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Thread: Engorgement? Continued pain

  1. #1
    Join Date
    Jan 2013
    Posts
    17

    Default Engorgement? Continued pain

    So I've had latching issues since the beginning my lo is 6 wks. Painful latch sore nipples. Currently breast feeding n pumping to give bottle to give my nipples a break now For about 2 wks I've started having shooting pain in my breasts after feedings and thru out the day. My nipples are sore n pink, after feedings mthe middle of my nipple turns white. I've been seeing a lactation consultant n she mentioned thrush and vasospasm and told me to see my Dr. Saw the dr today and he said that it's only that my breasts r engorged and that lo is feeding too often-that's y nipples are sore. He told me to schedule baby to feed longer in between sessions. Prescribed motrin and vicodin Baby at times feeds every 1 1/2 others goes 3 hrs. So now I'm confused what's going on and what to do?!?

  2. #2
    Join Date
    Nov 2012
    Location
    Ontario
    Posts
    584

    Default Re: Engorgement? Continued pain

    Awful advice from your doc. Scheduling breastfeeding is not a good idea -feeding on cue is best for baby and for your supply- and if you're engorged, limiting your LO's time at the breast will only make this worse! I agree with the LC that this could be thrush. Does your LO have any white patches in her mouth? (note -baby doesn't have to have this in order to have thrush). Check out Dr. Newman's candida protocol http://www.breastfeedinginc.ca/conte...agename=doc-CP and Dr. Gordon's http://drjaygordon.com/breastfeeding/thrush.html for things you can try. Both mother and baby need to be treated, so that you don't pass it back and forth. I personally found the GSE solution on the nipples and in LO's mouth, as well as probiotics for both of us to be quite helpful, though I did end up needing a 2 week course of diflucan from my doctor.

    Is the LC helping you with your latch?

  3. #3
    Join Date
    May 2006
    Posts
    19,913

    Default Re: Engorgement? Continued pain

    Awful, awful, AWFUL advice from the doc. First of all, frequent feedings don't cause soreness. When a baby is latched on properly, you can feed literally nonstop and not get sore. Second, scheduling will only make the baby miserable and hungry, give you stress (you'll be listening to a crying baby for hours on end!), and cause problems with supply.

    The PP gave some excellent information about treating thrush, if this is thrush. Some additional thrush symptoms:
    - itching, burning sensations, particularly between feedings
    - yeast diaper rash in the baby or vaginal yeast infection in mom
    - nipples appear more red or pink than normal
    - skin appears dry, flaky, or shiny
    - multiple small slit-like cracks
    Thrush is also more likely if you have had a recent course of antibiotics, including antibiotics for Group B strep during birth.

    If this is vasospasm, heat is the best treatment. Keep a heating pad or hot water bottle on hand, and use it whenever the pain strikes.
    Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
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  4. #4

    Default Re: Engorgement? Continued pain

    Is your LC an IBCLC and has she or anyone else helped with the latch issues? If your baby cannot latch well (as is suggested by the pain from the getgo) that can lead to engorgement. Engorgement is, of course, worsened by spacing out feedings, and engorgement also makes it more difficult for baby to latch.! It's a vicious cycle. The cure is to nurse more frequently and get help fixing that latch. Baby may be getting enough milk, but if latch hurts and you have continued engorgement, that makes me suspect latch is the core issue here. Of course thrush may be involved as well.

    Call you LC back and tell her what the doctor said. If the issue is thrush you will need to go another route for treatment, obviously. But I would feel better if I knew the latch was being helped as well. Thrush does not cause engorgement. A poor latch could.

  5. #5

    Default Re: Engorgement? Continued pain

    here are some ideas about latch and positioning and also engorgement. Some of this has been tried/suggested by your lc I assume

    Tips on latch and positioning http://www.llli.org/faq/positioning.html

    Laid back position http://www.llli.org/docs/00000000000...astfeeding.pdf



    laid back video http://www.biologicalnurturing.com/video/bn3clip.html

    Here are two simple pictorials, one on latch, one on tongue tie http://cwgenna.com/quickhelp.html

    latch and 'Breast sandwich' article http://www.llli.org/llleaderweb/lv/lvfebmar04p3.html

    nursing frequency- What is normal in the early weeks with a breastfed baby http://kellymom.com/bf/normal/newborn-nursing/

    Engorgement:

    http://www.llli.org/faq/engorgement.html

    http://www.kellymom.com/bf/concerns/...gorgement.html

    Reverse Pressure Softening:

    http://www.kellymom.com/bf/concerns/...cotterman.html


    Healing sore nipples: http://www.llli.org/FAQ/heal.html

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