Definitely ask! My ds's pedi prescribed diflucan for me for thrush. This is off my verbal description of my symptoms only, no exam. We were present in his office for a well check. My ds did have a few white patches in his mouth and got a RX too.
I know mastitis is different from thrush, so maybe they can't, but since it could jeopardize your LO's health if you can't nurse maybe the pedi will do it.
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Ann, Mommy to 3 beautiful, boisterous boys:
Liam - 6 1/2, Emmett - 4, almost 5
and Callan - 22 months