Re: If you have a moment for another interesting case...

[Guest guest]

The first thing I thought of was an area of the duct that is really swelling with MER and then relieved by the milk removal during a nursing session. Does that sound like it could be the situation?

Pillado

El Paso, TX

[Guest guest]

Dear ,

Isn't a galactocele usually described as deflating after the nursing session and inflating between sessions ? Not always painful ?

Did you see this mother's breast ? If she is from out of town, could she send you a picture ? I am having a hard time figuring where on her breast. Is it outside upper quadrant on right breast (11 o'clock) or inside upper quadrant (1 o'clock) ? Does it change place if she uses another position ? What position does she breastfeed in ?

When did she breastfeed her other child ? Post or pre reduction surgery ?

Looking forward to reading other ideas on this.

Ghislaine Reid, IBCLC

Montreal (Quebec), Canada

If you have a moment for another interesting case...

This mom came up to me after a recent session about breast surgery and I asked her to send me an email (pasted below) describing her situation so I could consult with colleagues. She had reduction surgery about 10 years ago and is having a strange situation that I have never encountered. Although she says in the email that it is on the nipple, she described it actually being on the areola to me when we spoke on person (I think she is using the word "nipple" broadly). I'm wondering if it could be a duct that is terminating at the areola instead of at the nipple, but the fact that it is happening on the right side now too really makes me wonder. It also didn't happen with her previous baby. Do you have any thoughts or ideas? Am I missing something obvious? This doesn't sound like a galactacele to me because it inflates and deflates after nursing, nor does it seem like a plugged duct. What could it be?

My son is 1 year old and when I nurse him I get a very large bump on my nipple, about the height and size of my nipple but right next to it. (If you are looking at my nipple by standing right in front of me the bump is in the 1:00 position) It goes away after the nursing session and doesn't hurt at all. It is now beginning to happen on my right nipple too, in exactly the same place. This did not happen with my older son who nursed for 2.5 years. I have spoken with many LLL Leaders, and an LC, and no one has been able to figure it out. Any help you could give me would be greatly appreciated.

[Guest guest]

Isn't a galactocele usually

described as deflating after the nursing session and inflating between

sessions ? Not always painful ?

I just looked through the Riordan, Lawrence, and Core Curriculum text

books and all three describe galactoceles as being filled with milk that

eventually thickens. There is no mention of inflating and deflating

-- rather the eventual thickening suggests that the milk is

stagnant. The galactoceles in the mothers that I've worked with in

the past that have been of consistent size, which is why it didn't seem

to be one for this mom.

She didn't show me her breast, but she pointed to an area about a half

inch above the nipple on the upper outside quadrant (11:00) on the left

breast. I didn't ask about the effect of changing positions or what

position she usually breastfeeds in, but her child is older, so I'm

assuming it is a variation of the cradle hold.

She breastfed her previous child post surgery.

Thanks so much for your input, Ghislaine!

Did you see this mother's

breast ? If she is from out of town, could she send you a picture ?

I am having a hard time figuring where on her breast. Is it outside

upper quadrant on right breast (11 o'clock) or inside upper quadrant (1

o'clock) ? Does it change place if she uses another position ? What

position does she breastfeed in ?

When did she breastfeed her

other child ? Post or pre reduction surgery ?

Looking forward to reading

other ideas on this.

Ghislaine Reid, IBCLC

Montreal (Quebec), Canada

If you have a moment for another interesting

case...

This mom came up to me after a recent session about breast surgery

and I asked her to send me an email (pasted below) describing her

situation so I could consult with colleagues. She had reduction

surgery about 10 years ago and is having a strange situation that I have

never encountered. Although she says in the email that it is

on the nipple, she described it actually being on the areola to me when

we spoke on person (I think she is using the word " nipple "

broadly).

I'm wondering if it could be a duct that is terminating at the areola

instead of at the nipple, but the fact that it is happening on the right

side now too really makes me wonder. It also didn't happen with her

previous baby. Do you have any thoughts or ideas? Am I

missing something obvious? This doesn't sound like a galactacele to

me because it inflates and deflates after nursing, nor does it seem like

a plugged duct. What could it be?

My son is 1 year old and when I nurse him I get a very large bump on

my nipple, about the height and size of my nipple but right next to it.

