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Lactation Information and Discussion <[log in to unmask]>
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Tue, 20 May 2008 12:14:25 EDT
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Hello all,
 
I just visited a mom I worked with over a year ago. After a very rough  
start, no latch, posterior tongue tie, release, low milk supply, etc. nursing  was 
going swimmingly for months and months. Recently, however baby has seemed to  
be sucking hard, or somehow differently, and has created what look like  
pressure cysts on both nipples. Left is one area, most of the central nipple  face, 
looks sort of worn off, or it did at that moment, and Right nipple has  three 
smaller, but distinct areas. There is no bleeding. Baby was asleep when I  
got there so nothing to observe during the nursing itself. They do not look like 
 milk-filled blebs right now, though they may have been at one time. Mom 
cannot  express anything out of them/though them, and they at this point look more 
cell  or skin-filled than fluid filled, if that makes any sense. We had 
talked on the  phone about blebs when she first noted one,she tried changing 
position,  getting toddler to nurse more gently, heat, massage, etc but after a  
month and some shift but not relief ( quite painful during both of the two  
nursings this baby does, once before work and once when mom gets home) I wanted  to 
see exactly what she was describing. Before I saw them I thought it might be  
dermatologic, but it really seems mechanical/pressure related. Anyone have 
any  suggestions/comments on this situation? Mom really wants not to wean for  
this.
 
Peace,
Judy


 
 
Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY, USA



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