Happy Mothers Breastfed Babies
Page 1 of 2 12 LastLast
Results 1 to 10 of 14

Thread: Cracked nipple

  1. #1
    Join Date
    Aug 2014
    Posts
    11

    Default Cracked nipple

    Hi, my baby is 7 1/2 weeks and my cracked nipple still hasn't healed. How long does it usually take? It's just my left....the right is good. Initial latch on on the left is painful due to the crack, but subsides as the feeding continues. Just looking forward to the light at the end of the tunnel and pain free latch on, o n that side.

  2. #2
    Join Date
    May 2006
    Posts
    24,794

    Default Re: Cracked nipple

    Welcome to the forum!

    Time until healing depends on what is causing the crack.

    Some questions for you:
    - Where is the crack?
    - Is it just one large wound, or are there multiple small, slit-like cracks?
    - Anything weird about the appearance of the crack- is it oozy? Is there dry-looking, flaky, or reddened skin on that side?
    - Has baby been diagnosed with thrush, does he have a yeast diaper rash, or do you have any yeast problems?
    - Have you had a recent course of antibiotics?
    - Is the nipple different on the cracked side? Maybe it is shorter, flatter, or more inverted than the other?

  3. #3
    Join Date
    Aug 2014
    Posts
    11

    Default Re: Cracked nipple

    No thrush, no yeast issue, nothing weird looking, no antibiotics. It did bleed a little last night during a feeding...didn't know till I saw a bit on her sleeper....that hasn't happened since in hospital.
    It looks like a small circle-ish hole on the tip portion of my nipple. Size....hmmm...best way I could describe....look at a normal toothpick....and the thickness in the center is about how large it is...if that makes sense lol

  4. #4
    Join Date
    May 2006
    Posts
    24,794

    Default Re: Cracked nipple

    Thanks for the description! So, what I am thinking is that what you have experienced is a nipple bleb/blister, which has now popped, leaving a very small crack. (See http://kellymom.com/bf/concerns/mother/nipplebleb/) This isn't the worst sort of crack- usually they heal within a week or so. But yours hasn't, so I think a trip to the LC is in order. My guess is that because your baby is so young, her latch isn't all it could be and therefore the crack is getting reopened every time she nurses.

    Tips on healing broken skin in the nipple area:
    - Moist healing- use a coating of lanolin, a hydrogel pad, or a cotton ball dipped in olive oil. (You can secure the oily cotton ball with a piece of tape or just tuck it into your bra.)
    - Practice really good hygiene- wash your hands with hot water and soap on a frequent basis.
    - Use a combination of 1% hydrocortisone cream and Bacitracin antibiotic ointment on the crack, to combat inflammation and infection. Use a pea-sized amount, mixed and applied with a clean finger. Does not have to be washed off prior to nursing.
    - Hydrate before nursing so that any scabs are softer and tear open less painfully. You can soak the nipple with a wet washcloth or you can get a shot glass full of warm water and immerse the nipple in that- if you bring the shot glass to your skin you can form a seal and then you can stand up.

  5. #5
    Join Date
    Aug 2014
    Posts
    11

    Default Re: Cracked nipple

    But it doesn't look like a scab, it looks like a hole. A smaller hole before feeding, 3 times bigger after

  6. #6
    Join Date
    Aug 2014
    Posts
    11

    Default Re: Cracked nipple

    So over a month since my last post. Went to a lactation specialist back then. Things have actually gotten worse. Prior to appt I was feeding only one side at each feeding and then alternating to the next at the next feeding. She suggested to offer both sides at every feeding....which gave the injured nipple less time to heal and therefore the whole is now much larger. Today I'm feeling occasional shooting sharp pain in that breast randomly ( not while nursing). There continues to be no puss or discharge. But that nipple is redder and irritated. I plan on making another appt but I'm worried about the option of antibiotics and thrush. What is thrush exactly?! I'm just so tired of having to deal with pain every time she latches on that side for the past 3 months. Feels like this is never going to end

  7. #7

    Default Re: Cracked nipple

    Im also having similar issues..but from the sound of your description, my wound sounds bigger...i did have it one both sides, but one side the pain has gone away and is starting to heal.
    Are you using lanolin? I was and the pain was worse, i was told to stop using it because some women have adverse reaction. I stopped and that was when i started healing more. Also making sure my DS was latched correctly is helping, since an incorrect latch can continue to cause damage, instead of encouraging healing.
    One more thing...let some fresh breast milk dry on your wound, it has a lot of antibacterial elements, and can help significantly.

  8. #8
    Join Date
    Aug 2014
    Posts
    11

    Default Re: Cracked nipple

    The size of the crack has actually tripled since my initial post. I do use prescription nipple cream. But I think I need it. I went 2 days running low and latch got more painful during that time

  9. #9
    Join Date
    May 2006
    Posts
    24,794

    Default Re: Cracked nipple

    Okay, at this point I think you have to move on to the thrush possibility. Red, irritated nipple, shooting pain in the breast in between feedings, crack increasing in size- that sounds like either thrush or a bacterial infection.

    Thrush is a yeast overgrowth. We ladies- well, some of us, anyway!- are familiar with vaginal yeast infections, but yeast can crop up anywhere. Often it is present in the baby's oral cavity or diaper area, so if your baby has white, pearly patches in her mouth that won't wipe off, or a nasty looking rash around her vulva or rear end, that would suggest thrush. This would be a good time to take her in to the pediatrician and have them take a look at her, since pediatricians tend to be pretty familiar with thrush. But if the pediatrician doesn't see evidence of thrush in the baby, don't discount the possibility that you have it- it's very common for one member of the nursing pair to be asymptomatic, though both will be infected.

    More on thrush: http://kellymom.com/bf/concerns/child/thrush-resources/

  10. #10
    Join Date
    Aug 2014
    Posts
    11

    Default Re: Cracked nipple

    Ok, shooting pains seem to be gone now that I've got my nipple cream prescription refilled...but still red and open. Will take your advice and see LC again. Baby is showing no signs of thrush (thank goodness)

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •