I often seea thickened white "ring" at the base of an opened nipple bleb, 
that remains painful for some length of time.

Triple nipple ointment would be a good idea...the steroid would calm 
inflammation and hopefully help with pain right away.  It could also be that 
the bleb sealed over again, and is not shiney like at first, so mom does not 
realize it is back.  You can tell by squeezing the base of the nipple and 
see if a bleb appears.

I will once again say I wish someone would biopsy one of these so we can 
really know what they are!

Kathy Leeper, MD, IBCLC
MilkWorks- Lincoln, NE

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