|Posted: 1/21/2013 2:22:45 AM|
I've been nursing my 8 month old son and had no problems until he started teething about 4 weeks ago. Since then, I've had two blocked ducts that turned into mastitis (different side each time) and required antibiotics.
In addition, I've been having bleeding from my left nipple off and on when he nurses (eg, I notice that I'm bleeding and replace a feeding with pumping, then I'm fine at the next feeding and for about 2 days afterward.
Tonight though, when I pumped, I only got about 2 ounces in 40 minutes. I normally get about 5oz in 20 minutes. And I have a bit of a scab.
We just started a three week vacation today and I'm at a bit of a loss. Do I start weaning him while we're here or is this something that will pass? Any experience with this? I'm out of country, so I can't really go to the doctor.
I'm PEAchy Keen!
|Posted: 1/21/2013 2:58:31 AM|
Push through if you can. He is being lazy with his latch. When you get nervous about cracked nipples it makes it more difficult to get a great let down and then you pump less out of frustration. Relax. If you did it fine before you will again.
Make him latch properly.
|Posted: 1/21/2013 3:00:18 AM|
Lansinoh was the best thing I found while I was nursing. When my son had thrush my nipples were so sore I cried when he nursed. Lansinoh was the only thing that helped. And it's nice because you don't have to remove it before they nurse. Hang in there and if you are serious about continuing to nurse, try to get through this bump. My son ended up nursing until he was just past his 3rd birthday (my girls nursed for 9 mos and 12 mos).
|Posted: 1/21/2013 3:01:28 AM|
Also, try a different position. When my younger dd was nearing a year, her teeth started to rub in one spot which would cause sores. I had to vary positions to keep it from being painful.
See no evil, hear no evil, sPEAk no evil.
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|Posted: 1/21/2013 4:29:17 AM|
Sounds soooo similar to what's going on with my 20 month old - he holds on with his teeth instead of latching well and it causes me all sorts of grief (bleeding and pain). I'm tandem nursing, so my littler one empties the breast, so I'm not having the mastitis issues, but definitely the pain/bleeding. If he does this and isn't latched well, I separate him with a finger and make him relatch and it seems to be getting better. Hang in there, mama!
Pride of the Peas
Loc: Stuck in the Middle With You
|Posted: 1/21/2013 8:34:58 AM|
OK thanks. I nursed my daughter until 14 months without any of these issues so I was starting to worry. I wanted to make it to at least a year with him so I will try to push through this.
La Pea Boheme
Loc: Drunk on the lawn in a nuclear dawn
|Posted: 1/21/2013 8:39:41 AM|
I would apply the Lanisoh after feeding. Some babies object to the taste.
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Ancient Ancestor of Pea
|Posted: 1/21/2013 9:16:55 AM|
I took to taking a nice warm bath for at least one nursing, when the the nursing got rough.
|Posted: 1/21/2013 9:20:56 AM|If you aren't sure about the Lansinoh, you could put it on one side before feeding (the less full one) and try him on it first to make sure he doesn't mind the taste. If he does, switch him to the other side. Mine never did and let me tell you, this child is the pickiest eater now.
btw I bought Lansinoh at Walmart in the baby section. At that time it was in a purple box.
Ancient Ancestor of Pea
|Posted: 1/21/2013 10:06:07 AM|
Lansinoh, Lansinoh, and more Lansinoh. That stuff is awesome. It's totally safe for the baby, and neither of mine even seemed to notice I had it on my nipple(s).
I also echo the different position idea. I always found that if we could both lie down it worked out easier for us, particularly because you can hold your breast to help reduce any tugging or pulling, and to help him to latch more fully.
Best of luck!
|Posted: 1/21/2013 10:25:54 AM|
I found that rubbing a little expressed breast milk on you nipple after nursing help speed up the healing process.
Try different positions too... Once when I had a clogged duct (it hadn't progressed to mastitis) the only position that unclogged it was with my baby's feet by my head (we were lying down of course).
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|Posted: 1/21/2013 10:45:30 AM|Ouch, Been there. The scabs may be contributing to not getting as much and to clogged ducts, if the scabs aren't loosening during nursing or pumping they could be blocking milk. This is a catch 22, isn't it? If it stays moist and doesn't scan it's harder to heal, if it scabs your ducts clog and supply suffers. I tried lots and lots of things, what worked best for me with cracks was to wear 100% wool breast pads. They are the best combination of factors: they are natural and allow air to circulate as opposed to plastic, this allows the moisture of the crack to dry up a little and gives the skin a chance to regenerate and heal. Lanolin comes from wool, and when your milk leaks it creates a natural lanolin effect that's as gentle as the cream with no residue.
