Dealing with Sore Nipples While Breastfeeding: When to Seek Help

I'm in a lot of pain, what should I do?

Hello Doctor: I am currently in the postpartum period and breastfeeding, but my baby has caused my nipples to become cracked.
Is it still okay to breastfeed? Should I see a doctor, and if so, which specialty should I consult? Thank you.

erty, 30~39 year old female. Ask Date: 2013/04/13

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the following are six major causes of nipple cracking: 1.
Incorrect latch position or prolonged sucking time by the baby.
2.
Mothers mistakenly believe that pain during breastfeeding is normal.
3.
The mother's nipples may be more sensitive.
4.
Excessive suction force from a breast pump can cause nipple damage.
5.
The baby's teeth may cause friction and biting after teething.
6.
Poor quality fabric of bras leading to prolonged friction with the nipples.

For treatment, simply apply a small amount of breast milk to the affected area, as breast milk has healing properties that can promote natural recovery.
You may also try using sesame oil or lanolin.
In this situation, it is safe to continue breastfeeding! If further assistance is needed, please consult an obstetrician or contact the obstetric education department of our hospital.
Thank you!
Wishing you peace and health, Dr.
Zhang.

Reply Date: 2013/04/13

More Info

Dealing with sore nipples while breastfeeding is a common issue that many new mothers face. It’s important to address this problem promptly to ensure both your comfort and the well-being of your baby. Here’s a comprehensive guide on how to manage sore nipples and when to seek medical help.

Understanding Sore Nipples
Sore nipples can occur for several reasons, including improper latch, friction from nursing, or even infections such as thrush. When a baby latches onto the breast incorrectly, it can cause pain and damage to the nipple, leading to cracking or bleeding. This can make breastfeeding uncomfortable and may discourage mothers from continuing to nurse.

Can You Continue Breastfeeding?
If your nipples are sore but not severely damaged (i.e., no deep cracks or bleeding), you can usually continue breastfeeding. However, if the pain is severe or if you notice any signs of infection (such as redness, swelling, or pus), it’s crucial to seek medical advice. Continuing to breastfeed with damaged nipples can lead to further complications, including infections.

Tips for Managing Sore Nipples
1. Check the Latch: Ensure that your baby is latching on correctly. A proper latch should not cause pain. You can consult a lactation consultant for guidance on achieving a better latch.

2. Use Nipple Cream: Applying a lanolin-based nipple cream can help soothe sore nipples and promote healing. Make sure to use a cream that is safe for breastfeeding.

3. Air Dry: After breastfeeding, allow your nipples to air dry. This can help prevent moisture buildup, which can lead to infections.

4. Warm Compresses: Applying warm compresses can help soothe soreness and promote blood flow to the area.

5. Change Positions: Experiment with different breastfeeding positions to reduce pressure on sore areas.

When to Seek Help
You should consider seeking medical help if:
- Severe Pain: If the pain is unbearable or persists despite trying the above remedies.

- Cracked or Bleeding Nipples: If your nipples are cracked, bleeding, or have deep fissures, it’s essential to consult a healthcare provider.

- Signs of Infection: If you notice redness, swelling, warmth, or pus, these could be signs of an infection that requires treatment.

- Fever or Flu-like Symptoms: If you develop a fever or other systemic symptoms, seek medical attention immediately.

Which Specialist to See
If you need to see a doctor, you can start with your primary care physician or a pediatrician who can provide guidance on breastfeeding issues. Additionally, a lactation consultant can be an invaluable resource for breastfeeding support and education. If there are signs of infection, you may need to see a dermatologist or an obstetrician/gynecologist who can address breast-related concerns.

Conclusion
Breastfeeding can be a challenging experience, especially when dealing with sore nipples. It’s important to take care of yourself and seek help when necessary. Remember that you are not alone in this journey, and many resources are available to support you. Prioritize your health and comfort, and don’t hesitate to reach out for help if you need it. Your well-being is crucial for both you and your baby.

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