(If you are looking at my nipple by standing right in front of me the

bump is in the 1:00 position) It goes away after the nursing

session and doesn't hurt at all. It is now beginning to happen on my

right nipple too, in exactly the same place. This did not happen with my

older son who nursed for 2.5 years. I have spoken with many LLL

Leaders, and an LC, and no one has been able to figure it out. Any

help you could give me would be greatly

appreciated.

[Guest guest]

What about an enlarged montgomery gland?

-- Good Mojab, MS clinical psychology, IBCLC, RLC, CATSM LifeCircle Counseling and Consulting, LLC Website: www.lifecirclecc.com Phone: Email: admin@... Ammawell Website: http://home.comcast.net/~ammawell Announcement only email list: ammawell-subscribe

-------------- Original message -------------- This mom came up to me after a recent session about breast surgery and I asked her to send me an email (pasted below) describing her situation so I could consult with colleagues. She had reduction surgery about 10 years ago and is having a strange situation that I have never encountered. Although she says in the email that it is on the nipple, she described it actually being on the areola to me when we spoke on person (I think she is using the word "nipple" broadly). I'm wondering if it could be a duct that is terminating at the areola instead of at the nipple, but the fact that it is happening on the right side now too really makes me wonder. It also didn't happen with her previous baby. Do you have any thoughts or ideas? Am I mis

sing something obvious? This doesn't sound like a galactacele to me because it inflates and deflates after nursing, nor does it seem like a plugged duct. What could it be?

My son is 1 year old and when I nurse him I get a very large bump on my nipple, about the height and size of my nipple but right next to it. (If you are looking at my nipple by standing right in front of me the bump is in the 1:00 position) It goes away after the nursing session and doesn't hurt at all. It is now beginning to happen on my right nipple too, in exactly the same place. This did not happen with my older son who nursed for 2.5 years. I have spoken with many LLL Leaders, and an LC, and no one has been able to figure it out. Any help you could give me would be greatly appreciated.

[Guest guest]

What about an

enlarged montgomery gland?

Would it fill and deflate?

[Guest guest]

What about some

kind of weak area in a milk duct that causes a temporary expansion of the

weak area during letdown? I once heard Barbara Boston (LLLL, IBCLC)

talk about how excessive use of breast shells could herniate the

ducts.

Very possible. I've asked her to send pictures that I will

post.

[Guest guest]

I have seen them to be somewhat dynamic, but I'm not sure of the actual mechanics. As glands, they can fill and become clogged. I've seen them result in a calcified clog that remains years later. I've seen them swollen, but not quite as dynamically as you are describing. I've not found anything in the literature that talks much about what I've seen, but I haven't looked lately, either.

-- Good Mojab, MS clinical psychology, IBCLC, RLC, CATSM LifeCircle Counseling and Consulting, LLC Website: www.lifecirclecc.com Phone: Email: admin@... Ammawell Website: http://home.comcast.net/~ammawell Announcement only email list: ammawell-subscribe

-------------- Original message --------------

What about an enlarged montgomery gland?Would it fill and deflate?

[Guest guest]

It can be a combination of things. I, too, have 2 ducts that end at

the areola and not the nipple. Occassionaly, these ducts/pores would

do much of the same thing. One would pretty much always do this and

the other one did not start doing it until I returned to work and

there were more prolongued periods of time when I was not

breastfeeding or pumping. I think this may just be the case for her.

Perhaps the 1 y/o is going longer in between feeds, so she notices

the event more often. As we become " expert breastfeeders " we become

much more in tune with our breasts than before. It may be that her

1st son just fed more frequently and she just didn't notice this

happening to her. Just a thought....

Tingzon, IBCLC, RLC

Oceanside, CA

www.theoriginalcomfortfood.com

>

> I have seen them to be somewhat dynamic, but I'm not sure of the

actual mechanics. As glands, they can fill and become clogged. I've

seen them result in a calcified clog that remains years later. I've

seen them swollen, but not quite as dynamically as you are

describing. I've not found anything in the literature that talks

much about what I've seen, but I haven't looked lately, either.

>

>

>

> --

> Good Mojab, MS clinical psychology, IBCLC, RLC, CATSM

> LifeCircle Counseling and Consulting, LLC

> Website: www.lifecirclecc.com

> Phone:

> Email: admin@...

> Ammawell

> Website: http://home.comcast.net/~ammawell

> Announcement only email list: ammawell-subscribe

>

>

> -------------- Original message --------------

>

>

> What about an enlarged montgomery gland?

>

> Would it fill and deflate?

>

>

>

>