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Thread: feeling discouraged-any tips or words of encouragement?

  1. #1
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    Default feeling discouraged-any tips or words of encouragement?

    So I've just been diagnosed with vasospasms and I'm feeling a little discouraged right now. The pain is pretty bad; I was told that to get better I need to work on helping my baby latch better, use heat packs, try and get a milk blister better. Will this ever go away? Any tips on getting a milk blister better? Its been there for a long time now and its pretty big. The LC said she thinks its turning into a callous! She told me to soak it in olive oil but I find that it doesn't feel to good when I do it. Could I do coconut oil? If anyone has any tips or words of encouragement I could really use some right about now!

  2. #2
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    Default Re: feeling discouraged-any tips or words of encouragement?

    Hi. It is really really hard when nursing hurts. But your LC is right, getting a better latch should help with both vasospasm and milk blisters. While the vasospasm is a twist, latch pain in general is perhaps the most common breastfeeding issue, and one that is almost always solvable.

    Was this an IBCLC that you saw? Was Tongue or lip tie considered, or any other physical barriers to a comfortable latch?

    Did the LC discuss the possibility of thrush? What about Raynaud's? were those ruled out as part of the problem? Because these are things that might be part of the picture of vasospasm that have specific treatments.

    What latch ideas did the LC give you? Did she work with you on trying different positioning and latch techniques?

    As far as using coconut oil, I think the only issue would be that more people are allergic to coconut than olive oil. Since you do not want to make things worse by rubbing of the oli prior to nursing, olive oil is what is typically suggested. So, maybe think about family history. But coconut oil is something many moms use when there is latch pain/nipple injury issues. So I see no reason it would be not be ok for softening up a bleb.

    Info on coconut oil and nursing http://www.hybridrastamama.com/2013/...stfeeding.html

    Treating milk blister: http://kellymom.com/bf/concerns/mother/nipplebleb/

    Vasospasm and Raynaud's: http://www.breastfeedinginc.ca/conte...ename=doc-V-RP

    Many Latch and positioning ideas: http://feedthebabyllc.com/latch-and-positioning/

  3. #3
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    Default Re: feeling discouraged-any tips or words of encouragement?

    Oh mama, milk blisters HURT esp if milk gets backed up behind, you'll feel much better when that thing pops I promise!

    Heat really is good for vasospasm.

    with Maddieb.

    Hang on in there, it will get better with help

  4. #4
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    Default Re: feeling discouraged-any tips or words of encouragement?

    thanks for all the links and tips. I will try them out and hope that it starts to get better.The only thing the LC noticed is that my son's bottom lip was tucked in a little. So I will work on that. He does get really upset when I try to pull his lip out. Should I try to correct it with a nipple shield?

  5. #5
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    Default Re: feeling discouraged-any tips or words of encouragement?

    Quote Originally Posted by @llli*bsua65 View Post
    Oh mama, milk blisters HURT esp if milk gets backed up behind, you'll feel much better when that thing pops I promise!

    Heat really is good for vasospasm.

    with Maddieb.

    Hang on in there, it will get better with help
    Thanks for the encouragement! Do you know how to get it to pop? The LC said I could try to scrape it off with my finger nail or a sterile needle. I tried both and I don't know if it actually popped. Is the whole skin supposed to come off or just poke a hole in the blister?

  6. #6
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    Default Re: feeling discouraged-any tips or words of encouragement?

    If you have a pump you can try and pump it out if baby feeding isn't helping and that's probably safer than the needle option. Either soak it in a warm saline/hot water first or use olive oil (or coconut if that's what you chose) on cotton wool in your bra for a bit before you do it

    If you go down the needle route... With a sterile needle, don't poke into it as you may cause infection, gently try and lift. I then pulled with tweezers as I didn't know if it was solid milk or skin - but that isn't the recommended thing to do I don't think. If you hand express or pump you should see milk come out - which means it's not blocked anymore. You may find you need to pump/hand express for comfort after its broke if milk has backed up behind it.

    The bottom lip thing hurts too! DD used to do this. If you push her chin/neck fat toward her throat as she feeds it'll often pop that lip out. Not sure that's a great description.

