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  • @llli*snackycake's Avatar
    Today, 07:22 AM
    I would love some advice if anyone can offer it, as I'm truly at my wit's end. Apologies in advance for the length of this post. My baby and I have had thrush since he was 2 weeks old, likely because of the antibiotics I had to have during labor for GBS. He's now two months old, and after trying just about everything, we're not in any better shape than when we started and his pediatrician seems largely indifferent. The thrush is only on his tongue, and doesn't seem to bother him or cause any symptoms other than the clicking noise he makes when nursing. He's a chubby, healthy baby, which I gather is why the pediatrician can't be bothered to prescribe anything that actually works. What we've done for the baby: He was initially prescribed Nystatin, which we used for about 4 weeks and saw no improvement whatsoever. I tried swabbing his mouth with diluted GSE, but that must've burned him because on the second day or so he actually was in too much pain to latch on to the breast or even take a bottle, so had to be fed with a medicine dropper until he felt better. I used diluted GSE on my breasts at the same time, and it seemed to burn me or dry things out and make the pain worse - I have sensitive skin so this wasn't a surprise. I've had him sucking probiotic powder off my finger twice a day. I've swabbed his mouth with a baking soda rinse after each feeding, and then applied lemon juice. Doing this for a week also resulted in no improvement. We tried a three-day...
    0 replies | 0 view(s)
  • @llli*crr.2017's Avatar
    Today, 06:31 AM
    I really hate to add a pump I am pumping plenty to keep up with what she is eating at daycare. I only pump for 15 minutes a session. Unless there is still mill spraying out I'll continue to pump a little longer.
    2 replies | 50 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 11:48 PM
    If more than your nipple is getting pulled up into the flange, that probably indicates the flange is a little big. if the nipple is rubbing against the "tunnel" that usually means the flange is too small. Sometimes this can be corrected by being very careful about positioning your nipple when pumping and lubing the flange with olive oil or similar. It is possible that the larger flange is fine for early in the day, and then the smaller one for later when the breasts are typically less full. Some moms also need a different size for each breast. How possible would it be to add a pump session some or all days? maybe the problem is how long you are pumping each time. If you could pump more often, maybe you could pump the same amount of milk with shorter sessions.
    2 replies | 50 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 10:05 PM
    Wow, me neither! Why does your midwife or IBCLC care if you build up a stash? Wow. This is so not their job. If a mom needs to build up a stash for some reason and wants advice about how to do that safely, then they can and should offer that kind of advice if they are capable of doing so. But why are they assuming you need or want a stash...or the size or immediacy of it, or that to build one, you should pump every day? I just do not get it. Of course, you are correct- pumping over and above baby nursing is going to increase milk production. And the more often you pump, or the more that you extract when you pump, the more it will increase production. This is the most basic and rudimentary fact about milk production- more demand = more production. In the normal course of nursing, babies rarely if ever "drain" the breast. If a mom is making more than enough milk, as is actually pretty common, then of course baby will not take all that is in there. Baby takes what baby needs. The milk that is left in the breast tells the body, "hey, this much was not needed, so please start to make less." At the same time, if baby is nursing frequently, then while mom is not empty she is also not so full she is uncomfortable while the body figures out what is enough but not too much. This is why frequent nursing helps. Of course, some babies will not nurse enough and hand expression in that case is a good idea. However, most babies, if gently encouraged, will nurse more often. It...
