February 1st, 2016, 07:27 AM
I have struggled with recurrent and persistent plugged ducts since giving birth about 7 months ago. (This is our third child; we have 3 kids under 6.) I think I have had about 20 cases, with a trend of getting plugs every week or two. These plugs became increasingly more difficult to resolve, with some lasting 1 week or more. I narrowly evaded mastitis twice. I spoke with my OB, my OB's NP, and an LC on the phone. They didn't have any special advice for me other than to keep up my strategies for getting rid of them: hot compresses, hot showers, hot baths, lecithin, pumping, etc.
I also developed gastritis, skin rash, and vaginal itching between 4mo-5mos. I had a restricted diet due to the gastritis, so I resorted to eating bland, easy things like cereal and fruits to cover my nursing hunger between meals.
In early December (6 months old then), I got a case of plugs that was VERY persistent, in both breasts, seemingly centered around lumps/plugs right under the areolae. We battled aggressively, but it lasted two weeks with no significant improvement. I had deep shooting pains inside my breast, esp. after feedings. I finally decided to see someone. I went to my PCP's nurse practitioner, who thought my skin rash was fungal. She thought my ductal issues were related to the same yeast infection. We then went on a number of treatment plans, spanning about 6 weeks now: (1) nystatin, (2) nystatin alternating with Diflucan, (3) Diflucan for a week, and...