I am hoping someone can help.  I have 2 moms in a similar situation.
Mom A has a 6 week old baby who is gaining beautifully.  She has 
excruciating stabbing pain AFTER she nurses, sometimes starting 1/2 an hour 
later.  It is so bad she is ready to give up.  She does not have pain while 
she nurses, and it is only on one side.  She has nursed 4 other children 
with no problems.  Basically when I saw her, she did not have one specific 
white dot like a typical bleb, but a cluster of white on about 1/4 of the 
nipple.  You do not feel any clogs in the breast.  I had sent her to a 
dermatologist, who tried to pop with no success.  I had recommended olive 
oil, and gently trying to rub with a washcloth, in addition to Dr. trying 
with needle.  I also told her to take Lecithin.  Nothing has helped.  What 
now?
Mom B has exact same symptoms.  Her baby is 8 weeks, also gaining very well, 
also terrible pain only on one side, and also only after nursing.  Latch 
fine.  She said she had a bleb although she did not know what it was. Now 
there is no visible bleb, and I do not feel any plug of any duct in the 
breast.  She does not get the terrible pain after pumping for some reason.
I am really stumped as to how to precede on these.  We have ruled out latch 
or positioning, thrush, etc.  What now?  They are both suffering terribly.
Thanks,
Jessica Billowitz, IBCLC
Israel 

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