Yesterday, 09:44 PM
Based on your description, I'm thinking that your troubles are a mix of three issues which are very hard to distinguish from each other.
First, I think there is an excellent chance that you have thrush. You had antibiotics for GBS+ at birth, you have the radiating ground glass pain, and you're on antibiotics right now. I know you're not seeing a lot of other symptoms- the yeast diaper rash, the oral thrush, the slit-like cracks, the pink/red nipples, the flaky skin- but that doesn't rule out thrush. I personally would want to eat both yourself and the baby and see if the pain improves.
Second, I think there's every reason to think that you have an issue with the baby's latch. The asymmetrical nipples, the prior existence of w tongue tie, and the pain during feedings are suggestive of a poor latch, so keep on using the reclined positions and maybe go back to see a LC for more help on getting a deeper latch.
Third, there's a good chance that the poor latch is giving you vasospasms, which are painful constrictions of blood flow related to compression of the nipple. Vasospasms will usually be visible as a post-feeding blanching of the skin of the tip of the nipple- perhaps that's the slight white color you're observing after some nursing sessions? The best thing about vasospasms is that they are the easiest of the 3 potential problems to treat: apply heat and the vasospasm should diminish. So keep a hot water bottle or heating pad handy and slap it on when the...