Hi - my son's 4 weeks old, I started out with inverted/flat nipples (nursing my last child 4 yrs ago was very painful) and almost immediately got bleeding cracks; i have very large breasts whcih, combined with little nipple, made it hard to get a deep enough latch. These are now resolving. However I'm having ongoing deep, radiating (knife-like) breast pain that comes and goes in waves, for a couple of hours after he feeds. i've been treated for yeast with diflucan/low-sugar diet/topical creams for about 2 weeks and have not noticed major improvement with this specific pain. i suggested to my OB that it could be Raynauds/nipple vasospasm based on this:
>> having circulatory problems that intensify in cold weather or under emotional stress - maybe yes, i was diagnosed with chillblains (a cold-sensitive circulation problem) during my last pregnancy 4 yrs ago but haven't had a problem with it recently
>> nipples that will change colors from white to purple in between breast feedings - maybe yes. they're red/pink most of the time, part of one turns white temporarily after feeding (this nipple is football-shaped) and part of the other turns purple (i thought it was a blister or something, maybe not)
>> stabbing, stinging, or burning pain throughout the chest area - yes, it comes and goes and is most strong after he feeds.
The OB agreed with my self-diagnosis and prescribed nefidipine, which i know has some side effects. Question: does my self-diagnosis seem right, and does it make sense to try this medication? Any ideas of what could be causing the breast pain if it's not thrush?