Lyla,
My first thought is that, whether or not there is pinching, a chiro/CST referral is appropriate. I also agree with Rachel--all of these symptoms are in the progression common with posterior TT. Ask her if there is a feeling like sandpaper on her nipples? I hate that she is using all of these drugs. This is, IMO, a structural problem.
Jennifer Tow, IBCLC, CT, USA
Intuitive Parenting Network LLC
-----Original Message-----
no medical history pertinent to breastfeeding problems.
baby born at a watebirth center, my partner saw her within a few hours =
of the delivery, because it hurt to breastfeed almost immediately.=20
oral anatomy normal, no indications for cranial sacral, normal birth, =
normal breasts and nipples, and NO COMPRESSION of the nipple upon =
nursing. and yet pain. terrible horrible pain.
i saw her a few days later, and her nipples were pink, and she had some =
yeasty symptoms, so she started candida protocols. =20
no improvement. =20
a week or so later she started nifedipene (she had already been taking =
omega 3s, vitamins, using APNO, etc. etc.
the nifedipine seemed to help a little bit, but she still was writing me =
several times a week saying she was in terrible pain. the in between =
pain seemed to fade but hte nursing pain was still ominpresent. the =
only visable symptom is/was bright pink nipples.=20
she made an appointment with a derm with whom we've had good success =
treating hard pain cases. here is what he prescribed/recommended, in =
her words:
=A9 On Mon. March 18th, saw Dr. Gasch (Dermatology). He diagnosed =
dermatitis of the nipple and mastitis; in association with dry skin =
(which was allowing bacteria to enter the nipple through cracks in the =
skin). He recommended discontinuing the Nifedipine and beginning a new =
treatment plan: 600mg of Advil every 6-8 hours (to reduce =
inflammation), washing with CeraVe Hydrating Cleanser, applying Alcortin =
to the nipple in the AM & PM, and applying Plastabase to the nipple =
before and after nursing. I began this treatment plan that afternoon.
=A9 For the next week, I continued to take my final week of =
Nifedipine (since it appeared to be helping - I was hesitant to not =
finish the dosage) along with following the new regime to treat the =
dermatitis/mastitis.
=A9 On Wed. March 26th, I took my final dose of my 1-month =
Nifedipine - while continuing the skin-care regime. During the next =
week, my nipples began to feel "itchy/scratchy" during feeds and =
relatively painless between feeds (though still extremely sensitive).
=A9 On Wed. April 2nd, _____ began to "click/smack" on the breast =
(frequently breaking the suction). I tried to change her position, but =
she continued this behavior at every feed (and throughout the feed). =
This continued for about 3 additional days.
=A9 By Thurs. April 3rd, my left breast began to become =
increasingly sore, with an increasing burning sensation and extreme =
sensitivity. The pain/sensitivity continued to increase (in the right =
breast as well) over the next 4 days. During this time, I noticed that =
the nipples were both continuing to blanch after feedings (bright white =
to a dark maroon color). =20
=A9 On Tues. April 8th, I saw Dr. Gasch - as the pain in my left =
breast was becoming nearly intolerable. He reconfirmed a diagnosis of =
nipple dermatitis and a possible yeast infection. He prescribed =
continuing the application of Alcortin to the nipple in the AM & PM, =
applying Plastabase to the nipple after every feeding, and washing with =
CeraVe cleanser. He also added to the treatment a 150mg tablet of =
Fluconazole taken daily for 10 days along with 600mg of Advil daily. If =
I didn't see improvement in 2 weeks, I cold replace the Advil with =
Prednisone: two 20 mg tablets taken for three days, then one 20 mg =
tablet taken for three days, followed by one 10 mg tablet taken for =
three days. He commented that the "itchy/scratchy' feeling I had =
experienced the prior week likely a histamine response, but did not =
suggest an antihistamine at this time. He suggested a follow-up visit =
in one month, but I scheduled for two weeks out. After the intensity of =
the pain increased over the afternoon, I decided to start taking the =
Prednisone immediately in lieu of continuing the Advil. For the =
remainder of the day and through the night I always started to feed =
___on the right breast - as the left beast was too painful to nurse.
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