Terri wrote: << 2) Ask mom if she has cold hands and feet. Nipple vasospasm mimics yeast symptoms, and can be treated with 30 mg Nifedipine daily until symptomology is gone, or for the duration of breastfeeding, if need be per Ruth Lawrence. >> Also Raynaud's of the nipple doesn't have just pain, but triphasic color changes of the nipple as well, with blanching/turning white, blue/cyanosis, and thne red. If the mom has seen this, then it may be Raynaud's. The last time an MD suspected Raynaud's, I saw the baby and chalked it up to chomping by the babe with a shallow latch ( shallow latch protecting against huge flood of milk). After working on positioning, managing flow, baby getting comfortable with a deeper latch, the latch-on pain went away, but it took another 2 weeks or so, and some APNO perhaps, for mom to get completely comfortable. After 6 weeks of chomping and bruising, it made sense to me that there would be a lag between better latch and pain-free feedings. Mom and MD concurred, and things are going well now. Here's a bit from a website: "Classically there is a triphasic colour change associated with Raynaud"s phenomenon. Firstly there is pallor induced by vasopasm and then cyanosis caused by deoxygenation of pooled venous blood. Finally there is rubor associated with reflex vasodilatation (4) The triphasic colour change occurs in two thirds of patients with Raynaud’s phenomenon (13) . The signs of vasospasm may be accompanied by symptoms of numbness, burning, tingling (14) and of course pain. It is pain that causes distress to the breastfeeding woman and will precipitate her presentation for help. Attacks of vasospasm may be induced by cold exposure or by emotional stress (15). " ........ http://www.gp.org.au/cls/raynaud.html Judy LeVan Fram, PT, IBCLC, Brooklyn, USA *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html