Does the baby have a posterior tongue-tie?  Does the tip of the nipple look white when the baby comes off?  Think about how constant pressure causes calluses on heels. Might check that. 

-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Kim Ann Lorber
Sent: Wednesday, August 19, 2009 9:35 PM
Subject: bleb milk blister or something else?

I am posting this for my co-Leader who is not on Lactnet, I will then forward the replies to her. She has been working with a mom on this as well  as our local LCs without resolving the problem. Thank you. 
 
<<<<I have been helping a mom who is experiencing what appears  to be an extremely persistent bleb.  Baby is 9m, mom works ft, does  pump.  Mom has always struggled with pumping enough for baby, worked on  getting more milk 
with pumping was successful, did get a plugged duct.   Believe the plugged duct 
led to the bleb.  Mom has seen the white at tip of  nipple, and it is extremely painful.  She has tried olive oil, frequent bf,  bf over baby, opening and attempting to open bleb (by midwife and self),  warm water, using vibration from electric toothbrush.  She has seen her  midwife, has talked to 4 different LC's and this has been going on for 8  weeks.  In last 2 days she has felt the pain shooting up the duct.  I  suppose it could be thrush ( and she has tried thrush remedies---gentian violet)  with the shooting pain.  But I don't think this is an underlying thrush  problem, there are no other s/s of thrush in her or baby. She doesn't always see  the white bleb, usually 
only visible after nursing or after a warm shower.   I wonder if the bleb has 
moved and that is the pain she is feeling.  I have  suggested grapefruit seed extract (reference on Kellymom) and was wondering if  lecithin could help as well.  Any more ideas? >>>
 
 
Kim Ann
LLL Leader
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