Re: Cracks versus gaping wound on nipple
Welcome and congratulations on the new baby, and on making it this far despite cracks and pain! Based on what you have posted, it's kind of difficult to say what has caused the cracks. On the one hand, the fact that you have pain upon latch-on and throughout the feeding, combined with inverted nipples suggests that a poor latch could easily be the cause of the cracks. On the other hand, antibiotics can contribute to a mom developing thrush, and if you have more than a single crack per nipple thrush is a likely cause. And, most confusing of all, you don't really need to choose between thrush and a poor latch: you can have both simultaneously.
Some questions for you:
1. When your baby unlatches, is your nipple everted? And if so, what shape is it? Symmetrical, like a pencil eraser, or asymmetrical, like a brand-new lipstick?
2. Do you notice any changes in the skin of your nipples, areolas, or breasts- things like increased redness, pinkness, shininess, white patches, dry or flaking skin?
3. Do you currently have or have you recently had a vaginal yeast infection, or yeast infection of any other skin surface?
4. Do you have a single large crack, or multiple slit-like cracks, or both?
5. Have you ever been able to nurse pain-free? Or did the cracking and pain begin after a trouble-free period?
6. Are you experiencing any itching or burning sensations in the nipple or breast?
Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
Coolest thing my little girl sang recently: "I love dat one-two pupples!"