Happy Mothers Breastfed Babies
Page 1 of 2 12 LastLast
Results 1 to 10 of 11

Thread: Soreness and Milk Clots?

  1. #1
    Join Date
    Sep 2008
    Location
    Gulf Shores, AL/Oxford, MS
    Posts
    152

    Unhappy Soreness and Milk Clots?

    Hello all,

    My daughter is 2 weeks old as of yesterday, and we've been having some nursing trouble...I spent the first week home from the hospital exclusively breastfeeding and after a few days found myself in excruciating pain whenever she would first latch-on and begin suckling either breast (especially the left). This resulted in a lot of cracking and eventually some bleeding, to the point where the nipples looked almost like hamburger meat. I could hardly stand to put her to breast at this point, it was so excruciating at times that I broke down crying. It got to the point where the nipples constantly burned. After a while I started to notice that the cracked part of the nipples became coated in white and immediately suspected thrush. Went to the OB and was put on 3 doses of Diflucan and 2 weeks worth of nystatin cream. Baby's pedi put her on Diflucan also...my dosage of Diflucan has run out but she is still on the meds. I was told to pump milk for her as often as possible (which is very difficult for me to find time to do as a single mom) and then supplement with formula. She has been doing pretty well with this and has finally begun to gain her birth weight back. (She was stuck at 8lbs. for about a week with no gain.)

    However, NOW I am out of Diflucan for myself and there is still a lot of pretty severe cracking on the nipples. I can tolerate nursing her on at least one breast about once or twice a day without pain during the feeding, but after the feeding severe burning resumes. ALSO, I am having trouble getting milk from the left breast...it is the most cracked and I seem to pass a lot of milk clots (I assume this is what they are) from that breast especially. Slimy, thick, fibrous discharge that is the color of milk. It clogs the breast pump at times, sometimes reaching the size of an egg yolk, and I assume it keeps baby from getting enough milk from nursing directly. It also seems to prevent the left breast from ever emptying as much as the right breast. Is this clotted milk or just yeast? Should I go back to the doctor for this? Anyone else had this problem?

    By the way, the LC's at the hospital said she was great at latching on and she always looked as if she were properly latched, so I'm not convinced that her latch-on is the problem.

    Sorry if this is a bit long-winded, but I really want to nurse my baby and have been very disappointed that breast pain has prevented me from efficiently nursing so far. Any advice or suggestions are greatly appreciated! Thank you!

  2. #2
    Join Date
    Jan 2008
    Location
    NoVA
    Posts
    1,535

    Default Re: Soreness and Milk Clots?

    This is really tough for you right now! It's all very overwhelming, it will get better though!

    Ok, the first thing I'm thinking with your nipples hurting so much is when you said that the pain was very bad when she latched on and then got better? At least before all the other problems came! Usually this is a sign that there's something wrong with the latch. It may LOOK good, but if it puts you in pain and gives you huge cracks then there is something wrong. I can give you lots of links, but it's hard to help you know what might help for you guys unless I see you. Do you have a local Leader that you can contact?? She might have some more ideas for you guys once she sees you.

    Latching Links:
    http://www.kellymom.com/bf/start/bas...resources.html
    http://www.thebirthden.com/Newman.html (see the video links!)
    Here is also info about healing your nipples - you can use ice to numb them, and also take a over the counter pain reliever!


    Yeast is really tough - if one of you still had it after treatment then you can most certainly pass it back and forth between you two. For really tough yeast it can take more than one treatment and some other changes like cutting way down on your sugar intake.

    http://www.kellymom.com/bf/concerns/...resources.html

    The way that you are describing the milk clots sounds to me like it might possibly be either clogged ducts, or even mastitis. Clogged ducts feel hard, sometimes painful and red. Nursing is the best help for this, which I understand for you is extremely painful right now, so that could be contributing to the problem. Mastitis, is a breast infection. It is not harmful for your baby to drink the milk, but it is a serious thing for you. Symptoms are flu like symptoms, hard painful aching breasts, red streaks on your breast, the clumpy stringy milk, fever. If you think you might have it, and have had it for more than 24 hours, or you have a high fever it's time to get to the doctor. They treat it with antibiotics which are compatible with nursing. It's important to keep removing the milk from your breasts, here's a link about hand expression, that might help you a lot as everything else is so painful for you right now.
    Here's a good link about clogged ducts and mastitis.

    You might consider talking to the doctor about a breast infection, or a skin infection. This can sometimes have a lot of symptoms like yeast, but with cracks that are not healing, an infection can be present.

    With ALL of this going on, seeing the LC again might be a good idea. Maybe instead of pumping and feeding with a bottle you could try using a nipple shield for awhile. A bottle is probably only going to make latching more difficult, because your little one nurses you much different than a bottle.

    This is a lot of info I've given you, sorry to bombard you! I hope something helps though and you guys can get it figured out. And I just want to say way to go mama with sticking this out!!
    Jessica
    LLL Leader

    Breastfeeding is an instinctual and natural act, but it is also an art that is learned day by day.

    Visit LLL of Ashburn PM's Blog!

  3. #3
    Join Date
    Jan 2006
    Posts
    18,063

    Default Re: Soreness and Milk Clots?

    nothing to add besides try and contact your local leader!
    Shes around to listen....
    use the find local support bar at the top.
    You can do this!

