Hi Fiona
>I saw an interesting case the other day which I would love some input into.
Mother
>is 6 months pregnant with first baby, and almost since becoming pregnant
has had
>episodes of extreme pain and blanching of her nipples. This occurs at least
once
>every day, any time, any place. She has found some relief from warmth applied
>quickly once pain begins, but if she leaves it too long, it seems to worsen
>things. If left untreated, pain lasts 30-60 mins and is awful. She has no
>history of connective tissue disease or raynauds. The weather here is
beautiful,
>so cold air isn't the culprit. She is extremely anxious that she won't be able
>to breastfeed as her nipples will be too sore. I have suggested reducing
caffeine
>and using magnesium, but am dubious about nifedipine in a pregnant lady.
>Any usful hints would be appreciated.
>
>BTW, when we talk about medication, could we please use the proper name, rather
>than brand name, as many of them are different in Australia and we all feel
>most confused :)
>
>Fiona Coombes
>Family Physician  IBCLC
>Perth
>Western Australia
>