I'm still a huge fan of lanolin (though I much preferred the Medela brand to Lansinoh, to me it was much softer and easier to spread), but I found for cracks that bled and scabbed, they needed air exposure to heal or I was just stuck in the nurse-break open crack and bleed-scab over between feedings-nurse-break open etc. cycle. My worst crack lasted 4 months with nothing helping until I tried wool breast pads, then it was gone in a week. I don't know where you are, but back in 2002 when I first got mine, they were sent to me by a friend in Denmarl... they're available online and at a few specialty stores here and there in the US, but if you're in Europe you might actually have a better chance of finding them in a store than if you were home!
Hope you're able to get some relief! It's totally up to mama and baby when to stop nursing, but you want it to be because you're ready, not because of pain
|Posted: 1/21/2013 10:50:09 AM|
If you can expose the crack to fresh air, that will make a huge difference. Most of us can't really walk around topless all day, but even 10-15 minutes a few times a day can help. And there is always night time too.
Loc: New Jersey
|Posted: 1/21/2013 10:54:38 AM|One other tip to help the cracks heal is to soak them in warm salt water for 10 minutes each night. Now, this can be a bit of a feat, to lean over at the right angle to get the girls face down in a bowl, but it helped me quite a bit.
Also, since you've been on antibiotics, there is a risk of thrush, which as a pp mentioned as pure agony Another reason to seek out strategies that involve air circulation, as warm moist environments are prime breaking grounds for yeast, which is likelier to grow when antibiotics through off your balance. Not that every woman gets thrush from antibiotics, but since there are so many contributing factors here that the potential is there, and you NOT need to add that to the list!!!
|Posted: 1/21/2013 10:58:22 AM|
No advice here - you've gotten plenty of good advice. Just an old-timer's comment: I wish I'd had access to a board like this when I was trying to nurse my firstborn nearly 43 years ago. I had very little support from the doctor and no resources to encourage me when I was dealing with sore nipples and unpredictable let-down. I gave up after a month and didn't even try to nurse the second one 2 years later. You young women are so lucky to have a network to ask for help and to get encouragement from.
Loc: Poconos PA
|Posted: 1/21/2013 3:37:14 PM|
Jack Newmans APNO (All purpose nipple ointment) was a godsend to me. You need an RX But an OB or midwife should be able to write the script. In the meantime virgin coconut oil would feel great too!
Mom to six kids, two pugs and a cat
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|Posted: 1/21/2013 6:54:50 PM|
I used lanisoh liberally and yes it will pass, but it isn't pretty and it isn't fun. Good luck!
|OK. Newbie. This is how it works. If your post consists of 80% sanity, 10% stupidity and 10% all kinds of crazy, we immediately focus on the 20% b/c it discredits the 80%.
|Posted: 1/21/2013 7:28:18 PM|
I'm not a big fan of Lansinoh, personally. After four kids, I finally stopped trying to make it work for me. When you get back to the States, get yourself a prescription for Newman's Nipple Ointment. That stuff is the BEST.
In the meantime, soaking the affected breast in warm saltwater for about 10 minutes JUST PRIOR to feeding (or pumping) will help loosen things up, and then baby and/or the pump will get things unclogged. Do it every time, even though it IS a bit of a pain, and it should get better quickly.
I got milk blisters with my fourth, and that was what did the trick for me.
I'm just a pea:)
Loc: *Sunny Southern California*
|Posted: 1/21/2013 9:02:22 PM|
And a paste of alum powder and water will toughen up your nipples.
Chicks Dig Giant Robots
Loc: Pennsylvania Dutch country
|Posted: 1/21/2013 10:07:47 PM|
I'm another who found a little expressed breast milk did wonders to help heal cracked nipples. Worked much, much better than Lansinoh.
Hang in there!
|Posted: 1/21/2013 11:06:45 PM|
We also had a tough time, I went back to a lactation consultant with baby #4 when he was about 5 months old...I ended up trying some gel-type cooling pads which were great. I believe they were from Target (sorry I don't remember the brand).
|Posted: 1/23/2013 10:55:07 AM|
I just wanted to say thanks to everyone for your advice. I haven't had any bleeding in a couple days and seem to be on the mend.
|Posted: 1/23/2013 11:15:54 AM|Oh I HAVE to ask this....I have never breastfed so I just wondered....
if the nipples are cracking/bleeding and then the baby nurses...is the baby drinking blood too?