  4. #4
    Join Date
    Sep 2008
    Location
    Gulf Shores, AL/Oxford, MS
    Posts
    152

    Default Re: Soreness and Milk Clots?

    Thanks so much for the support!

    Went back to the doctor today (who is also a LC) and she prescribed several more doses of Diflucan for me since the infection is still present...have another follow-up appointment for next week. LC told me not to nurse until the cracking has healed since it is so severe, but I'm continuing to pump whenever I can. I hate giving my baby formula!! She likes breast milk much better even if it is from a bottle.

    Doc said the clumpy, clot-like things are yeast that is being ejected from the breast. Not fun! But I'm working with 2 LC's, including the doc, and they're ready and willing to help me get through this.

    Not giving up yet! I hope that anyone else with this problem is continuing to see the doc and LC!

  5. #5
    Join Date
    Jan 2008
    Location
    NoVA
    Posts
    1,535

    Default Re: Soreness and Milk Clots?

    Glad to hear that you guys have a plan to get this all worked out! A good support team is key!! Hope things turn around for you guys soon!
    Jessica
    LLL Leader

    Breastfeeding is an instinctual and natural act, but it is also an art that is learned day by day.

    Visit LLL of Ashburn PM's Blog!

  6. #6

    Post Re: Soreness and Milk Clots?

    I have been fighting with milk clots for 3 months. So I know where you are coming from. My case isn't as bad as yours but has been a test of patience and endurance.
    About two weeks after the baby came home i became sick with mastitis, but i was already pumping everything and saw these clots. I did rounds of antibiotics with acidophilus, yogurt, and probotic 11 to prevent yest. I even took primrose oil, soya lecithin, and garlic oil for the clots. The Dr.'s thought that I was all clean and stopped the antibiotics, but a week later i was sick again with mastitis. They sent my in to run a culture on my milk and it came back positive for MRSA and blood. They sent me to a specialist for a biopsy and so far I haven't had to have one yet.
    I haven't been on antibiotics for 6 weeks and so far i have kept the infections away. But not without enduring some pain when the breast is completely blocked. Every so often after i pump...i notice that i am clot free and maybe by the next pumping or two the clots are back, but some improvement is better than no improvement. I can feel when the nipple or a duct gets completely blocked because the pumping pulls at it and causes some discomfort, i think partly because my clots are sometimes gritty like sand. They tell me that the slimey discharge is inflamation (via the culture) so i take motrin for that when i feel heated or for pain.

    I know this is a really long story but i hope that it either helps to keep your spirits up or give you some ideas for how to treat or prevent the clots. I know how i felt/feel dealing with being sick and in pain. If i wouldn't have had my mother-n-law's support and advice, and my baby girl's face when she nurses, i probly would have given up by now.

    Drop a line back. I would really like to know how the yeast treatment worked.

  7. #7
    Join Date
    Mar 2010
    Location
    Brussels, Belgium
    Posts
    1,302

    Default Re: Soreness and Milk Clots?

    Here the standard treatment time for thrush is 2 weeks of diflucan tablets daily, as nipple thrush is harder for the drug to 'get at' than vaginal yeast. Tell us how you're doing!
    Thrush is so hard! You're a single mom too, with a newborn, and clogged ducts. Hang in there and it will all be alright.
    Katharine
    Be the change you want to see in the world--Mahatma Gandhi
    mid-August DD (2010) & DS (2011 VBAC)
    Ouch! Is it thrush or Raynaud's phenomenon?

  8. #8
    Join Date
    Apr 2010
    Posts
    34

    Default Re: Soreness and Milk Clots?

    I am not sure that the MD is correct when calling these clots "yeast". I would be very nervous that you have a bacterial infection. The fact that your nipples are so damaged could certainly set you up for an infection. If the problem persists after so much DIflucan, I may consider having your milk cultured. This culturing is rarely done, but Difulcan is strong and if isn't effective with the yeast there may be another culprot here.

    Also, maybe considering asking your MD about All Purpose Nipple Ointment, it is great because there is a steroid, anitibiotic, and antifungul...so at the very least it will start the healing.

    Good Luck!

  9. #9
    Join Date
    Jul 2010
    Posts
    19

    Default Re: Soreness and Milk Clots?

    I'd second what LLLJessica said about the latch. I read all the breastfeeding info before he was born and felt totally prepared for that latching thing, but it was harder than I expected! I was putting up with a certain level of pain, figuring this is just the way it goes, and am grateful my midwives clued me in on the difference between "almost right" and "right."

    Take care, get well, and good luck!

  10. #10

    Question Re: Soreness and Milk Clots?

    During the first and a half month I was on two arounds of Difulcan....with no success. They then tested my milk for a bacterial infection by culture and found that I had MRSA. They placed me on stronger antibiotics, which caused lots of gas issues for the baby, but this also ended with little improvement. I do plan to ask my Dr. about another around of Difulcan.
    I noticed that shortly after the baby started to direct breast feed again a major improvement. But on days that I go to work it worsens again. (Not really sure if there is an actual connection to the direct feedings or work.) During my next visit to the Surgen I plan to ask about this and see if I shouldn't have another culture to check again for MRSA.
    If anyone can suggest anything else to ask or try please let me know. Any and all input is and would be great....and I mean any!!! (If someone were to tell me that hopping on one leg and clucking like a chicken with a big bird costume on in public would help....I'd probly do it!)
    Last edited by @llli*kbolyard; July 18th, 2010 at 02:23 PM.

Posting Permissions

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