>Dear Wise Ones-
>     I have been working with a mom who called me because of a sore nipple.
>Her baby is four weeks old and one nipple has been painful since day 3 or 4.
>SHe has discomfort while breastfeeding, and SEVERE pain after breastfeeding.
>Ususally, when I see pain after breastfeeding like this, it is nerve pain
>following the nipple being pinched, and sometimes a Raynaud type phenomenon.
>However, this mother has no blanching after nursing, no rebound hyperemia, no
>ridge or compression stripe.  No cracks, no blisters, no bruising.  Skin
>integrity is good.  Her latch is good, positioning good.  She took a couple of
>days off from nursing on that side and pumped.  No pain from pumping.  After
>several breastfeeds, pain returned with a vengence.


Sounds like something to do with baby sucking rather than thrush, etc. What
about something really simple like if mum is breaking the suction to remove
baby, is she doing it properly and not just pulling baby off?

******************************************************************
Joy Anderson B.Sc. Dip.Ed. Grad.Dip.Med.Tech. IBCLC
Nursing Mothers' Association of Australia Breastfeeding Counsellor
Perth, Western Australia.   mailto:[log in to unmask]
******************************************************************