I am seeking any information on vasospasm of nipples. I received a phone
call from a mom who has been nursing a baby for 5 months. She has been
beside herself for 3-4 months with severe pain in breasts during,  after,
nursing.  She discribes the pain as burning and to the point she is ready
to throw in the towel even though she does not want to. she has seen other
lc and mds and no one has been able to help her. Her latest treatment is
tertrazole on her nipples.  I have not seen her yet but I surmise she is
experiencing vasospasm of nipples.  she discribes that just taking a shower
and having water hit her breasts triggers the pain.  She ran outside
without a coat and it is about 10 degrees out and that set off the pain.
Tells me that her nipples get very white
in color when baby unlatches  breast.   I intend to see her and do a face
to face assessment with in the next day. Can any experts suggest a plan of
care?  I read in KA's text the
suggestion about nifedipine, nitropaste, warmth to the breast and nipples,
and supplements of calcium and magnesium.can anyone send me some steps to
follow.
I would greatly appreciate it.  If it is what I suspect, I plan to share
information with the others who have seen her.  my other thought is ductal
thrush but that is second on my differential. I have searched lacnet.  not
much on it.
Thanks,    Joy Motsiff  PNP  IBCLC    Cambridge, New York
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