I would try 2 things. First I would try to search everything on Raynaud's
phenomenon. I would do all the non-medical things as well as the medicine,
like wool breast pads and warmth. Perhaps she is colder in the mornings,
does not have all her daily clothes on? and/or baby is clamping more due to
a fuller breast.
Next, I would consider culturing the nipple and doing a round of
antibiotics, as sometimes a bacterial infection presents as ongoing
nipple/breast pain. Can she recall any trauma around that time?
Teething/bite? I might even do the antibiotics first.
Laurie Wheeler RN MN IBCLC
Mississippi USA

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