Re: OMGosh my nipple hurts!
Maybe try some All Purpose Nipple Ointment (per Dr. Jack Newman)? That's what helped when I had cracks, plus it has an anti-bacterial component that will help prevent infection, which could lead to mastitis. You do need a script for it and to have the pharmacy mix it up for you, but any Dr familiar with breastfeeding should easily write it for you. If you can't get the script, you can mix some yourself (not as good but works) with 1/2 part polysporin (not neosporin) 1/2 part miconazole/lotrimin, and add some hydrocortizone cream or ointment, which provide the steroid component to speed up healing. No need to wipe before nursing/pumping unless you've applied an excessive amount. Also, when I needed to use salt water on-the-go, I premixed the solution in a small tupperware container, then used cotton balls to dip in the container, then apply to the nipple area. Just make sure not to contaminate the salt water mix. Dump at the end of the day and mix new for next day. It won't be "warm," but room temp should be fine. After drying, then apply APNO. I'd use some disposable nursing pads until things heal up, as well, kinda like a boob band-aid. Hope things get better!