Dear Lactnet Friends:

A key symptom of thrush is itch.

There are many reasons for burning breast/ nipple pain. These are :
vasospasm, mammary constriction syndrome, thoracic vertebral misalignments
that can impinge on intercostal nerves 3, 4, and 5 (that enervate the
nipple), contact dermatitis, bacterial infection, compression from
oversupply, and high intra-oral vacuum exerted by the baby during feeds.

Evidence about high intra-oral vacuum:

1) <
https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-015-0593-1
>

2) <https://www.ncbi.nlm.nih.gov/pubmed/18489617>

warmly,

-- 
Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC, RYT
Reviews Editor,* Clinical Lactation*
www.nikkileehealth.com
Pronouns: she/her/her's
*Communications are confidential and meant only for whom they are
addressed.*

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