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 >