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Thread: Sore nipples amongst other problems...

  1. #1

    Unhappy Sore nipples amongst other problems...

    I just had my 2nd child. I was unsuccessful with breastfeeding with my first and i'm desperate to make it work this time. My biggest problem is pain. When she latches its excruciating. I've seen several Lactation Specialists and they all say my latch is perfect. They cant seem to figure out why it hurts so bad. I have tried a nipple shield with the same result. My 2nd problem is that she pushes my nipple out her mouth and suck it back in. This is by far the most painful thing she does. Its something she is doing with her tongue. And she starts crying and pulling off my breast. Im loosing hope. And i dont know what else to do...

  2. #2
    Join Date
    May 2006
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    20,852

    Default Re: Sore nipples amongst other problems...

    Welcome to the forum and congratulations on the new baby!

    First of all, I want to validate your concern. It truly doesn't matter what the latch looks like on the outside. It's what's happening on the inside that matters. A mom can have an awful-looking latch that works just fine, and a perfect-looking latch that causes terrible pain.

    Some questions for you:
    - When do you feel the most pain, at the beginning of a feeding when baby first latches on, during the feeding, or after the conclusion of the feeding?
    - Does the pain last throughout the feeding?
    - How would you describe the pain: more of a pinching, or more of a burning?
    - What shape are your nipples after the baby unlatches: symmetrical like pencil erasers, or asymmetrical/creased/wedged/ridged like new lipsticks?
    - Do you have any of the following: nipples blanching (turning white) after feeding, nipples turning purple-blue are feedings, cracked skin, blisters, dry, flaking, or peeling skin, nipples appearing more red, pink, or shiny than usual?
    - Does the baby have oral thrush or a yeast diaper rash, and/or do you have a vaginal yeast infection?
    - Have you had a recent course of antibiotics, including for GBS during your birth?
    - How would you describe your milk supply: adequate or overabundant? (Signs of overabundant supply would include frequent feelings of fullness or engorgement, seeing milk spray if baby pulls off the breast during feedings, fast feedings)
    - Do you feel that baby loses her latch or clamps down or slips up onto the nipple while feeding- i.e. is the baby starting out with a good latch but losing her latch as time goes on?

  3. #3

    Default Re: Sore nipples amongst other problems...

    At the beginning. the pain subsides after a moment. Im not sure how to describe the pain.. it just hurts lol. my nipples are shaped like an eraser i guess. my nipples are purple after feeding. and pink or red most of the time. No thrush, or yeast. no antibiotics. my supply is perfect i would say. yes she starts out with a good latch and does something that hurts and messes it up.

  4. #4
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    Default Re: Sore nipples amongst other problems...

    Purple after feeding usually means vasospasms: http://kellymom.com/bf/concerns/moth...ple-blanching/ You treat vasospasms with heat and work on the latch. If your nipples are shaped like pencil erasers after nursing, the latch can't be too awful. I wonder if your baby is clamping down on the nipple in order to control a fast milk flow? If so, reclined nursing positions may help.

    How old is your LO?
    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!"

  5. #5
    Join Date
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    Default Re: Sore nipples amongst other problems...

    What does it mean when they are shaped like a new lipstick? Does that mean the latch is very bad??
    Happy Mama of 4 beautiful boys ages 14, 10, 7 and the newest member of the family:
    Damian Gabriel 2/13/13 , , twice a day at work, and finally successfully. We never gave up and we are as happy as can be !!

  6. #6
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    Default Re: Sore nipples amongst other problems...

    Quote Originally Posted by @llli*iritita View Post
    What does it mean when they are shaped like a new lipstick? Does that mean the latch is very bad??
    Lipstick nipples mean the latch is shallow. Instead of the nipple landing on the sweet spot on the back of the tongue, underneath the soft palate, the nipple is sitting on the front of the tongue underneath the hard palate. When the nipple is on the back of the tongue, it experiences relatively little motion or compression. When a baby has a nice deep latch, the motion/compression is reserved for the relatively insensitive and elastic tissue of the areola. You can pinch the areola really hard and it won't hurt. The nipple is designed to be sensitive so that you know when baby is properly latched: if it hurts, the latch needs to be adjusted so that the baby can get milk.

    Iritita, has your baby been very carefully checked for tongue tie?
    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!"

  7. #7
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    Default Re: Sore nipples amongst other problems...

    Hi mommyvixen. I agree with mommal about vasospasm. Even vasospasm can be helped if latch is corrected. I also think your baby pushing your nipple out and sucking it back in is obviously part of the issue. Ouch!

    How old is baby? Is baby exclusively breastfed and is baby doing ok, weight gain wise?

    Where did you see several lactation consultants? Have you had a one on one session of at least 60-90 minutes length with an International Board Certified Lactation Consultant (IBCLC) outside of the hospital? If not, is this possible? Such a session would include the consultant watching baby nurse and giving you assistance with finding a better latch, a history taken, and maybe a before and after nursing weight check done to make sure milk transfer is ok assuming that is a possible issue. She would also probably check in baby's mouth for issues, although diagnoses of tongue or lip tie would have to be done by a dentist or physician.

    I share your frustration! Latch pain is a common and almost always fixable breastfeeding issue. But it often does require professional assistance, especially as things like tongue tie etc. must be ruled out and or treated as needed.

    Are there any LLL or other breastfeeding support groups near where you live? If you cannot get professional help, or even if you can, this would be helpful to you most likely.


    OK here are my favorite latch and positioning ideas. See if any of this is something you have not tried. Also, sometimes it takes trying the same things several times before it 'clicks'


    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

  8. #8
    Join Date
    Mar 2013
    Location
    Illinois
    Posts
    102

    Default Re: Sore nipples amongst other problems...

    We will be checking for tongue tie at his next Dr appt.
    Happy Mama of 4 beautiful boys ages 14, 10, 7 and the newest member of the family:
    Damian Gabriel 2/13/13 , , twice a day at work, and finally successfully. We never gave up and we are as happy as can be !!

  9. #9
    Join Date
    Jun 2009
    Posts
    5,307

    Default Re: Sore nipples amongst other problems...

    iritita, is your appointment with a doctor who is recommended as one for the diagnoses and treatment of breastfeeding related tongue tie issues? If not, and if you have not already, I suggest you inform yourself about tongue tie and the "newer" thinking on what it is, what forms it can take, and why it is so important for it to be treated immediately in the breastfeeding infant specifically.

    Too many doctors are still being taught that tongue tie is not a feeding issue (baby can always take a bottle instead, is how that old-fashioned thinking goes) and either do not recognize the different forms or, if they do diagnose it, will not treat until too late to help breastfeeding.

    If you want some direction on where to look for info let us know.

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