Re:  Kris's mom with burning nipples that turn purple when pumped.  Baby
smacks while sucking.  I seriously doubt this has anything to do with
thrush.  When I read the first post I immed. thought of all the bruised and
discolored nipples I've seen when pumping technique is too aggressive or
there is a mis-match between the size of the flange and a pinched, too tight
fit with the nipple.  Nipples can burn and hurt from other things besides
thrush, and certainly nerve damage from bruising is a common reason for
nipple pain in my exper.  Watch her pump and look at how the fit is.  Also,
if the baby loses suction during feeding, that would cause a break in seal
with a resultant smack.  Babies are brilliant compensators.  If this baby
has weak ability to form suction, he/she may be clamping with extra jaw
tension to hold the nipple in the mouth.  This could also contribute to
discomfort.  I think the OT is a good idea.

Barbara Wilson-Clay BSEd, IBCLC
Austin Lactation Associates
http://www.lactnews.com

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