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Mom2LillieAidan September 21st, 2013 08:36 PM

Bleeding nipples?
 
Has anyone else had a problem with their nipples bleeding? My little guy was nursing earlier this afternoon and I noticed that my nipple was bleeding but he continued to nurse. I noticed afterward that there was what looked to be a blood blister on that nipple. Just a few minutes ago, he spit up and unsurprisingly there was some blood in it. I'm not concerned about the blood in the spit up, I know where it came from. What I need advice on is the bleeding nipple. Should I refrain from nursing on that side and only pump until it heals or is it okay to continue nursing? I should add that for the past week or so, I have been having intense pain, almost constantly, in both nipples. I've checked and rechecked his latch and I feel confident that it's not what is causing the pain. I'm not entirely sure what it is. Any advice anyone can give me would be greatly appreciated.

mgm78 September 22nd, 2013 02:35 AM

Re: Bleeding nipples?
 
hmmmm. i would say it could be improper latch. I would put neosporin on and wipe it off before feedings. Does the pain continue throughout the feedings or just the initial latch?

Mom2LillieAidan September 22nd, 2013 05:31 AM

Re: Bleeding nipples?
 
The pain continues throughout the feeding, but lessens after a minute.

mgm78 September 23rd, 2013 04:08 AM

Re: Bleeding nipples?
 
then it sounds like it could be the latch. I would try to get someone, a LC or La Leche leader to look at your latch and see if they can help you. Have you tried other "holds" to hold the baby while nursing? football, etc?

juleeannk September 23rd, 2013 06:17 AM

Re: Bleeding nipples?
 
I would have the latch assessed, even though the latch looks good, there could be other problems that you cannot see like a tongue or lip tie. Do you notice any clicking noises while he nurses? Also, it could be a bacterial or fungal infection which both would need to be assessed too.

Rachel September 23rd, 2013 08:04 AM

Re: Bleeding nipples?
 
Definitely sounds latch related and I ditto seeing an IBCLC to get his latch assessed! Good luck, mama!

Mom2LillieAidan September 23rd, 2013 10:26 AM

Re: Bleeding nipples?
 
If it was a tongue or lip tie, would I have had problems before now? He'll be 4 months next week and this is the first problem we've had.

juleeannk September 23rd, 2013 10:43 AM

Re: Bleeding nipples?
 
It depends, did you have problems for the first couple of weeks with bleeding and cracked nipples? As their mouth gets bigger, they lip and tongue tie can cause issues that weren't otherwise there before. If you take a quick picture, I can kind of assess. Take one of the upper lip flanged out and then take one under the tongue. One with the mouth just open sometimes helps too.

Mom2LillieAidan September 23rd, 2013 11:26 AM

Re: Bleeding nipples?
 
No cracked or bleeding nipples early on. I'll try to get some pictures in a while.

Mom2LillieAidan September 24th, 2013 07:46 AM

Re: Bleeding nipples?
 
Here is a picture of his upper lip flanged out... It took a lot for me to get it lol
http://cimg2.ibsrv.net/gimg/www.just...4132b0cd89.jpg

juleeannk September 25th, 2013 05:12 AM

Re: Bleeding nipples?
 
It's hard to tell from that picture, but there may be a lip tie. I would need a better picture to know for sure. It helps if you have someone to help you take the picture. Take two fingers and pull the upper lip out and flip the lip up towards the nose. If it is a lip tie, it look to be class III or IV which is the most severe. The lips are covering the part I need to look at but I think I see a piece of it.

Do you ever hear any clicking noises while nursing? What are the shape of your nipples immediately after unlatching? They should be perfectly round. Is there a crease?

Mom2LillieAidan September 25th, 2013 05:56 AM

Re: Bleeding nipples?
 
No clicking noises but my nipples are usually kind of flattened after he nurses. Would his ped be able to tell me if it's a lip tie? He has his 4 month appt next week.

juleeannk September 25th, 2013 06:02 AM

Re: Bleeding nipples?
 
Unfortunately, most peds will not know what to look for or will tell you that you do not need to correct it or that it does not cause any problems (completely false and untrue). I can send you a link to a support group if you would like.

Also, upper lip ties usually go hand in hand with posterior tongue ties.

juleeannk September 25th, 2013 06:08 AM

Re: Bleeding nipples?
 
Here is a picture of a upper lip tie.

http://cimg4.ibsrv.net/gimg/www.just...2da556b8e7.jpg

Mom2LillieAidan September 25th, 2013 06:56 AM

Re: Bleeding nipples?
 
Our ped is very supportive and knowledgable about BFing. It can't hurt to ask. I will try to get a better picture.

Mom2LillieAidan September 25th, 2013 07:17 AM

Re: Bleeding nipples?
 
Here is a better picture.

http://cimg6.ibsrv.net/gimg/www.just...39c6dcd859.jpg

juleeannk September 25th, 2013 08:06 AM

Re: Bleeding nipples?
 
Yes, that is definitely an upper lip tie. Probably a class III but possibly a IV. Most upper lip ties usually go hand in hand with a posterior tongue tie and most doctors miss them because they don't know how to look for them. Here is a link for a support group on both.

https://www.facebook.com/groups/tonguetiebabies/

They can cause other problems not related to breastfeeding later down the road like tooth decay and speech problems. That support group has a lot of great information.

Mom2LillieAidan September 25th, 2013 08:20 AM

Re: Bleeding nipples?
 
Thank you. It's great to know what the problem is and that it's not me.

juleeannk September 25th, 2013 08:55 AM

Re: Bleeding nipples?
 
You're welcome!

Rachel September 25th, 2013 01:02 PM

Re: Bleeding nipples?
 
It looks like he has teeth coming in. Is it possible that the bleeding is coming from small cuts on your nipples? That's the problem I had. His lip tie makes it hard to latch properly and his teeth grind on my nipple, just the top ones. It has caused cuts 3 times now and they are excruciatingly painful when he nurses until it heals. I didn't even realize it was a lip tie till now and he is 26 months old next week.


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