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  • @llli*maddieb's Avatar
    Today, 01:28 PM
    Where does the pain seem to be coming from? Nipple or some other part of your breast? Is it constant and unchanging or is it only some of the time or fluctuating in intensity? Have you checked visually all over, and used a mirror? Sometimes little blebs or friction blisters or teeth rubbing sores are hard to see.
    1 replies | 59 view(s)
  • @llli*maddieb's Avatar
    Today, 12:17 PM
    OK glad your nipples are healing. Your plan sounds reasonable. Again this is something that is indeed very common but is not really "normal." Being engorged- full to the point of breast hardness and discomfort- can cause several issues, including making it harder for baby to get a good, comfortable latch- So I do think your being engorged may have been at least in part to blame? The many risks of engorgement are another reason frequent milk removal is so important. On a side note, because mom will often pump until the milk stops flowing on both sides each time she pumps, and a baby often will not nurse until all the milk is out each time they nurse, and may even nurse one side and not the other at some or all sessions, is that prolonged periods of pumping instead of nursing can lead to something called overproduction, which sounds like exactly what it is- mom makes more milk than needed. This may or may be a problem, and is certainly preferable to low production, but serious OP can again lead to mom getting engorged and all the issues that creates. As long as you can get baby nursing instead of pumping soon, this is not anything to worry about, usually any op will fix itself given a little time. But should you find you are needing to pump instead of nursing many more days, I am just mentioning it as just something to be aware of.
    4 replies | 114 view(s)
  • @llli*econ1702's Avatar
    Today, 07:51 AM
    Hello- I have a five month old who has been exclusively breastfed. Two days ago I stared having severe pain on my left side only when he feeds. I breastfed my previous child for over a year with no issues so I would consider myself experienced in breastfeeding. I am pretty sure baby's latch is good, I have no visible nipple damage or thrush, no fever. I can pump on my left side and it hurts a little, but is bearable. But when I directly feed my baby on the left side the pain is terrible. Right side is totally fine. I just don't know what could be causing this? Advice???
    1 replies | 59 view(s)
  • @llli*littlemissellie0705's Avatar
    Today, 12:03 AM
    Thanks for your reply. I have a Medela Pump in Style Advance. Today I have been pumping every 3 hours. I am back at pumping about 80ml each time. During one pumping session this evening my baby started to cry and I was able to pump more. This last pumping session I had giving my baby a bath and she cried and I could feel my breast getting full even though I had just pumped. My nipples are feeling 100% better than they did yesterday and tomorrow I am going to try to breastfeed again but this time with and without the shield to see if it makes a difference. If all doesn't goes well I will look into meeting with a lactation consultant. *fingers cross* It goes well tomorrow! Also I might add these past few days my breast have been engorged which I have read is common in early postpartum. Today was the first day that my breast did not feel engorged so I'm not sure if that would have been playing part into my breastfeeding problem.
    4 replies | 114 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 11:00 PM
    Hi sorry did not see your reply before... Yes laid back- but laid back can be adjusted many ways, it is not just one position, but that is the general idea. The other position that seems to help with fast letdown would be side lying. I think Jack Newman has some info on breast abscess somewhere, if you are still looking for help with that. Oh here it is: https://www.facebook.com/DrJackNewman/posts/168086633342391 I forget if you have seen an IBCLC? It may help to have someone work with you on latch and positioning.
    7 replies | 278 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 06:04 PM
    Ok what you are pumping per session is entirely normal, even a little high for this early post partum. Intake of 1-2 ounces per nursing session is normal for a one week old baby. But remember that they eat very often! That is why it is so important to pump often if baby is not nursing. I doubt your supply is dropping. How much you can pump each time is not an accurate measure of your actual milk production. But this is a very important time for milk production and your body expects milk to be removed at least 8-12 times in 24 hours and if that is not happening, you may indeed have a problem with production going forward. A baby will usually want to nurse at least that much (although some are sleepy at this age and need to be encouraged to nurse often enough.) If a mom is pumping, she has to do her best to replicate what baby would do as far as frequency of pumping. Of course it is also important that the pump is working right, which is why I asked above questions about your pump.
