Hey mamas, I saw a doctor today who was filling in for a breastfeeding expert doctor. The usual doctor is highly recommended and is a member of the Academy of Breastfeeding Medicine; I'm not sure if the doctor filling in is or not. Anyway, I got some advice that I thought was questionable, so I wanted to see what you all thought, and I can't get hold of my LLL leader at the moment.
She gave me a prescription for antibiotics, 250 mg of Keflex, and said that I should start taking it (3/day) at the first sign of a lump, but that I could try 3, 2, even just 1 day of taking it instead of the usual 5-10 days recommended, to see if that kicks it. I asked if that isn't normally not recommended because not enough time on abx will just encourage the bugs to become resistant to them, but she seemed to feel it was ok to "listen to my body" and if I felt totally better, to see if that does it in order to minimize the antibiotix exposure, because anyway they "wouldn't become resistant right away."
She also prescribed Fucidin antibiotic cream to put right on the nipple 1-2 times per day (or up to 5 if I kept having to wipe it off to feed baby), as my nipple does invert in on itself when baby's not sucking, so it's pretty much a breeding ground for bugs as well. And she recommended that I do that all the time, every day, not just when I feel a plugged duct coming on.
Also, she talked about the fact that a sick baby will keep infecting me, like when baby has a cold or something. I was under the impression that mastitis was caused by bacteria, not viruses - can it be viruses getting into the breast as well?
Thanks for your time! I'm a bit confused by all this. It doesn't sound right but I don't know, I'm pretty desperate. Maybe I could just do a full 5 days of the abx (she gave me 50 tabs). I know that antibiotics are particularly hard on my body so I have tried really hard to avoid them, but maybe one full course of them would kick this recurring thing? I don't know! Any insight is welcome.