Martha,

Sounds like clenching/clamping with resultant nerve compression causing
breast pain.  I've had two cases recently with one mom's so severe she went
on Nifedipine with good results-mom has declined CST which I think could
help.  Both women were diagnosed by LC phone help as thrush but one look at
the squashed nipple and white tip (blanching), breast pain was sure to
follow.  Perhaps the bruising outside the areola is because it dlidn't show
up on darker areola and the interstitial bleeding from trauma drained beyond
area where infant latched-upper jaw compression from infant feeling he was
losing breast can occur; sometimes lip being pulled in causes breast damage,
too.

Barbara Latterner, BSN, RN, IBCLC

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