    4 replies | 114 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 05:53 PM
    I did have a similar experience with my first baby. I later learned sore nipples are the most common breast feeding issue and that pain while nursing is not normal. My best advice is to see a board certified lactation consultant ASAP. If you are at the point where you are in so much pain pumping seems preferable to nursing there is a serious problem and in person help is your best chance of solving it quickly. No reason to not try nipple shields as a temporary measure to see if they help baby get a better latch. But read about the issues so you know what to do to prevent them. Kellymom.com has a good article. If baby is not nursing at all it is imperative that you pump 8-10 times in 24 hours. What kind of pump do you have and is pumping comfortable? If at all possible I would strongly suggest keep nursing baby at least a couple times a day while you try to figure out what is wrong. Both you and baby will learn how to breastfeed by breast feeding. Injured nipples can get better while exclusively nursing, but some moms do find pumping instead helpful. This site and kellymom also have good articles on healing sore nipples.
    4 replies | 114 view(s)
  • @llli*littlemissellie0705's Avatar
    Yesterday, 03:04 PM
    Hi all! I am a FTM and I'm 9 days postpartum. On day 7 my nipples were so sore/painful I turned to pumping before each feeding time in order to feed my baby and give my nipples a break. I bought a nipple shield yesterday and haven't used it yet in fear that it will just be as painful. I really rather just strictly breastfeed my baby but I'm not sure if this pain is normal. I tried different positions and tried putting more of my breast in her mouth but that made no difference. It does look as if her little chin is recessed so I think that may be part of my problem. Has anyone experienced this and has a nipple shield helped? Also I have been pumping every 3 hours as I said above and yesterday every time I pumped I was getting 75-85ml per pumping and today it has significantly drop to 50-60. This has me worried... Is it normal for my supply to drop like that being 9 days postpartum or am I doing something wrong? Any advice would help! TIA
    4 replies | 114 view(s)
  • @llli*sarahfv's Avatar
    Yesterday, 02:26 PM
    Haven't considered a sun lamp. I wonder if that would work. I am not all that concerned about me, but more about baby. She has been really gassy, and I suspect that it's partly due to thrush. And it does seem to bother her mouth even though they say it usually doesn't. She often makes a funny face and pauses when she first latches, like it is sore or itchy.
    17 replies | 488 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 01:48 PM
    @llli*maddieb replied to a thread Insomnia? in Weaning
    I have experience with onset of insomnia since becoming a mother. In my case I am old enough that perimenopausal hormone changes may be part of the problem, but I have no proof that is the issue. My personal belief is that becoming a mom changes how we sleep and for some moms this may lead to insomnia, but this is entirely my personal, untested or proven theory. Oh and I have had similar insomnia issues whether I was nursing a child or not. My insomnia also followed the pattern that I could fall asleep fine and then after 1-4 hours waking and not being able to go back to sleep. I hated laying awake, and if I read or got up to do something it just made it all worse. I was on antianxiety meds and sleep meds for a bit, and I certainly slept through but I did not feel more rested. I did think they helped as a one of two night thing to break a cycle of insomnia at times, if that makes sense. But overall I did not like how they made me feel. Honestly what has worked best for me to go to bed later. Where I used to fall asleep at 10 or 11, I now head to bed at 12 or 12:30 and read for about a half hour or until I fall asleep. When I started doing that, I do not wake up nearly as much overnight. My overall sleep is not that much more, but I get a longer sleep stretch and very rarely am I waking in the middle of the night for no reason and not being able to get back to sleep. I usually have to get up to pee, and my husband snores and that wakes me at times, but usually I am...
