Two points, Jesica,
1) What do you mean by "milk blister"? Do you mean an actual blister or a bleb (skin over a milk pore)? The first is related to friction, the second blocks a duct opening and causes a hard, sore breast related to that duct. Mothers can be taught to open a bleb with a sterile needle, coming from the side and lifting with the point of the needle, rather than stabbing. Sometimes it needs to be done more than once.
2) It generally happens that a significant upper-lip tie will be associated with a posterior tongue-tie, and it should always be checked for. The dentist will be able to do this if already experienced with lip ties. However, exceptions are possible. A few months ago I saw a baby with an upper-lip tie - and no tongue-tie, posterior or other. In fact, this baby and a sibling had the most mobile tongues I had seen in a long time, totally normal for every function.
So, although the two commonly go together, there can be exceptions.
Virginia
Dr Virginia Thorley, OAM, PhD, IBCLC, FILCA
In Brisbane, QLD, Australia
-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Jesica Miller
Sent: Tuesday, 29 July 2014 5:16 AM
To: [log in to unmask]
Subject: Milk blister
Hi everyone! I have been reading Lactnet for quite awhile but have never posted. I want to thank everyone in advance for your time.
I have been working with a mother that has what appears to be a milk blister that she cannot get rid of. She has given me permission to post. This is her third child. She has a history of mastitis and plugged ducts with her first two. I saw her when she was in the hospital after delivery and mentioned lecithin. She was concerned about the soy and opted not to try it.
Her baby was born on June 12. She was treated for mastitis and noticed the milk blister on June 18. She was feeling better after the antibiotics but the blister was still there and very painful. She started her second round of antibiotics on July 15 after once again developing a fever, hard and painful breast. She has tried everything to try to resolve it, including having her OB to lance it with a sterile needle.
I observed a feeding with her on July 15 and noticed that the baby cannot maintain a good seal at the breast. She swallows a lot of air at feedings. She appears to have a class 3 lip tie. She has an appointment with a pediatric dentist for a laser revision in the next few weeks. Now I'm wondering if she possibly has a posterior tongue tie as well. Everything I'm reading says that they go together.
Thanks!
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