WOMENS-HEALTH Messages for December, 2001: Re: nipples...ouch

Re: nipples...ouch

From: Patti Tessler, Family Nurse Practitioner (anonymous@obgyn.net)
Mon, 31 Dec 2001 00:25:07 -0600 (CST)

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In reply to: holly: "nipples...ouch"

At Sun, 30 Dec 2001, holly wrote: >
>I am 4 months pregnant with my 3rd baby. After the birth of my last
>child I left the hospital breastfeeding just fine. About 1 week after
>release from hospital I started having severe pain while breastfeeding.
>The pain came from my nipple itself. Went to a lactation consultant and
>my own Dr. We never found out what the problem was. It lasted about a
>month. I continued to breastfeed until my baby was 10 months. I have
>recently (in this past month) again develped a terrible pain in my
>nipple. It feels as if there is a sandspur or piece of glass in my
>nipple. If I touch or squeeze my nipples it causes pain. I was leaking
>colustrum and I am not any longer. I can't imagine what is wrong. I
>realize I see my doctor every month and will see her shortly but I don't
>seem to communicate very well with her...as if she just brushes me off.
>I would like someone else's insight into this. Is there a test that can
>be done? A culture or something? This is painful to say the least. I
>want to breastfeed without all the previous complications. My youngest
>is 16 months old so I didn't stop breastfeeding all that long ago.

While awaiting the appointment that Dr. Marchbein suggested, I suggest you note if you have any color changes in the nipple during these episodes of pain, and whether they are more likely to occur in cold weather or during exposure to cold. Many of us notice a kind of Raynaud's phenomenon in the nipple while breastfeeding. I found it much more problematic in the first six months of breastfeeding (December to June), and then no trouble in the next ten months. You might call your lactation consultant or LaLeche League leader to discuss the matter while waiting to see the breast specialist.

--
Patti Tessler, BSN, MSN, RN, CS
Family Nurse Practitioner

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Previous message: Saji: "Masterbation"
In reply to: holly: "nipples...ouch"

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