivitamin and have been using extra vit. C.<br>
For the record, DD is very healthy, gaining weight really well (last checkup with midwife was 10oz in 11 days!)<br><br>
I'm not on antibiotics, I went off about a week and a half ago, maybe more. And it's in the same spot roughly... the first case of mastisis was the size of my hand and covered a good portion of my breast, this case is in the same area, but not nearly as big.<br><br>
I have a rental lactina, and I think I love it enough to look into buying one. I do use warm, wet compresses, plus I have a hot water bottle that I use too.<br><br>
I'll definately try pumping in the shower!<br><br>
Feeling very run down from the mastisis, but before that came on I felt fine. I get good rest, drink water, etc... I'll write down your suggestions and go to the health food store ASAP to try them.<br><br>
Thank you so much for all the suggestions, and the support.
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"><br><br>
Wow. That's rough. Really rough, and I'm sorry you are going through this.<br><br>
You are a very good mama to not give up during all this and I just wanted to give you a <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up"> . I admire your determination and selflessness.<br><br>
Keep up the good work and more <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> .
 
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