Conversation: The conversation between human and AI assistant.
[|Human|] I am 31 with three children. My youngest is 7 years old. When they were babies i only breastfeed for a short time due to pain cracking and how painful it was. two years ago i was diagnosed with mastitis. took the meds and it seemed to go away for awhile. a few months ago i went to urgent care and was again diagnosed with mastitis and a heart murmur. they gave me oral meds but the infection came right back and now i have a white head on my nipple that leaks puss every now and then as well as the nipple seems to be a brighter red then the other which looks pink in color. i have tenderness and pain in my armpit.
[|AI|]  Dear Miami understand we have a painful breast with discharge. Rightly as we see it is mastitis, but I am afraid the infection has not reduced yet during the treatment. It can be linked to shallow breastfeeding sometimes. Now in such cases we advise for blood test to ascertain raised total counts and ESR, more over let us go for injectable antibiotics with a bit of aggressive treatment. Are we having fever? Plz do also consult your physician for the necessity of a pus culture in case of resistance.Meanwhile please take good care of your diet and personal hygiene. Hope this helps most welcome for further queries.