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Thread: Pain after 1 year

  1. #1
    Join Date
    Jan 2007
    Posts
    156

    Default Pain after 1 year

    I nurse my 13 month twins upon arising and before going to bed during the week, and 3+ times a day on the weekends. A little more than a month ago I had my first of a series of milk blebs. At about that time nursing starting getting more painful and it's just not gotten any easier. We had a lot of problems in the beginning (immaturity of the babies, recurrent yeast, Raynaud's, poor latch, supply issues), but had worked through these sufficiently.

    DD has always been way gentler than DS, but now it hurts worse w DS than it used to, and it has started to hurt w DD. It improves though does not resolve as DS continues to nurse. He just won't open up far, so I've settled for his so-so latch all year, and his suck is quite strong. I don't see how both twins could've changed their latch simultaneously, but it feels like their teeth (upper and lower) scraping my sensitive skin. They do not intentionally bite me.

    I've already treated again for ductal yeast (diflucan, APNO and occasional GSE), but neither child has thrush and my skin isn't nearly as hypersensitive as when I was infected last year. I continue to use all purpose nipple ointment in hopes it'll help settle this down.

    So, is the pain because of the blebs that won't go away? --but the pain feels like it's on the areola not the nipple. There are always a couple blebs now, and sometimes I have to needle them, but not usually.

  2. #2
    Join Date
    Aug 2006
    Posts
    8,018

    Default Re: Pain after 1 year

    I had a bleb for MONTHS that was very painful (after one year), and what I thought was a yeast infection/thrush, but when I saw a specialist she diagnosed it as a deep-intraductal bacterial infection that would probably take 2-3 rounds of antibiotics to clear up!
    I had the bleb, very painful and sensitive nipple, overall breast tenderness, and burning pain after nursing. I was using GSE, acidophilus, and APNO and it just wasn't getting better. Even a course of diflucan did not help. The antibiotics did the trick, but I was sure to continue taking the probiotics at that time.
    Have you seen a health care provider specializing in lactation, or an IBCLC?

    Molly

    Loving mama to JP (DS, 1/03 ~ nursed 6 mos), EL (DD1, 9/05 ~ nursed 4 yrs), EJ (DD2, 3/08 ~ nursed 3 yrs 9 mos), and
    JM (DD3, 6/12 ~ currently nursing), all born naturally
    Devoted wife to SAHD P, my hero
    A few of my favorite things that I've discovered on the forum: co-sleeping, baby-wearing, tandem nursing, baby-led solids, cloth diapering, APing, selective vaccination...the list goes on

  3. #3
    Join Date
    Jan 2007
    Posts
    156

    Default Re: Pain after 1 year

    I didn't have great luck w the multiple LC's I saw earlier on, so I kinda gave up. At one point I was sent to a dermatologist who is supposed to have a special interest in BF issues, but she missed my recurrent yeast infection (and it was a whopper). She also hadn't heard of APNO. I can try again. My internist admits she doesn't know much about this stuff, and takes my lead instead. I hadn't even considered a bacterial infection, since I knew it wasn't mastitis, and I've had so much trouble w yeast before and never had bacterial trouble. It occurs without fever or other evidence of infection? Is there a directory somewhere of lactation-savvy medical/nurse practitioners? (wishful thinking I'm sure)

    Was getting a lot of hot, lancinating pain this morning on the right side (going into the chest wall/axilla) which I thought was common w yeast. Had a bit on the left, which is unusual, and none this evening. If it happens again, I'll call my dr. and ask about Abx. Thank you for your thoughts -- Maybe that's what I've been missing. And I'll definitely do the probiotics, given my yeast history.

  4. #4
    Join Date
    Aug 2006
    Posts
    8,018

    Default Re: Pain after 1 year

    I'd had mastitis before too, and didn't think the symptoms were the same either. I also did not have a fever, and had thrush symptoms. My doctor felt that, although there may be a yeast overgrowth, it was secondary to the bacterial infection and recurrent plugged duct, and would not resolve until the underlying infection was treated. She was right.
    I had a similar situation before that, where my OB/GYN was basically following my lead based on the Jack Newman stuff I gave her. It just wasn't helping.
    If you want, you can PM me your general location and I can ask the lactation doctor I saw for a referral in your area. She is pretty well-known and regarded.
    BTW I had that same hot, stinging, deep breast pain with my infection. I'm not trying to diagnose you, of course (I am not a health care professional!) but it's probably worth checking into. Also, it took about a month of antibiotics (azithromycin) to completely resolve.

    Molly

    Loving mama to JP (DS, 1/03 ~ nursed 6 mos), EL (DD1, 9/05 ~ nursed 4 yrs), EJ (DD2, 3/08 ~ nursed 3 yrs 9 mos), and
    JM (DD3, 6/12 ~ currently nursing), all born naturally
    Devoted wife to SAHD P, my hero
    A few of my favorite things that I've discovered on the forum: co-sleeping, baby-wearing, tandem nursing, baby-led solids, cloth diapering, APing, selective vaccination...the list goes on

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