    1 replies | 137 view(s)
  • @llli*maddieb's Avatar
    Yesterday, 01:34 PM
    What about a sun lamp? I do not know anything about them, just thinking outside the box. Breastfeeding experts including doctors who are well aware of any studies have continued to recommend gentian violet for many years. No rational medical professional would think risking cancer in an infant to cure thrush makes sense, so I think if experts say it is ok, it must be ok, but that is just my opinion. As far as being resistant, Newman notes gv does not seem to work as well as it used to and suggests combine it with other treatments, but he still recommends it as a generally effective treatment. He has a sheet that goes into detail about how to use GV if anyone is interested. http://www.breastfeedinginc.ca/content.php?pagename=doc-UGV
    17 replies | 488 view(s)
  • @llli*sarahfv's Avatar
    Yesterday, 01:10 PM
    Oh and I read today that there is some evidence the yeast is becoming resistant to Gentian Violet as it did with Nystatin.
    17 replies | 488 view(s)
  • @llli*sarahfv's Avatar
    Yesterday, 01:09 PM
    Unfortunately I don't live near a dermatologist or any tanning beds. I have read that sun and yeast are enemies. I also did the coconut oil and disposable nursing pads. Wish I would've kept up with it after it was gone last time as a preventative. The thrush won't automatically go away if you stop breast-feeding, but if you get rid of it, it will be less likely to reoccur. You won't pass it back-and-forth as easily and you eliminate that moist warm environment that yeast loves, at least on your nipples. We are at only 10 weeks old here so we have a long time to go. The study I was referring to was of mice, but there have been very few long-term studies in humans to prove the Gentian Violet is safe. We finished up our three days of treatment last night but this time baby still has tons of yeast on the back of her tongue. I am hoping it's dead and just hasn't fallen off yet.
    17 replies | 488 view(s)
  • @llli*maddieb's Avatar
    January 19th, 2017, 11:53 PM
    There is a study linking GV to mouth cancer in humans? I know there are cancer studies in rodents, but my understanding is those would not apply to how GV is used to treat thrush. I would be interested in leaning more about that if you have the info. GV has been used for many years to successfully treat thrush with both mom and baby treated. I just saw a recent discussion of thrush on LactNet. If your LCs are on Lactnet, they could ask about your cases in particular, it is a listserve for lactation professionals. I cannot quote what was said directly by whom as I have no way of asking permission, however I think I can pass on what was said because it is all things I have heard before. Someone asked about tanning beds for treating thrush (in summer, sunning topless has long been suggested for thrush. Of course, it would have to be limited exposure to avoid sun burn.) Someone suggested mom see a dermatologist who should 1) be able to make a firm diagnoses one way or another, so mom is not left using thrush treatments for issues that are not thrush. and 2) dermatologist would be able to treat the thrush with an ultraviolet light that can be directed where needed and that might be safer than a tanning bed. Another responded that they knew someone who got rid of a difficult case of confirmed thrush using a tsp. sized dollop of coconut oil on the nipples after every nursing session, and tanning bed 10 minutes a day for a week, and using disposable breast pads...
    17 replies | 488 view(s)
  • @llli*sarahgresh's Avatar
    January 19th, 2017, 10:55 PM
    I'm sorry your dealing with this too. It's such a bugger! I had no idea I could just email Dr. Newman! I have been looking to his site for a lot of guidance and just emailed them! I'm worried about the over use of gentian violet too. I think we will back off for a while and go back to nystatin ( didn't work so well). I just made an appt with a new OB. Hopefully she will have something else to try. Or Dr. Newman! Also, if I were to stop breastfeeding everything would resolve? Per your Dr.?
    17 replies | 488 view(s)
  • @llli*rachellemarie's Avatar
    January 19th, 2017, 06:46 PM
    Yeah, it's not really as simple as every 2.5 - 3 hours, sometimes there is comfort nursing in there too, to sleep.
