LACTNET Archives

Lactation Information and Discussion

LACTNET@COMMUNITY.LSOFT.COM
Options: Use Forum View

Use Monospaced Font
Show Text Part by Default
Show All Mail Headers

Message: [<< First] [< Prev] [Next >] [Last >>]
Topic: [<< First] [< Prev] [Next >] [Last >>]
Author: [<< First] [< Prev] [Next >] [Last >>]

Print Reply
Subject:
Very painful nipple
From:
Brenda Phipps <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 26 Mar 2011 14:25:04 -0400
Content-Type:
text/plain
Parts/Attachments:
text/plain (24 lines) 
Hi,

I have a mom with an 8-month old and with pretty severe nipple pain in her left breast. This pain began 12 days ago, and she describes it as a "hot poker", but not burning. The pain is internal, and was preceded by a bleb (which she said "dissolved") and a caked area in the 3:00-6:00 quadrant of the breast. This caked area has resolved, but the pain persists. It was at a level of 9, now she describes it as a 6. Mom says the nipple hurts for an entire hour after feedings end. 

She has been to her OB GYN who put her on antibiotics. 10 days ago, and the mom has finished these. They also have her using a topical  calendula cream.She was in my office today, and I identified a tooth erupting on the baby's lower gumline, which mother was not aware of. I am not sure if there is a connection between this and the ongoing pain. Do you think that there is a conncection, and if so, how would this connect the dots? I also observed baby nursing - he is a typcial 8-month old and pulls away from the breast frequently to look around. I did not note any triphasic color changes indicitave of vasospasm/Raynauds.

As for resolving the problem, I have her now soaking the breasts in epsom salts prior to nursing, and trying to hand express after nursing to try to express out any plug that may exist deep under the nipple tissue. I have also referred her to a local practitioner who has experience with ultrasound on plugged ducts.

Please let me know if I am missing anything here!! I would appreciate any other suggestions from those on the list.

Thanks,
Brenda L. Phipps, BS, IBCLC

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome

ATOM RSS1 RSS2