So the past month or two I've posted several times about my battle with recurrent plugged ducts. Basically I've had so many plugs I couldn't keep track anymore. I've been having them every week the past 1.5 month, many times multiple plugs on both breasts. I've tried every.single recommended treatment for plugs. I've been taking soy lecithin for over a month. Two weeks ago I started ultrasound therapy in the hope to treat a HUGE plugged area and also to prevent them from recurring, which I read on Dr. Jack Newman's site. Well after 5/6 prescribed u/s treatments I'm still having plugs, even though the huge one I came in to treat has almost cleared. Right now I'm not having any big, clear plugs BUT both my breasts still feel funny, kind of stiff and not normal and not all soft and nice (though def. softer) even after DD nurses. The past several days I've applied moist heat (I use an electric heating pad) on my breasts before each and every feeding. My DD is 14.25MO and I'm still offering to nurse 10-12x/day. I feel much better about my supply these past few days (the heat helps immensely) but many times I've had plugs so bad my supply really suffers.
I emailed Dr. Jack Newman and asked him if it sounds like I need abx (as some other moms on here suggested on my other threads). He told me to try oral GSE/fluconazole (sp?) first. I've been taking 10-15 drops GSE 3x/day for 2 days. I don't have any symptoms of thrush OR mastitis, however. But who knows! If oral GSE (and even a full candida yeast protocol) doesn't work then abx may be my next step, although I so dread getting thrush. That is about the only common BF problem we haven't dealt with and :knocksonwood
U/s treatment as what I've been doing the past 2 weeks isn't working to *prevent* recurrent plugs or to get me back my normal breasts . The u/s therapist I work with told me I should probably get a breast ultrasound so they can actually *see* what's going on inside my breasts. I may really need to do this although it probably will cost us a lot since our graduate student insurance from another state (we just moved here a few months ago) only covers 60% after a deductible, so really isn't that much after all.
Sometimes I feel optimistic enough but sometimes I feel really tired. How I wish we could be back to our "normal" nursing months ago (I never had a single plug from 3MO to 11MO). Now I apply moist heat for 10-20mins before every feeding and leave it on when I sleep at night so I can be ready to nurse her when she wakes up asking for it. When she's nursing I can't relax and enjoy but have to use both hands to massage and milk my breasts to have a decent flow. I have to be aware and not to lie on my side at night, which also means no more cuddling DD (also because I leave the heating pad on I have to put a pillow between us so she doesn't get next to me, which she used to always do .
I am not doing any of the things commonly know for increasing your risk of having plugs. Before I would try to determine what exactly caused them to happen but now I can't anymore. They would appear without notice, any time . I've been avoiding holding or wearing DD when we're outside, and I even doubt that me rocking DD to sleep (NOT pressing her against my chest) may bring about plugs. I am obsessed.
Thanks for reading my long post. Of course I will appreciate any response but this is mostly a (disorganized) rant asking for some support...