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Breastfeeding help needed- UPDATE #2 IN POST #29


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  #1  
June 19th, 2009, 05:22 AM
mgm78's Avatar Zoe's mom Meredith
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I posted in the breastfeeding forum, but only got one reply from Andi, so I am going to tap into your collective wisdom

Starting Wed, my right nipple hurt. It is larger than my left right now and hard compared to the left. The pain got increasingly worse over the day, Wednesday, to the point that I was in very bad pain while nursing thru the night. The next morning (yesterday) I called the midwife on call and she said it sounded like a plugged duct in my nipple since it was one sided and suggested warm compresses and motrin. Most of the time I cannot feed off of that side, yesterday I tried and it was so painful i almost threw up. This morning I was able to feed from that side for 7 mins after warm compreses, but was crying and in a lot of pain. I spent most of yesterday doing compresses and pumping the affected side. My milk production on that side increased slightly and i thought i was making improvements, but the pain is still so bad today.

Any advice? Zoe would not take a bottle of breast milk from me this morning, but she has taken bottles from DH. I really do not want to give her too many bottles, but at the same time, the pain is so bad and I do not think she is getting enough from the unaffected breast.

I am just beside myself that I am having this problem. I want it fixed. I am going to go to the store and try to find lectithin supplements today.

Do you agree it is a blocked duct? The midwife said if it was thrush, it would be both sides and Zoe has no white patches in her mouth.

I know I cannot magically make the pain go away, but is there something I am missing? It is really hard to massage the nipple, cause it is the nipple and so very painful

I talked to my good friend who is a breastfeeding guru and she said "oh yeah, i have cried a lot breastfeeding my sons from the pain" NOT what i wanted to hear
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Last edited by mgm78; June 20th, 2009 at 01:34 PM.
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  #2  
June 19th, 2009, 06:20 AM
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HUGS! I don't have any advice because I never had that exact thing happen to me, but I have already had mastitis a couple of times so I hear ya on the crying during breastfeeding part. Can you see the plugged duct? I remember reading in a BF book that sometimes you can see the plugged duct on the nipple and can un-plug it with a sterile needle *cringe*. I dont know if I would do that though! Do you have a fever? Hopefully the other ladies can be helpful, unlike me lol.
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  #3  
June 19th, 2009, 06:33 AM
moon~maiden's Avatar Cheryl~ birth truster
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well, my instinct is that it's thrush. A clogged duct doesn't just hurt your nipple. Did you feel a lump? Were you engorged? That is what a clogged duct is like. It wouldn't be specific to only your nipple.

When we had thrush it started on only one side for days before it went to the other side. And it really was specific to the nipple. And while a clogged duct hurts, thrush KILLS!!!!

If you think it's thrush don't fool around and go right to the gentian violet. I p*ssyfooted around with grapefruitseed extract be wiping with vinegar for 2 weeks with no change, 2 weeks of hell. It went away with diflucan for me and GV on my nipples. It wasn't really even as messy as I feared. You can put Vaseline on Zoe's face to minimize the staining. Wear old crappy clothes and a bra you don't care much about with nursing pads. It won't be too bad and it will be over a lot faster.

Instead of diflucan if you want you can take borax. Probiotics for Zoe wouldn't hurt either. You can put that on your nipples before nursing.

Thrush is the worst form if torture I have ever endured. Childbirth was only 12 hours long and thrush was weeks for us. Luckily we were well established in our nursing relationship. I'm sorry you have to deal with this now.

Sorry to add to the things you don't want to hear..... Like I said, nip this right in the bud!!
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  #4  
June 19th, 2009, 06:33 AM
mgm78's Avatar Zoe's mom Meredith
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No, I cannot see it. That is why I wanted to see the midwife today, in case they can see something. I got an appt at 1pm. My temp was 97.0F today. My doula is a LC and she had no more advice for me and just gave me the email to the grand poobah LC in the area, and I shot her an email.

