A.L. asks from South Lake Tahoe, CA on February 08, 2009
Problems with Nursing My 9 Month Old
I don't know what's going on with my body, but for the past 2 months or so I have been getting very frequent plugged ducts - 1 or 2 per week. It all began once I started feeding my daughter more solids (she's only in the 7th percentile for weight so her pediatrician said she should be getting at least 3 solid meals/day). Now my dd is very fidgity while nursing, very easily distracted and not very focused. On top of the plugged duct issue, about 4 weeks ago a new problem started. After nursing my daughter in the morning, I get extremely painful sharp shooting pains coming from the middle of my left breast out towards the nipple. Now this only happens on mornings when she sleeps through the night - when it's been at least 10 hours since her last feeding. I have a pretty high tolerance for pain, but these shooting pains are excruciating. So I talked to my daughters pedi and she seemed to think I may have thrush. She prescribed this topical "Nystatin" that I put on my nipples 3-4 times a day and in my daughters mouth once/day. I've been doing this for a week now and have not seen any change. Does anyone out there have any idea what could be going on with me?? I don't know what else to do, but I will try to get in to see my Dr. next week sometime. Any advice would be much appreciated, thanks!
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Y.S. answers from Salinas on April 07, 2009
Did you ever find out what cause the sharp pain? I heard through a lactation consultant that the pain is cause when the baby has a good latched and is getting and working hard to get the milk.
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K.M. answers from San Francisco on February 10, 2009
OUCH!!! I finally overcame all my nursing issues - from infections and plugged ducts to figety boy - by buying a very high quality pump and pumping only. As it turns out, when they start to eat solids their mouths produce too much yeast and I was getting infections from that. I was on four different antibiotics over three months before I was comfortably able to pump enough milk again and OOOHH!!! the pain.
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H.F. answers from San Francisco on February 09, 2009
I would definatley go see your doctor or midwife, ideally someone who is very familiar iwth breastfeeding. Also there is a phenomonon/syndrome called Raynaud's. It is when there is poor circulation in the fingers and toes so when they get cold or compressed the tips turn white and you get shooting pains. It can also happen in the breasts either from them getting cold or compressed too much while breastfeeding. I get it when I am nursing and pregnant. Two things to look for are when the pain happens is the tip of your nipple white and does heat from a hair dryer on low ease the pain. I was originally thought to have a yeast infection and treated myself and my toddler fro over a month before getting the right diagnosis. There is a medication that you can take that is supposed to help but I found just working with my daughter to change her suck and using a hair dryer as needed helped a lot.
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Y.S. answers from Salinas on April 07, 2009
Did you ever find out what cause the sharp pain? I heard through a lactation consultant that the pain is cause when the baby has a good latched and is getting and working hard to get the milk.
N.D. answers from San Francisco on February 09, 2009
It sounds like you may have Mastitis. I had the same symptoms with my son. They gave me antibiotics. Also, try taking a shower and rub out the clogged duct, it hurts but you need to do it. Hope this helps.
T.B. answers from Sacramento on February 10, 2009
Hi! It probably is thrush. I had it and it is EXTREMELY painful. The cream never worked for me, either, I finally had to take an oral medication. Perhaps the thrush and clogged ducts are related? One other thing, they DO get distracted around this age. My son would literally pop off my nipple every few seconds, which hurt like crazy! I think I gave him a few chances and then said forget it! I figured he'd concentrate more on eating if he were truly hungry. But, you have to remember, they're easily distracted because they are so busy learning. With my next one, I might invest in a breastfeeding necklace to at least keep his attention focused and keep facing me!
E.M. answers from San Francisco on February 09, 2009
I wanted to "second" lecithin as helpful for keeping ducts unplugged, and "second" kellymom as a great resource for breastfeeding. I have recurrent issues with plugged ducts, particularly in one of my nipples due to thick milk, and have found that lecithin helps a lot. My program is to take it twice per day (once in the morning, once at lunch time). I also drink tons of water -- it is said that this doesn't affect breastmilk all that much, but I find that the milk is thinner (and therefore less clumpy) when I drink enough water.
Also if you feel a plug coming on, a hot wet washcloth (as hot as you can stand!) on the affected breast before feeding or pumping can help a lot. The last suggestion I would make would be to consider breaking up that 10 hour stretch with a feeding or pump, especially if that's when you experience the pain.
S.D. answers from San Francisco on February 09, 2009
Hi A.,
I'm sorry you are having terrible pains. I also had some issues when my son was younger. I went to see a Lactation Consultant. If you are in the East bay, you can go to a free Breast is Best class at John Muir Women's Center (Wed from 10-12 I think). The class is led by a lactation consultant. They helped me the most when I was going through similar issues. Good luck and I hope some of these suggestions help!
S.
T.S. answers from Sacramento on February 08, 2009
Hi A.,
My advice would be to pump a little bit after or between feedings. That sharp pain you described doesn't sound like anything to do with thrush (yeast on the outside) as much as being engorged with milk (inside). Expecailly since it only happens when she hasn't nursed in a while. Try pumping a little before you go to bed and sleep in a sports bra. It sounds like your body is just taking a bit to adjust to your daughters decreased interest.
She's still young, so keeping the extra milk can't hurt. You can mix it in her oatmeal or whatever.
Hope this helps,
T.
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