    Personally I wouldn't add a nipple shield into the mix unless you really have to as it can worsen latch and right now you want to get that latch better! Plus DD did the lip thing at least as much with a shield and you can still feel it through the shield :/

  7. #7
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    Default Re: feeling discouraged-any tips or words of encouragement?

    Quote Originally Posted by @llli*bsua65 View Post
    If you have a pump you can try and pump it out if baby feeding isn't helping and that's probably safer than the needle option. Either soak it in a warm saline/hot water first or use olive oil (or coconut if that's what you chose) on cotton wool in your bra for a bit before you do it

    If you go down the needle route... With a sterile needle, don't poke into it as you may cause infection, gently try and lift. I then pulled with tweezers as I didn't know if it was solid milk or skin - but that isn't the recommended thing to do I don't think. If you hand express or pump you should see milk come out - which means it's not blocked anymore. You may find you need to pump/hand express for comfort after its broke if milk has backed up behind it.

    The bottom lip thing hurts too! DD used to do this. If you push her chin/neck fat toward her throat as she feeds it'll often pop that lip out. Not sure that's a great description.

    Personally I wouldn't add a nipple shield into the mix unless you really have to as it can worsen latch and right now you want to get that latch better! Plus DD did the lip thing at least as much with a shield and you can still feel it through the shield :/
    Thanks. I will try to pump because nothing else seems to be working. I've had this bleb for about 2 1/2 months now. I think its turning into a callus.

    And YES! My LO's lib will pop out when I try to push his chin. When that happens it hurts too!

    I really hope something gets this bleb out of my breastfeeding life!!

  8. #8
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    Default Re: feeling discouraged-any tips or words of encouragement?

    did lc refer you to a specialist for tongue or lip tie assessment, did she examine inside baby's mouth herself? And work with you on helping baby get a better latch? was this an ibclc?

    more bleb ideas http://www.llli.org/docs/00000000000...plugsblebs.pdf

  9. #9
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    Default Re: feeling discouraged-any tips or words of encouragement?

    Quote Originally Posted by @llli*maddieb View Post
    did lc refer you to a specialist for tongue or lip tie assessment, did she examine inside baby's mouth herself? And work with you on helping baby get a better latch? was this an ibclc?

    more bleb ideas http://www.llli.org/docs/00000000000...plugsblebs.pdf
    no... the lc didnt refer me to a specialist. She watched me nurse and my lo knocked out so thats pretty much all that happened. should she have done more? she is an ibcic. I think I was able to get the milk bleb opened and it has been healing for a couple of days now. But the area where the bleb was is now a pinkish spot. it that normal? could the cause of the vasospasms be the bleb or should it be something more like tongue or lip tie? If my LO did have a toungue or lip tie then should I have problems on both breasts? I only have issues on one side.

  10. #10
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    Default Re: feeling discouraged-any tips or words of encouragement?

    A pinkish spot where there was once a blister or bleb sounds like new skin, like the area is healing. This is what happens when my sons hands heal after a blister pops and dead skin sloughs off. (They are gymnasts.) But of course I have no idea if that is what is happening in your case.

    I am pretty sure blebs do not cause vasospasms. The two things may be unrelated, or they may both be related to a poor latch. Were you able to read the articles I linked in my first post?

    As far as what the IBCLC should have done, this is kind of hard to say. This is going to vary from IBCLC to IBCLC. Not only does each one work a bit differently, but sometimes they are constrained by a too short time limit for appointments imposed on them by their employer or by what they are able to charge insurance. It takes time-1 to 2 hours at least- to do a truly complete lactation consultation, in part because the LC is really treating two people- baby and mom-and both require an 'exam' and a history taken, and also in part of course because babies are so unpredictable and cannot be expected to perform on command! Unfortunately this is something those who set such time limits may not understand.

    This is a description of a thorough lactation consultant. If I was seeing an IBCLC for a serious issue like ongoing nipple pain, (and I have actually had to see IBCLCs for that, more than once) something pretty close to this is what I would expect: http://cwgenna.com/lconsult.html
    Last edited by @llli*maddieb; January 20th, 2015 at 10:22 PM.

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