Mary, Do a lactnet search on "bleb" and you will get quite a few posts on this topic. I'm wondering if that is not what your daughter is suffering from. These are dryer than normal milk secretions that fill the duct and seem to be visable from the nipple pore as a white spot, bulge or dry matter. They are sometimes hand expressed out, worked loose with streches of the nipple face in opposite directions, soaked loose with warm water (plain, saline or with epsom salts. They tend to reoccur and respond well to local antibiotic ointments. Sometimes they are lanced, poked with a needle or have the surface rubbed off with a cloth or maternal finger. Lots of stuff out there, little consensus. I've had best luck cleaning nipple with alcohol, lancing with a sterile needle, removing loose dead blister like skin, hand expressing thickened milk secretions, pumping and/or nursing and following up with an antibiotic ointment while healing. Some of this is "out of the range of LC normal practice" but in the range of RN/MD practice with whom I've consulted or sent mom to. The antibiotic locally was the thing that stopped the constant reoccurances that my last client with this suffered from. A breastfeeding friendly dermotologist is a good referral if you aren't comfortable with this. This is the specialist type that started my last client on antibiotic after we did several lancings and it kept reoccuring. I'm seeing more and more common sense recommendations for topical antibiotic on nipples that won't heal. Also a daily bit of soap and water washing might help keep bacterial counts down although this flys in the face of our LC mythology that nipples and soap shall never meet. Dr. Jack says no need to rinse off his APNO as the amount absorbed is minimal. APNO might be even better than plain anitibiotic ointment/cream. I think the reoccurance if there is an infection is because of inflamation. I agree with the use of lethicin for prevention of reoccurances too. If not familiar with APNO do a search on that too, it is an antibiotic, antiinflamatory and anti yeast combo. See Dr. Jack's web pages on www.bflrc.com. Sorry for typos and poor formatting. I'm working on a very old and uncomfortable computer while mine is being repaired and I can't figure out spell check or expand the windows or go up or down to check what I've written. YUK!! Carla *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html