    3 replies | 100 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 09:34 PM
    Hi again. I have no idea what the situation is now, but as of a couple years ago Kaiser was notorious for saying that some of their maternity nurses were lactation consultants when they had not had anything like adequate training in that area. On the other hand, at least at the 2 Kaisers local to me, there was an outpatient clinic staffed by actual board trained lactation consultants (IBCLCs.) This was great, but many new moms were never told there was such a clinic. Also, unfortunately, Kaiser management insisted that appointments be only 45 minutes long and last I heard were trying to get them down to 30. That is simply not long enough when a mom and her LC are trying to figure out a breastfeeding problem. Any decent IBCLC who has the time would always want to help a mom get to the bottom of the kind of pain you are having. Here is an article about what to expect at a proper consult with an IBCLC: http://www.cwgenna.com/lconsult.html I think your issues are related to problematic over production, and it really would be best if you could get local in person professional help dealing with that. If that is proving impossible via Kaiser, have you looked into talking with or visiting a LLL Leader? Or hiring an independent IBCLC? Projectile vomit means that even if it is a small amount of milk ingested by baby, all of it flies out several yards from baby. This happens when a baby has a serious condition called pyloric stenosis and requires surgery. There is no way...
    3 replies | 173 view(s)
  • @llli*crr.2017's Avatar
    Yesterday, 07:14 PM
    I pump 3 times a day every 3 hours at work. (Mon- Fri) Im away from baby for almost 10 hours. I normally pump 3-4 oz (have gotten as much as 6 oz before) a session usually bringing home 13-16 oz. I've been using the medela 24mm flanges that came with my pump since day 1. But now after pumping my nipples kind of tingle. I think my flanges are the wrong size but I'm not sure if I should go up a size or down a size. I think I have small nipples, maybe even flat but i have large breasts. The first time I pump of a morning the 24mm flanges seem okay but as the day goes on its Iike my breast becomes more stretchy and more gets sucked into the neck of the flange. Also I have noticed a red ring at the base of my nipple on one side (the side I would consider to have the larger nipple). I tried the pumpin pals small and medium flanes but they don't seem to draw out all the milk. I feel like I am sitting there forever and hardly get any milk out. I'm okay with using the regular medela flanges but just don't want to cause any damage to my nipples or breasts. And I don't think the tingling is normal. Also I always use the pump on the lowest suction.
    2 replies | 50 view(s)
  • @llli*bear.mommy's Avatar
    Yesterday, 05:45 PM
    Hi again, @llli*maddieb, again, thank you for your time and response! This is the most helpful and thorough response I've received to date--others I've consulted have simply recommended block feeding or other solutions, without looking at the entirety of symptoms/issues I'm experiencing. The midwife wanted me to pump to build up a stash, and she suggested the morning because that's when I have the most milk. She also suggested a pump at night so that I could get a few more hours of sleep. When I mentioned the OS, she didn't really give it much mind and said the pumping will not exacerbate the OS (I disagree). The last IBCLC I met with also recommended that I start building a stash. I don't understand why they are encouraging this, as I didn't indicate an immediate need for a large freezer supply. I agree with you, I was more inclined to wait and see if my OS would resolve before getting back into pumping. I am going to hold off on pumping for a while and hope that my milk supply will regulate itself soon, as you mention. It's reassuring to know that I'm at peak milk production right now and that hopefully things will settle down soon! "What is much more common than a baby who will not take a bottle is the baby who starts to refuse to nurse after getting bottles, and that can be much harder a problem to fix. This is something that never happens immediately, rather, it happens maybe many weeks or months after bottles are introduced, and is more likely to happen the...
    3 replies | 100 view(s)
  • @llli*bear.mommy's Avatar
    Yesterday, 05:23 PM
    Hi @llli*maddieb, thank you so much for your detailed response! I truly appreciate your time. I hadn't considered whether the ibuprofen could be masking certain symptoms--by chance, today I forgot to take the ibuprofen after early this morning and did notice I was feeling slightly (very slightly) achy with stiff hand joints. Temperature is 99, which doesn't seem too high, and I had been assuming the fatigue was due from my overall postpartum recovery. Now given what you say, I'm not so sure! I have been experiencing painful engorgement and noticed it especially today--normally LO nurses every 2-3 hours, almost on the dot, but today and last night he has been going 3-5 hours between feedings. Today I have been trying to hand express earlier and more frequently (so my breasts don't stay engorged too long) just to relieve some of the pain and lumps. My breasts get engorged as soon as 1-1.5 hours after LO has nursed. I'm not sure my strategy is helping, however--the engorgement seems bad today. Also, the external skin on my left breast is even more sensitive today (the way your skin tingles when you have a cold, say). I don't think I feel any plugged ducts remaining, but I agree it is possible there are some deep inside that I am missing. So now I, too, am wondering if this is undiagnosed mastitis! Thinking aloud, I did complete a week's worth of Keflex AB several weeks ago for a (perineal) infection--I didn't notice that that did anything for my breast pain, looking back. ...
