Hi Nikki Lee,
A few years ago the MD I work for sent bleb tissue to the lab to be analyzed. (MaryAnn O'Hara at Seattle Breastfeeding Medicine). The lab found blebs are areas of inflammatory histiocytes. She presented her findings at ABM 2012. Blebs usually respond to a mid-potency steroid under occlusion. She usually prescribes 0.1% betamethazone valerate ointment (not cream) with instructions to use a small amount, so there is just a shine over the bleb, and cover with plastic wrap to increase penetration into the skin. Often once per day, during the longest period without breastfeeding/pumping is enough to decrease inflammation and resolve the bleb.
Of course, care also needs to include treating the source of the trauma that is causing the blebs in the first place. (Usually something baby is doing, tongue tie, etc)
Best wishes,
Emily Healy, IBCLC
>>>>>>>>>>>>>>>>>>>>>>>>>>>
From: "Nikki Lee" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, December 10, 2013 11:43 AM
Subject: recurring bleb
> Dear Lactnet Friends:
>
> The mother of an exclusively breastfeeding 5 month old has suddenly
> started
> having a bleb on the face of her most producing breast.
>
> She thought at first it was a tight bra, so she stopped wearing them and
> now wears tank tops. Still the bleb comes back.
>
> She has tried olive oil to the area. As she is a periodontist, she uses a
> dental needle to clear the bleb herself. OUCH, but it works.
>
> Any ideas?
>
> warmly,
>
> --
> Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC
> Author:* Complementary and Alternative Medicine in Breastfeeding Therapy*
> www.breastfeedingalwaysbest.com
> https://www.facebook.com/nikkileehealth
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