Anne, you said
>Her nipples looked bulgy and soft, not firm, and they were always tender when
she nursed. I made the diagnosis based on exclusion of all other
possibilities.
I've seen very sore bulgy soft odematous areolar tissue as a result of
pumping at excessive pressures without an appropriately-sized adapter: the
whole of the areolar tissue was being grasped and dragged into the pump
attachment; the nipple hardly extended at all, but rather the whole breast
did. Was this mother pumping for her twins? In the case I saw, areolar
tissue was so painful the mother couldn't touch it, no other cause
whatever. Subsided slowly over time: cold, anti-inflammatories and cabbage
might have helped if I'd known enough to suggest it, but I didn't at the
time. Maureen