    3 replies | 173 view(s)
  • @llli*trifides's Avatar
    Yesterday, 01:19 PM
    The other tip I would add is (as written elsewhere) is try and feed with as few clothes (top half!) as possible so there is more skin contact. That also kept her trying longer and she was way more relaxed. Not always possible I know. Breastfeeding is a great thing to do for your baby - I have got the whole way through the winter without her getting sick among other things. Thanks again for all your help!
    16 replies | 1302 view(s)
  • @llli*zozja's Avatar
    Yesterday, 11:24 AM
    It's been 9 days since the last time I nursed my 2 year old. I didn't get engorged which is great but I still have lots of milk if I hand express and I'm worried that I'm going to get a clog. I was prone to clogs while breastfeeding and had to take 7200 mg of lethicin to keep them at bay. I'm down to 3600 now. Anything I can do to help ny body dry up? Also in pregnant so I know I can't take sage. My other question is my toddler still asked to nurse a few times a day. We weaned gradually - taking away one feeding a week and she was down to nursing only a few times / 24 hour period anyway. But it makes me so sad when she asks. How long did it take for other peoples toddlers to stop asking?
    0 replies | 55 view(s)
  • @llli*trifides's Avatar
    Yesterday, 10:53 AM
    Just had my levels done - TSH is 2.2 and T4 is 14 so I'm back in normal range. I still don't fell 100% but my supply is much better, confirmed by babys renewed enthusiasm to breastfeed!
    16 replies | 1302 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 12:16 AM
    Hi bear.mommy. I responded to your other post about the breast pain and I suggest check that out. It was not clear on that post how much over production (OP) you are having. So it sounds pretty bad, but take heart, OP is almost always a temporary problem. You are at the peak time for milk production right now. Even if you did nothing at this point, your milk production would almost certainly begin to reduce to a more manageable amount over the next several weeks. Also, please do not worry about your baby overeating! Yes babies whose mom has OP gain rapidly at first. This is perfectly fine, it all evens out later. Ok, so I will take the questions one at a time. A baby nursing one side at time is fine. But no, you do not want to have one breast go more than a few hours without milk removal (unless you are intentionally block feeding, more on that below.) So, as I suggested in your other thread, can you encourage your baby to nurse more often? Baby nursing with high frequency will probably help and cannot hurt, because baby will not take in more overall, but rather, less at each meal. Frequent nursing also helps reduce fast flow, so should help baby be a little happier and calmer overall. It sounds like you have OP, as you are reporting most of the symptoms including above average rate of weight gain. But that is still not a reason to block nurse necessarily. Again, given a little time, OP usually solves itself. Also, block nursing in this situation where...
    3 replies | 100 view(s)
  • @llli*maddieb's Avatar
    May 24th, 2017, 09:57 AM
    Hi bear.mommy, I am sorry you are having this problem. If it persists, I think you might want to consult with a board certified lactation consultant. In my experience, dullish, aching pain in the lactating breasts is not out of the ordinary. It does not mean you are particularly sensitive, it just means there is a lot going on in the lactating breast and that normal activity can cause some discomfort, and it could be either on one or both breasts. What I find worrying in your case is the fact you have a history of poor latch and injury, and the pain sounds more intense than typical. Also the great deal of sensitivity on the skin surface sounds worrying to me. To me that IS a sign of either engorgement or breast infection (mastisis, not thrush, more on that in a moment.) You do not describe being engorged, but you have OP and get plugs that go away when baby nurses. That sounds like it may help to have more frequent milk removal. How often is baby nursing now? Could you encourage baby to nurse more often, do you think? Maybe it would help to always have baby start on the painful side? Is there any chance of a hidden plug, one so deep you are not noticing it, or do you think you are feeling sufficiently "empty" between nursing sessions that you would notice a plug that is not going away?