    8 replies | 234 view(s)
  • @llli*sarahfv's Avatar
    January 19th, 2017, 04:01 PM
    We have been dealing with this for two months. My girl is 10 weeks old. First we used Nystatin- it upset baby's stomach and didn't do much. I also tried probiotics for me, vinegar rinses, and clotrimazole cream (Lotrimin) which helped me with the pain but never completely got rid of it. A month ago we used Gentian Violet 1% for three nights in a row painted on baby's tongue and my nipples with a Q-tip. it completely went away and we were good for two weeks, then it came back. So we started the violet treatment again. I have heard there is a small study linking it to mouth cancer so I'm scared to use it too much. My doctor said that unfortunately for many people it will keep returning no matter what until they complete breast-feeding. So frustrating. Have you looked at Jack Newman's candida protocol web page? He will also quickly answer any emails you send him with questions. He believes that thrush doesn't occur on healthy skin – that there is usually an underlying problem like bad latch or tongue tie. But I haven't had any injury to my nipples and my lactation consultants have said baby has a great latch. So I don't know. Also good to know – I have seen many different doctors at my clinic and a few of them tried to tell me she didn't have any thrush in her mouth when she obviously did. So your doctor could be wrong.
    17 replies | 488 view(s)
  • @llli*maddieb's Avatar
    January 19th, 2017, 01:06 PM
    Oh, ok. got it. Ok, that sounds pretty normal. I understand what you are saying, but actually relying on frequency of nursing can be very unreliable, because babies nurse for comfort as well as for food and drink. Many moms have found that their babies at 4 or 5 months actually want to nurse more often then they did at 2 or 3 months, and this is usually not a sign of any problem. I am sure you have heard mothers say their toddlers are nursing like newborns. Again, this is normal. More frequent nursing does not rule out any problems, of course. But it does not necessarily suggest any problem either.
    8 replies | 234 view(s)
  • @llli*sarahgresh's Avatar
    January 19th, 2017, 11:11 AM
    There was no thrush with the use of gentian violet, I stopped it so I would not mask symptoms for the appointment with infectious disease. 4 days off and the thrush returned. My nipples became deeper pink with itching and burning. So back to the gentian violet. Today While I'm at work I'm trying lotrimin cream to my nipples.
    17 replies | 488 view(s)
  • @llli*lolaminis's Avatar
    January 19th, 2017, 09:51 AM
    Hi! What will baby be drinking while you are away? If you do a 5-hr shift I would definitely plan to fit in a pumping session. You want your body to continue producing milk as though you were with baby and nursing, so you don't want to go longer than baby is used to without emptying your breasts. :)
    1 replies | 197 view(s)
  • @llli*lolaminis's Avatar
    January 19th, 2017, 09:46 AM
    Hi all, DD is 14 months and suddenly my nipples are pretty sore. My pj top worn with no bra actually irritates them a little bit. I wince when she first latches on and then the pain wears off while she's nursing. My first thought was possible pregnancy bc I remember feeling similar pain when nursing while pregnant. (DD is #3.) I've been on the mini pill since she was a few months old and have never missed a day or taken it late. Still haven't gotten a period. My breasts aren't tender are sore -- it's just the nipples that are sensitive. Any other possible causes for the pain? I don't suspect thrush. She does have a bunch of teeth but isn't a biter and doesn't clamp down on me, except slowly towards the end of a session when she's getting lazy. Thought I'd ask here and see how likely some other explanation is before going out and buying a pregnancy test. Thanks all!
    0 replies | 86 view(s)
  • @llli*rachellemarie's Avatar
    January 19th, 2017, 08:17 AM
    Yes, I think something must be going on with weighing--even though I checked the scale and we weigh him a couple times to get one (or ideally, two the same) where he is least wiggly. Who knows. I don't give him the supplement in bottles, I have been using a Lactaid for a few months now. Sometimes it is hard to tell when he is really done--for a while he would pretty consistently cry hard for a few minutes after he finished it, but wouldn't go back on the breast and would be fine after a few minutes, sometimes he slows to nibbles and falls asleep when there is still some in there--so I tend to rely on frequency and weight gain to help me know. If he wants to eat again 2.5 to 3 hours after the start of the last feeding I figure that is about right, shorter and I think maybe I didn't give him enough, longer and maybe too much. Does that make sense? So I guess that's part of why the scale weirdness was freaking me out, it made me question if I was totally misreading his cues.
    8 replies | 234 view(s)
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