Hello, Debbie.
My computer was crashed for several days, and now I have been working to
catch up on many, many e-mails. I worked through all the Lactnet digests,
and did not see any responses to your questions (I did not want to duplicate
suggestions), so here are my delayed thoughts:
The firm purple bump sounds very much like a blood blister. When I was
a child, I spent a lot of time on my grandparents' farm. One summer, one of
the pigs had a huge blood blister in his ear. When the vet lanced it, it was
quite a sight! The vet explained to me, when I asked why he needed to do
that to the pig's ear, that there was too much blood to reabsorb, and lancing
the ear to allow the blood to come out was the only way it could heal. Now,
your mom's blood blister is obviously not that large, but perhaps even so, it
might not heal without being lanced.
Blood blisters are caused by trauma. This seems to be in keeping with
your other comment that a fissure at the base of the same nipple recurs every
time this mother tries to go back to breastfeeding. It sounds to me like
this baby is not nursing correctly. And maybe the blood blister is not healing
because the baby continues to traumatize the nipple every time he comes to
breast. This would also be consistent with the report that the other nipple
also becomes purple with frequent breastfeeding. Often babies do more damage
on one nipple than on the other.
Perhaps one-on-one, rather than in the group setting of the moms group,
you can observe the feeding very closely to determine if there is some
unrecognized sucking issue happening here.
Dee
Dee Kassing, BS, MLS, IBCLC, RLC
Collinsville, Illinois, in central USA
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