I had a client recently whose baby was tongue-tied and unable to nurse. She
had been pumping for months and had what looked like white callouses
covering the tips of both nipples. I've been doing lactation work for 38
years and had never seen anything quite like it, so suggested a
dermatologist.  He told her to wash with Cetaphil soap, and use Cetaphil
moisturizer. Also gave her triamcinolone acetonide cream. She said these
"callouses" sloughed off and her nipples were entirely normal in 24 hrs.
She'd had this condition for months.
Anne Grider, IBCLC
Private Practice
Marietta, GA

On Wed, Jul 30, 2008 at 9:31 PM, <[log in to unmask]> wrote:

> I have permission to post. A coworker saw a mom  today that she feels has
> calloused nipples. Mom is a 41yo primip whose baby is  now 4 mo and who had
> sore
> nipples for the first 2 weeks that healed. She came in  today for a consult
> for blanched painful nipples that occur very irregularly but  just in the
> evening. When she feels the pain, she lowers her bra flaps, sees  that her
> nipples
> are blanched and then the color returns. My coworker watched  a  feeding
> and
> feels that the latch looked correct. Upon doing a digital  exam, she noted
> a
> high arched palate. Mom is aware of pinching with BF but has  felt that
> from the
> beginning and now it does not bother her.
>    Her question is this: is there any treatment for the  callouses on the
> nipples. She has tried different hydrogel pads and breast  shells to reduce
> friction rub but does not care for those products. I also  suggested
> working with
> this mom on trying to get an asymmetric latch. I was  wondering if the
> saline
> soaks with some gentle debridement after to soften the  tissue. We would
> appreciate any other suggestions.
>
> TIA.
> Allyson Michaels RN, IBCLC
> Charlottesville, VA
>
>
>
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