I hate to sound like a broken record here...but it is embarrassing how much 
we do not know!

When I see a mom with a bleb I tell her, "Sorry---we don't know what these 
are".  Noone has biopsied one to look at it under the microscope to tell me. 
The theory that makes the most sense to me is..."

ANyway, as for specific treatment, once it is open, it seems to help to 
apply triple nipple ointment to calm inflammation/swelling and keep it open, 
and hopefully not infected.  There is often a coexisintg oversupply and 
pinching to slow flow, which can be addressed.  And if it is extrememly 
painful, often coexisting vasospasm.  Have her try heating pad on low for 15 
mins after nursing.

My thoughts--

Kathy Leeper, MD, IBCLC
MilkWorks- Lincoln, NE

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