I've been breastfeeding my nine week old from birth mostly without issue (a couple of blebs and plugged ducts early on, but that's all), but for the last 7-8ish weeks I've had what looks like a tear on the front of the nipple of my right breast. You can clearly see two small flaps of skin that have pulled away from each other and hang open each time he latches and for a short time after. The torn part often sprays a fountain of milk when LO unlatches, and LO constantly unlatches from that breast when I try to feed him from it, I assume because of the massive, forceful fountain of milk that gets poured into his mouth from the tear, and he doesn't like to take a full mouthful of that breast, instead purposely only sucking from the 'teat' of my nipple - I assume because when he tries to latch the way he should, a whole ton of milk gets poured down the back of his throat, causing him to choke. He latches and feeds from my left breast very well. The tear also steadily leaks sometimes when I'm not feeding, or for quite a while after feeding.
I think it was initially caused by a bleb coming out, as I was suffering from a plugged duct at about the 2 week mark and tried everything I could to relieve it - on the third day I fed LO and experienced an IMMENSE amount of pain (I almost blacked out) for a few seconds, and then the duct was unplugged. I noticed the tear shortly after, so I think the act of the plug coming out tore it open? I'm not sure, just my theory.
Anyway, I figured I'd just give it time - my nipple doesn't hurt in any way, and it doesn't hurt at all to feed, but LO hates feeding from that breast and when we do, he often gets covered in milk (and so do I). And almost two months later, the tear seems almost bigger, and definitely isn't healing. I'm not sure what to do Can anyone help?