OK, wise ones! Any input from you would be appreciated. We've asked mom to call her physician for Rx, but feel like the extremely strong suck is a component that we're having a hard time advising her on the managment of. Mom is overtired and toddler is very active. We have also suggested mom try for a day or two of bedrest with baby this weekend. Mom very committed to nursing this baby because her toddler has had many food sensitivity and lower GI issues. 
 
Permission from mom to post:
Mom is a 27 yo MWF. 2nd del. on 8/26/2009. Only did minimum breast-feeding (3 days)with 1st child (Age 4 now). Solely breast-feeding until recently - only a couple of bottles offered. Client is complaining of BREAST (not nipple) pain. The pain started shortly after birth with severe itching and burning pain on the breast area - mainly the left side. After infant would nurse, the pain would persist for 5-10 minutes after the last feeding. The pain would radiant throughout the entire breast. "It almost would have a RAW feeling." Now the pain has migrated to both breast with severe pain to the point of not wanting to feed. Client has tried many remedies - different positions, correcting latch, using breast compressions, warm heat compresses, trying a breastpump, etc.. Nothing has corrected the problem. The client was Dx with fibrocycstic breast on the left side and she has modified her diet to help with the fibrocycstic breast. The client was also Dx with
 High Blood Pressure during her pregnancy and it was controlled with diet.
Other interesting factors....the infant has a very strong suck. The client has observed the infant's strong latch, to the point of having difficulty breaking the seal from the breast. When the infant took a bottle, the artificial nipple collapsed during the feeding due to the high pressure. Also the client notices that when the infant nurses now, he will arch and "tug" at the nipple and seems to not be satisfied with the output of the breast. Wt. gain for the infant was poor in the beginning but seems to be gaining wt. now normally. Infant has numerous wet and stool diapers. 
We are now leaning toward that this could be a yeast issue with many factors contributing to the pain. Just seems like there's more going on here. Stress. Fatigue. 
 
The miracle is this--the more we share, the more we have.
--Leonard Nimoy
 
Chrysta B. Andrews, IBCLC
Liane C. Varnes, CLC

Georgia Public Health District 2 - WIC Program
 
May you be be happy; may you be healthy; may you be free from suffering; may you live with ease.


      

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