Hi Nancy.

The nipple blisters could be related to thrush, as is stated in Ruth
Lawrence's book BF: A Guide for the Medical Profession, ( I believe it is
there, ...).

The heat and opening by the hcp (sterile needle) should help, but if the
mother is doing too much, it may reoccur.....or if yeast is involved, it may
recur.

I don't think the twins issue plays a role.

If she is being treated for mastitis with antibiotic therapy, this might add
to the fray in some way, ....

Auerbach and Riordan's book also discusses this lesion, which I believe is a
bleb. If it is not a bleb, white painful dot on the nipple or areola, then
perhaps the blisters should be reevaluated ....who knows what they are
caused by, infection? etc.

I wonder if Jack Newman's four part nipple ointment might help...it is two
antifungal medications, one cortisone-based ointment, and Bactroban ointment.

Kathleen


Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet,TLC, Indep. Consultant
Williston, Vermont
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