The hormones and the situation are wearing me down, I have been crying all morning. Breastfeeding is so important to me. It had been going so well too! I also did not find it amusing to pump downstairs in the middle of the night to avoid engorgement. ugh.
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  #5  
June 19th, 2009, 06:37 AM
moon~maiden's Avatar Cheryl~ birth truster
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Another thing that can happen is a milk blister on your nipple which is really painful as well but you can see it- it's white almost like a canker sore on your tongue. Doesn't sound like that though.
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  #6  
June 19th, 2009, 06:39 AM
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I don't have any advice...but

One thing I will say is that your LO is more then likely getting enough milk from your one breast. I just read a wonderful birth store about a young women who only had one breast and breastfeed her child. She had lost her breast in a accidental fire as a young person.

Also don't give up....you will regret it...I regreted it with my son big time and everyday I think about it.
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  #7  
June 19th, 2009, 06:43 AM
moon~maiden's Avatar Cheryl~ birth truster
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Yeah just feed from the better side and pump or hand express from the other side if that is more comfortable for you.
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  #8  
June 19th, 2009, 07:06 AM
catherineclare's Avatar Mega Super Mommy
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Aww...I am so sorry that this is happening. I've been reading your posts about baby Zoe and how nursing is going so well. I hate that you're just now hitting a bump in the road. I got mastistis tons of times while nursing my son years ago and it was painful and I had a fever, etc, but never had a problem with my nipples. So, unfortunately I have no advice to offer...hopefully the guru you emailed will be able to help more. I do want to commend you for wanting to fix this so you can get on with nursing! I'm a bit of a breastfeeding nazi and have seen so many women give up at the tiniest bit of pain so I'm always happy to see women like you who are willing to endure for their babies health. Good luck..I hope you get some relief soon
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  #9  
June 19th, 2009, 07:20 AM
Kelllilee's Avatar Platinum Supermommy
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It really sounds like thrush to me too. If it was a duct you'd have a hard spot in your breast and generally it feels hot to the touch. If it's just your nipple I'll bet it's thrush. It hurts BAAAD.

We went through it with Nola and she BARELY had anything in her mouth to indicate thrush. This is the extent of her visible signs:


Get some genetian violet right away, it's super cheap and works pretty quickly. I would go ahead and keep nursing her on the one side as much as possible and try to hand express a little on the painful side to keep from getting engorged. Once the pain eases a little start nursing again on the other side even if its just once or twice a day to start with.

Another thing to think about, with both my kids, they ALWAYS fed off one side only at every nursing. I can count on one hand the number of times they needed a bit extra and nursed on both sides. it's not always necessary to nurse both sides.
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  #10  
June 19th, 2009, 07:23 AM
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I haven't checked back in the breastfeeding forum, but I'll reply here too. This still make me think it's a plugged duct:
Quote:
It is hard to the touch, larger than the other one, and very sore.
Thrush is very painful, but your nipple shouldn't be larger or hard to the touch, that's usually signs of a plugged duct. I'd suggest to just keep doing what you are, pumping and expressing as much as possible, warm compress (I've heard others say ice is also great for the pain, it numbs the area - brrr!), and take a pain reliever to help with the pain.

I hope you get it worked out, I know how painful a clogged duct can be, I can't imagine how it would feel to have it in your nipple!
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  #11  
June 19th, 2009, 07:30 AM
mgm78's Avatar Zoe's mom Meredith
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The lactation guru thinks thrush. She said the type of pain i describe also sounds like thrush and the fact that i was on so much antibiotics for the GBS.

Thanks for all the support. I am not going to give up bfededing, it is too important to me. I am just really concerned about giving her so many bottles at such a young age, she is not even a month old. Breastfeeding is so important to me. Worse worse worse case, she would get pumped milk. I could not see myself doing formula.

If it were determined to be thrush, how soon would I feel relief from the gentian violet?

I am confused because it is one sided and the nipple is larger and hard. THOUGH I do remember 1-2 times during my pregnancy that nipple got a little large and painful and it would pass in a day or two. It was weird, but I was told nothing to be concerned about. I am 99% sure it was the same nipple.
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  #12  
June 19th, 2009, 07:40 AM
Kelllilee's Avatar Platinum Supermommy
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when we got thrush, it was only one side too. It took a couple days for it to ease up. It's best if you can get her to nurse even for just a couple minutes on that side. Either put the violet in her mouth and have her nurse, or put it on your nipple and have her nurse.

