I just did a search of Lactnet, and didn't find any reference to this
situation, so now I'm asking:

A mom has been calling me to discuss horribly sore nipples and burning
breasts (my hat, in the beginning, was as a friend, as she is a long-time
member of our La Leche League group and this is her 4th baby, and as I am in
Public Health, I don't see private patients when there are other IBCLCs in
Private Practice in the area moms can see).  She first reported to me she
had thrush for which she had taken Nystatin, used Gentian Violet, used APNO,
then taken Diflucanthen with little improvement.  She contacted a Lactation
Center where she was told to consider she may have Reynaud's (she has
migraines regularly)so now is on Nifedipine.

However, the more we talked the more she became convinced there was
something else going on.  She is highly allergic to latex - breaks out badly
if touched with a latex glove, etc.  She discovered that all her bras had
spandex and wondered if this could be the cause of the burning she was
feeling in her breasts.  She is finding some improvement now that she no
longer uses them, but still has sore nipples.

I did see her as an IBCLC last Friday as her baby is not gaining, stooling
every 6 - 8 days - and she was desperate.  I observed an overactive milk
ejection reflex (baby took 2.5 ounces in less than 4 minutes).  Baby has a
palate that is an upside-down V and a VERY strong gag reflex.  During the
feeding a lot of clicking is heard, and when the nipple comes out of the
mouth it is flattened in a VERTICAL not a horizontal direction, following
the V of the hard palate.

We are working on "fixing the breastfeeding" with positioning, etc.
However, I was wondering if any of you have had a mom with this type of
reaction to their bra?

Jeanette Panchula, BSW, RN, PHN, IBCLC
California

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