I hate to sound like a broken record here...but it is embarrassing how much we do not know! When I see a mom with a bleb I tell her, "Sorry---we don't know what these are". Noone has biopsied one to look at it under the microscope to tell me. The theory that makes the most sense to me is..." ANyway, as for specific treatment, once it is open, it seems to help to apply triple nipple ointment to calm inflammation/swelling and keep it open, and hopefully not infected. There is often a coexisintg oversupply and pinching to slow flow, which can be addressed. And if it is extrememly painful, often coexisting vasospasm. Have her try heating pad on low for 15 mins after nursing. My thoughts-- Kathy Leeper, MD, IBCLC MilkWorks- Lincoln, NE The contents of this message may be privileged and confidential. Therefore, if this message has been received in error, please delete it without reading it. Your receipt of this message is not intended to waive any applicable privilege. Please do not disseminate this message without the permission of the author. *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET email list is powered by LISTSERV (R). There is only one LISTSERV. To learn more, visit: http://www.lsoft.com/LISTSERV-powered.html