Jean's post made me wonder about the issue of hypersensitive  
nipples.  Is this something a dermatologist can diagnose?  I worked  
with a mom recently who had constant pain while breastfeeding, and we  
treated for thrush and then for staph, but no improvement either  
time.  She did see a dermatologist, which was not helpful.  Latch  
appeared perfect, with no compression stripes and excellent milk  
transfer.  There was no visible damage or irritation on her nipples,  
and sx were not consistent with vasospasm.  The baby's suck felt  
totally normal and there was no evidence of tongue tie.  Pumping was  
just as painful; she tried pumping and bottle-feeding for three days  
on the dermatologist's advice, but it did not help.  She weaned at 3  
months, despite having really wanted to breastfeed.  Any ideas about  
where the pain could have come from?

Lynnette Hafken, IBCLC

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