    3 replies | 173 view(s)
  • @llli*maddieb's Avatar
    May 24th, 2017, 09:35 AM
    Kellymom talks about friction blisters in this article. Could that be what is going on? http://kellymom.com/bf/concerns/mother/nipplebleb/ If you cannot pump or nurse, can you hand express? It is really important that you continue to take milk out of that breast. As far as baby eating, it is quite possible that baby will be able to get enough milk from one breast while you work this problem. If you hand express and manage to save the milk in a bowl or cup, you can try offering baby that expressed milk in an open cup if you think it is needed. If you would like a link to a video of a baby this age cup feeding let me know. Also you can try reversing or otherwise changing the angle of baby's latch to see if that makes nursing possible. When I was healing from a bad bite I laid down and brought baby over my shoulder to nurse, reversing the latch. it is usually fine to nurse while nipple injuries heal, although of course it can hurt.
    1 replies | 154 view(s)
  • @llli*bear.mommy's Avatar
    May 24th, 2017, 04:25 AM
    Hello! FTM here of a 7-week old boy, EBF. I'm experiencing pain in my left breast and cannot figure out what it is. I am curious if anyone has ideas or has experienced this as well? It's a throbbing, aching, pulsating pain that's similar to the pain you feel when you get a toothache. Sort of a raw-nerve type pain. It seems to radiate all throughout my breast, such that I can't quite pinpoint where the pain is starting/ending. I had this pain in BOTH breasts when I started breastfeeding (which, btw, was a rocky start, with damaged nipples, bad latch, etc.) but now the pain is limited to my left breast. The pain comes and goes, but when it comes, it lasts for a while (over an hour?) and sometimes makes me cringe. It also makes it hard for me to fall asleep. The external skin is very sensitive to touch, and it hurts even if I gently stroke the skin. However, as I mentioned, the pain comes and goes, and when it goes, my breast seems fine (no pain, not nearly as sensitive)! To add, I had friction blisters early on and a scab on the left nipple that took weeks to heal; now the nipple seems healed. LO's latch seems fine--the nipple does not come out looking misshapen. It doesn't hurt during a feeding. The pain comes randomly (i.e., not just after a feeding). I don't think it's vasospasms since I don't see a change in color and also, the pain is there even when I'm dressed warmly. There is no redness on my breast. I do get lumps but they seem to go away when LO feeds. I...
    3 replies | 173 view(s)
  • @llli*bear.mommy's Avatar
    May 24th, 2017, 04:09 AM
    Hello! I'm a FTM of a 7-week-old EBF boy. We had a rocky, difficult start with breastfeeding--my milk did not come in right away, plus I felt so much excruciating pain from my son's powerful/bad latch and my nipples toughening up that I resorted to mostly (machine) pumping during the first month. Finally it stopped hurting so badly when my son nursed, and I've been able to breastfeed and almost entirely avoid pumping for the past 1-2 weeks. Granted I still experience some terrible pain, but it's (a) limited to an aching, throbbing pain that comes and goes only in my left breast; and (b) neither I nor my OB can figure out what is causing it (not thrush, no symptoms of mastitis, not letdown pain which is something I experience separately, etc.). My main problem now is overactive letdown and what I think is oversupply (at least in my "stud" left breast). My breasts never feel fully drained after my son feeds. Also, if I do pump, I get 3-4+ ounces in my left breast and 2-3 in my right breast. When I have given my son a bottle, however, he eats about 3 oz max. The OALD is worse in my left (stud) breast--LO chokes, gasps, cries/screams from the fast and heavy flow. I try to lean back to help with the gravitational flow, and this seems to help a little. My son only feeds on one breast at each feeding, which seems fine as he has plenty of pee diapers and is gaining weight well/rapidly (he was 8 lbs. 11 oz at birth and just yesterday was weighed at 14 lbs. 4 oz). He also...
