21 answers

SORE Nipples -HELP!!

I have been breastfeeding for 4 weeks and feels like I have everything that can go wrong go wrong. Horrible engorgement, blocked milk ducts (which I have overcome) and now a yeast infection on my nipples. The pain started 2 weeks ago. At first I thought it was him not latching on correctly so I contacted a lactation consultant (LC) and I was doing everything correctly. She told me maybe I had trauma to the nipple and it would heal. A week later I attended a support group and the LC told me I had a yeast infection when I explained the symptoms. I have been on Diflucan for a week, washing my nipples with vinegar, applying antifungal ointment and my baby is on med too so we can stop passing the bacteria back and forth. HELP... I still have no relief. Any suggestions or help would be appreciated. I want to BF so badly especially with a 2 & 1/2 year old in Preschool.

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What can I do next?

So What Happened?™

After 4 weeks of horrible nipple pain I went to see a lactation consultant last Friday. She did a tongue assessment of my little man and she referred me to an ENT. He needed to have his frenulum cut about 5-6mm. Poor baby, Mommy was a mess, but I am glad we have finally figured out the problem. Hopefully this nipple pain will go away now. Thanks for all your suggestions. FYI: A wonderful website is: www.drjacknewman.com

Featured Answers

I was there as well! I know how painful it can be in the beginning. Maybe, try pumping and feeding expressed milk with a bottle until things clear up and revisit breastfeeding?

Aw, all I can say is it will get better! If you can just get past it and stick with it things will improve with time! I've done 4 for a year or so each, and though I never had major problems it is certainly an adjustment. I've known lots of people get through it though! Hang in there!

More Answers

Oh I feel for you! I remember that all of those things happened to me too! Not to be discouraging, but it took my little one and I over 8 weeks to finally get to the point where there was no more pain. Please don't give up- it will get better!!!! I tried all of the vinegar washes, antifungal, Mystatin, grapefruit seed extract wash- you name it. Finally, the only thing that worked for me was the gentian violet- but it stains everything purple and can be a little shocking to see! I only treated my nipples with it, I didn't give it directly to my infant- but he got some treatment when he breastfed. There is lots of good information on the net about it. You get it through your pharmacy, there is no prescription- but they usually have it behind the counter. Hang in there!!!

There is no pain to match the pain in your breast when that baby latches on and there is some type of infection. I had a mastitis earlier this year with my nursing baby girl, Phoebe. In addition to taking antibiotics, like you, I continued to nurse on that breast and had to bear with the pain. I know it feels like knives but it will pass and get better. It is critical that you continue to nurse from that side, especially since you are only 4 weeks in or you may lose your supply on that side. Best of luck and try to stay strong, the pain should subside within a few days.

If you really want to breastfeed, the kellymom website is a wonderful resource - there is TONS of information there about breastfeeding, help with everything that can possibly go wrong, and even sleep issues and attachment parenting.

www.kellymom.com

A.- i am sure u have recieved tons of emails.. but i wanted to try and keep u encouraged to keep up the great work.. the first few months are the hardest-- in all senses. i feel your pain.. i too had sore nipples- bleeding and cracking- blocked ducts- 2 time of mastisis... but i am so happy i pushed-- you can DO it too.. i nursed both my boys exclusively for 15 months each..

i want to sound encouraging but i also want u to know.. try and if it doesnt work-- that is ok too.

as for the nipples.. try and keep your bra off as much as possible. the natural air is the best. lilly pads - they sell them at different stores are great.. and just raw cabbage.. straight from the refrig- right now the boob..

keep it up- u can u do it!!

best of luck..
-L.

When I was breast feeding my son suck my nipples so hard i got sores and my doctor told me use A & D ointment which healed my nipples quickly and it doesn't hurt the baby. i was able to use the ointment for healing and still breast feed.

Had the same problem once. I ended up trying a couple of different things....

1. If you have it on your nipples...baby has it in his mouth. You have to treat baby too.

2. Easiest to get solution is garlic oil. Go get garlic oil tablets from a pharmacy...walmart has it for sure. Before and after ever feeding poke a whole it the tablet and gently rub it on. Baby will get it in his mouth when he feeds. Make sure you stay as dry as possible between feelings. I won't hurt baby...in fact some studies show baby love garlic. It doesn't hurt to eat lots of garlic too.

3. If that doesn't work try Gentian Violet. It does stain everything purple...including baby...but it does work.

4. Lot of yogurt also. Just make sure it is Danon or some other brand that has natural biotics used to make it. If you are really in pain...you can put the vanilla flavor on you too. Put it on cold...leave it for a couple minutes. Sounds really weird, but it helps a lot.

Take care...I know you must be miserable right now. That really can hurt.

Hi A.,
Oh, I feel for you because I have been there! It happened to me with my second baby. It can get better - my hope is that it will quick!

I had a neighbor who came and watched me, I was letting her latch to the nipple rather than getting the whole aerola (sp?) in her mouth. When you bring her to your breast, touch her top lip several times with your nipple to entice her to open her mouth very wide. This will enable her to suck with her mouth nearly open, rather than sucking your nipple and causing the soreness. They suck harder because it is not stimulating the flow well that way.

Also, you may already be doing this, but apply warm cloths then cool clothes to ease the soreness. After you nurse her, allow it to airdry by not putting your bra back together for a little bit. You can also sprinkle proibotics (capsules you can get at whole foods) right on your nipples before you nurse. She and you will get help with the right bacteria balence.

Are you taking plenty of proibotics - you should be if you are not. Especially on diflucan, you want to get that right balence back for her gut and yours. Whole foods or Willner Chemist (in Buckhead) or any natural food store should have a good basic proibotic, refrigerated. Make sure they are capsules.

Make sure you are drinking plenty - that is hard to do, but very necessary.

Last, you may want to pump every other feeding so you can rest your breasts until the soreness gets better. Just be careful not to pump too often as it gets hard sometimes to keep your supply up - especially with a 2 year old to care for as well!

Getting latched right will improve things radically, although it may take a couple weeks for the soreness to go away.

Thinking of you - J.

A.,
I'm not sure if this will help, but my nipples hurt until about week nine with my first child. Finally, at that point, they toughened up. I have a friend who breastfed her second child and she said that it hurt a lot more with the second child. So, perhaps, they are just still tender and will toughen up soon. I did use a breast shield on one of my nipples when it was just absolutely painful. Maybe that will help.

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