It could also be a combination of the two. Starts out as thrush, the pain makes you stop nursing on that side which leads to a clogged duct... If you've had problems with that side before maybe you have a sensitivity on that side or maybe smaller ducts or something like that...

if it is a clogged duct, try gentle massage in addition to the warm compress, it may help clear it.
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  #13  
June 19th, 2009, 07:42 AM
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You also mentioned that your pumping output is down too, right? That is another sign of a clogged duct. It's odd to get one in the nipple, but I don't think impossible. You milk ducts run through your breast and into your nipple, so it's very possible for it to get plugged up at any point in there, it's just more common to have it plug up in your breast.

I think someone looking at it in person will also help. If your midwife thinks the appearance of your nipple is due to something else, then it very well could be thrush. My girls never had any visible signs of thrush in thier mouth and my only symptom was the pain I was feeling. It always started on one side, before it moved to the other.

Gentian violet usually provides relief in 12-24 hours. I'd also suggest taking a probiotic supplement if you don't already, to help get rid of it and keep it away. Boil all pacifiers, bottle nipples, pump parts, etc after using them and wash your bras in vinegar and dry everything in the sun, which helps kill the yeast.

If it's a plugged duct, this was posted in the Breastfeeding forum, I'm not sure if you read it or not:
http://www.justmommies.com/forums/f3...-solution.html (very weitd plugged duct solution!!)

It's strange, but then again you could use anything that vibrates, like a battery-powered toothbrush. It makes sense though, the vibrations can help break up the milk that's plugged up in there so you can get relief.
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  #14  
June 19th, 2009, 07:52 AM
mgm78's Avatar Zoe's mom Meredith
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I did see the vibrator suggestion

i am not sure if output is decreased or not, but I have been pumping 1x a day (one breast a day) for a week or so and get less from the affected side, by a couple ounces. It is just something i noted and did not pay attention to. I did have a small increase by about an ounce yesterday but i also have been drinking mother's milk tea.

The pain had never stopped me from nursing until two nights ago, and I had pumped to avoid engorgement.
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  #15  
June 19th, 2009, 08:27 AM
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I have never had a plugged duct so I can't help you there. But when we got thrush my nipples would get sore but they would also be red and shiny. It was weird but that was always a sure sign for me that it was thrush.
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  #16  
June 19th, 2009, 08:32 AM
mgm78's Avatar Zoe's mom Meredith
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the one nipple is red, not really shiny, imo, but who knows.

thanks ladies, you are the best, i knew i would get a bunch of helpful replies here
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  #17  
June 19th, 2009, 09:10 AM
moon~maiden's Avatar Cheryl~ birth truster
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I don't see any need to give bottles if you don't want to!
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  #18  
June 19th, 2009, 10:59 AM
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I got a plugged duct when I was breastfeeding DS, and honestly it was painful...but not as painful as you are talking about I don't think. I just would take a bath and soak my sore boob in the hot water while massaging it in the most sore areas to get the plugged milk out. Try this while also treating yourself for thrush, since I think in the end that you might have both. Good luck!
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  #19  
June 19th, 2009, 12:55 PM
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Sounds like thrush to me too. I got it with Jayden and holy crap it put me down! The first few days (yes DAYS) it just hurt real bad but then I got a horrible fever and I thought I was just going to die! I just nursed from one side (the one that didn't hurt), and tried to pump from the other side - the pumping didn't hurt as bad as nursing. After a day or two on antibiotics it cleared up and we never had another problem =). Hope your situation improves soon!
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  #20  
June 19th, 2009, 01:10 PM
mgm78's Avatar Zoe's mom Meredith
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UPDATE

i saw one of my most favorite midwives she said she thought thrush and gave me 14 dys of diflucan and some liquid to swab the baby's mouth with. she also gave me a nipple shield to try since pumping is tolerable. i also need to go to a compounding pharmacy to pick up a topical. HOWEVER she thinks there is something more going on in the nipple like a cyst and referred me to a breast specialist, the 1st appt i could get is thursday. i will keep you posted. i hope i can tolerate the nipple shield and that zoe will take to it.
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