    3 replies | 100 view(s)
  • @llli*momma1707's Avatar
    May 23rd, 2017, 08:57 PM
    My LO is 5 months old and EBF. I recently noticed something looking like a clear bubble in the middle of my nipple. It was painful when nursing but tolerable to some extent. I didn't have any pain when not nursing. Yesterday the bubble seems to have gone and now I see a red spot at the same area like it's wounded and needs to heal. I don't know what it is but now when I try to nurse LO the pain is so much worse and I couldn't go through with it. I don't pump and LO doesn't take bottle. I am not sure how to get through with this. Any suggestions on how to heal nipple or lessen the pain for me to be able to nurse LO. please help.
    1 replies | 154 view(s)
  • @llli*maddieb's Avatar
    May 23rd, 2017, 08:19 PM
    Hi, and welcome. My four year old sometimes latches really oddly and I have to ask her to stop and try again. Usually just helping her adjust her position and telling her to open wide, relax, and nurse gently helps her figure it out. She has said for a long time there is no milk, but she still wants to nurse especially at bedtime. I know there is SOME milk, but not much, so I agree this probably has nothing to do with your production. In my experience with two older children that weaned pretty much on their own terms, is that it is a little surprising when they are just not nursing anymore, even when the weaning was very gradual.
    1 replies | 166 view(s)
  • @llli*maddieb's Avatar
    May 23rd, 2017, 08:03 PM
    Hi Shelbymitchell! welcome to the forum. So, here are some thoughts. Newborn babies need about 20 ounces per day after week one, (less then that before that, almost nothing right after being born, then it increases rapidly to about 20 day 7) and from 25-35 OZ per day after about week 4 or 5, and then it stays about that amount. (Moms CAN increase production after week 4 if needed, but baby does not need more) This means, that what happens between the end of week one and week 4 or 5 is a gradual increase in milk production. Of course, some moms are already making 25 or more ounces per day by the end of week one, and some are making too much, and in those cases, no need for production to increase. These numbers are of course somewhat general, but it is unlikely baby would need more than this. I am giving these numbers to you because I think it is important to understand how much babies actually need overall, instead of focusing on what baby appears to want at a single meal, or what you can pump at a single pump session.
    1 replies | 138 view(s)
  • @llli*shelbymitchell's Avatar
    May 23rd, 2017, 05:52 PM
    My first born was formula fed, I tried breast feeding and gave up because I had extremely bad pp depression and it was so hard for me to connect to him, I got diagnosed with post partum hypothyroidism as well, and was told that my hormones could be effecting my milk too. I promised myself that my second baby I'd breast feed ! So here I am, exclusively breastfed in the hospital & on the second night baby screamed ALL night long, then when we went home he had orange crystals in his diaper which caused my first baby to stay in the nicu! So I freaked out and we breast and supplemented until the signs of dehydration were gone. My issue is now, my baby is 3 weeks old, I pump / latch him every 2 to 3 hours and no matter how much I produce he is still hungry. He has to always finish his feedings with 2 extra oz of formula or pumped milk. I hate this, because I feel like I'm failing him by not producing enough for him. I tried for 2 days to only pump, to see how much I was producing.. I only pump 2oz total between both breast each time, and my baby is eating 3-4oz per feeding. I'm drinking a lot of water, taking vitamins and even have been drinking a mama lactation feeding supplement and nothing has upped my supply. I've been producing the same amount since the first week. Help.
    1 replies | 138 view(s)
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