RE: Hard lump behind nipple

[Guest guest]

epsom salt soaks, mild vibration from electric toothbrush (use back of brush, not bristles), ultrasound, castor oil compresses which would need to be rinsed off so child doesn't get the oil. Natural Calm magnesium supplements, vit c and d, homeopathic phytolocca would be my suggestions.

Barbara Latterner, BSN, RN, IBCLC

Hi All I have a friend (not client) who is nursing a 4yr old and has a history of plugged ducts (many over the last 13 years of almost non stop nursing). She is obviously well experienced. This plug seems different, it is right behind the nipple and very hard. She has done all of the "unplug the duct tricks" she and I could think of, incl steril pin, nursing on all fours dangling, hot compresses, massage, hand and pump expressing, rest extra fluids. I have attached her description. Any other ideas???"sore when I push on the still-obvious lump at base of nipple. There is something still there. I havn't worn a bra in three days, which I know is helping. This lump is stubborn, though. There is pain, too, when my son latches on. I have to brace myself." She has an appointment with her primary care tomorrow for something unrelated. She has recently had a cat scan and stopped nursing for 24 hours and that is when the lump appeared. It has been two weeks and though there was a bit of improvement after the weekend it is still sore. Antibiotics? She is reluctant to take any medications, she hadn't even thought of taking any tylenol or advil until we had spoken on Friday.Thanks for reading this far looking forward to any suggestions. Lou Moramarco IBCLCHolmdel NJ Birth Breastfeeding & Beyond------------------------------------

[Guest guest]

Paget's Disease of the Breast can manifest itself as a pea-sized lump under the nipple. She needs to go to the doctor and ask to be checked for this specific type of cancer, because some doctors don't seem to know about this.

Dee Kassing

Subject: Hard lump behind nippleTo: Date: Sunday, November 7, 2010, 6:22 PM

Hi All I have a friend (not client) who is nursing a 4yr old and has a history of plugged ducts (many over the last 13 years of almost non stop nursing). She is obviously well experienced. This plug seems different, it is right behind the nipple and very hard. She has done all of the "unplug the duct tricks" she and I could think of, incl steril pin, nursing on all fours dangling, hot compresses, massage, hand and pump expressing, rest extra fluids. I have attached her description. Any other ideas???"sore when I push on the still-obvious lump at base of nipple. There is something still there. I havn't worn a bra in three days, which I know is helping. This lump is stubborn, though. There is pain, too, when my son latches on. I have to brace myself." She has an appointment with her primary care tomorrow for something unrelated. She has recently had a cat scan and stopped nursing for 24 hours and that is when the lump appeared. It has been two

weeks and though there was a bit of improvement after the weekend it is still sore. Antibiotics? She is reluctant to take any medications, she hadn't even thought of taking any tylenol or advil until we had spoken on Friday.Thanks for reading this far looking forward to any suggestions. Lou Moramarco IBCLCHolmdel NJ Birth Breastfeeding & Beyond

[Guest guest]

Thank you Barbara and Dee I am hoping we are still dealing with a stubborn plug I am hoping some of these other things might bring further improvement. I did have something else being the possibility in the back of my head. I was glad she had an appointment with her doc and I will caution her to have that checked as well.

Lou

Paget's Disease of the Breast can manifest itself as a pea-sized lump under the nipple. She needs to go to the doctor and ask to be checked for this specific type of cancer, because some doctors don't seem to know about this.

Dee Kassing

[Guest guest]

I learned a hard lesson a few years ago. I was at work (LC at hospital) when a

call comes in from a RN on our unit. She had a baby about a month before. She

said she have a lump and described to me a plugged duct. I give her (over the

phone) much of the same advice as below....epsom salt, toothbrush vibration bla,

bla. She went to the ER a day later not feeling well and it was found that she

had a very large abcess .

So now I will not have them use the tooth brush (vibration) until i see them and

take a through history.

Star Siegfried RN,BA, IBCLC

>

> epsom salt soaks, mild vibration from electric toothbrush (use back of

> brush, not bristles), ultrasound, castor oil compresses which would need to be

> rinsed off so child doesn't get the oil. Natural Calm magnesium

> supplements, vit c and d, homeopathic phytolocca would be my suggestions.

>

> Barbara Latterner, BSN, RN, IBCLC

>

>

>

> In a message dated 11/7/2010 7:22:32 P.M. Eastern Standard Time,

> marylou22@... writes:

>

> Hi All I have a friend (not client) who is nursing a 4yr old and has a

> history of plugged ducts (many over the last 13 years of almost non stop

> nursing). She is obviously well experienced. This plug seems different, it

is

> right behind the nipple and very hard.

> She has done all of the " unplug the duct tricks " she and I could think of,

> incl steril pin, nursing on all fours dangling, hot compresses, massage,

> hand and pump expressing, rest extra fluids. I have attached her

> description. Any other ideas???

> " sore when I push on the still-obvious lump at base of nipple. There is

> something still there. I havn't worn a bra in three days, which I know is

> helping. This lump is stubborn, though. There is pain, too, when my son

> latches on. I have to brace myself. " She has an appointment with her

> primary care tomorrow for something unrelated. She has recently had a cat

scan

> and stopped nursing for 24 hours and that is when the lump appeared. It has

> been two weeks and though there was a bit of improvement after the weekend

> it is still sore. Antibiotics? She is reluctant to take any medications,

> she hadn't even thought of taking any tylenol or advil until we had spoken

> on Friday.

>

> Thanks for reading this far looking forward to any suggestions.

>

> Lou Moramarco IBCLC

> Holmdel NJ

> Birth Breastfeeding & Beyond

>

>

>

> ------------------------------------

>

> Yahoo! Groups Links

>

[Guest guest]

I second the Ultrasound rec. For some moms with severe plugs, that is the only

that finally works...

does paget's disease come all of the sudden in 24 hrs? I thought it was more of

a gradual thing?

>

> Hi All I have a friend (not client) who is nursing a 4yr old and has a history

of plugged ducts (many over the last 13 years of almost non stop nursing). She

is obviously well experienced. This plug seems different, it is right behind

the nipple and very hard.

> She has done all of the " unplug the duct tricks " she and I could think of,

incl steril pin, nursing on all fours dangling, hot compresses, massage, hand

and pump expressing, rest extra fluids. I have attached her description. Any

other ideas???

> " sore when I push on the still-obvious lump at base of nipple. There is

something still there. I havn't worn a bra in three days, which I know is

helping. This lump is stubborn, though. There is pain, too, when my son

latches on. I have to brace myself. " She has an appointment with her primary

care tomorrow for something unrelated. She has recently had a cat scan and

stopped nursing for 24 hours and that is when the lump appeared. It has been

two weeks and though there was a bit of improvement after the weekend it is

still sore. Antibiotics? She is reluctant to take any medications, she hadn't

even thought of taking any tylenol or advil until we had spoken on Friday.

>

> Thanks for reading this far looking forward to any suggestions.

>

> Lou Moramarco IBCLC

> Holmdel NJ

> Birth Breastfeeding & Beyond

>