PTP: I have a client who has had persistent sore nipples. At 2 months treatment for thrush included 2 rounds of diflucan,  APNO for 3 weeks, and she tried grape seed extract but it irritated her skin. The soreness significantly decreased but never went away completely. She has returned to work and the pain level is about 4-5 (scale to 10). Assessed for both ULT and PTT neither are an issue and latch is fantastic. She doesn't tend to be sensitive to environmental agents or have eczema. She hasn't changed detergents or soap and doesn't use creams. I have suggested decreasing pressure while pumping and using different flanges but there has to be another underlying cause because she has been sore prior to pumping while at work. The nipples are always red and sometimes the right nipple blanches slightly, though she doesn't feel any throbbing. She also mentioned achiness in the breast during pumping. Any ideas? All suggestions greatly appreciated.
 
Wendy Jordan, BS, IBCLC
Private Practice LC
www.seacoastlactation.com
 		 	   		  
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