Re: Help needed - nipple and breast pain
Welcome, mama, and congratulations on the new baby and on nursing her succesfully despite what sounds like some significant discomfort! What you describe sounds very much like a bleb/blister, but there are some elements in your story which suggest fungal/bacterial infection may have played a part in your experience.
When an LC says she sees a blister/bleb, I am inclined to believe her. Generally LCs know a lot more about breastfeeding than doctors. You did pursue the proper course of action in treating it- the wet compresses, the APNO, the request to have the doc pop the blister. (FYI, your doc did not give you the best advice about breaking a blister. It is safe to do so, provided you use hygienic precautions like using a sterile needle and washing your hands. And your doc should have told you that the best person to pop a blister is the person with the blister. You can feel when you have gone too far with the needle. The doctor can't!)
That being said, some of what you experienced does suggest a thrush or bacterial infection. Soreness that persists in the breast after feedings is classic thrush, and if your doc saw what appeared to be thrush I am inclined to agree. It's possible that what you had started with a blister, and then infection took root in the damaged area.
At this point, I think you might want to see the doc and the LC again. It sounds to me like you might have both a blister and thrush, and that the thrush treatment you were given just didn't do the trick in terms of wiping out the yeast. But you might also want to get a bacterial culture done.
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