A little background--I am about 18.5 weeks pregnant and am still nursing my 2.75 year old. I have a history of PCOS.
However, in doing my very interesting LLL training studying I came across some information that bothered me.
When my DD was born I had terrible wounds--they peaked when she was about 3 weeks old, and it wasn't until she was maybe 3-4 months old that I was able to get them to totally heal with bactroban. All except one wound--it was a scale-looking one on one side that would not heal. I would nurse and the scale would come off every week or two or three, then the scaly part would grow back again. Two IBCLCs looked at it and referred me to the local center for breastfeeding medicine for the issue. The doctor looked at it, as well as a resident. She said that it would likely heal with weaning, but that is wasn't a weaning issue. Nearly a month ago I weaned her from that side--so, she no longer nurses the affected side, though she does nurse on the left, or unaffected side. So, in that 3-4 weeks this thing hasn't healed--it looks like a scale still--Ive tried lansinoh and polysporin, and I've tried just leaving it. I noticed yesterday that the whole bottom part of the nipple (not areola) looks a bit dry and flaky--not sure how long it has looked like that, I hadn't noticed. It is not itchy or painful (except painful when I was in the act of nursing, which I'm not doing on that side any longer). Also, I have been able to express a tiny bit of what looks like colostrum from the injured side but not from the uninjured side.
The reason I am actually concerned about this is that the doctors I've seen haven't recommended any testing for Paget's disease. I just read about it in an LLL book and to be honest, it scared the daylights out of me. This could also be an issue that happens to medical students--you know, they read something in a pathology book and all of a sudden they think they have some bizarre tropical disease--power of suggestion, right? I'm wondering if I should ahve been screen for Paget's though. It is a very rare disease, and my guess is that in the past 33 months that if it were some sort of cancer (like Paget's) I would know by now. Also, if this came up as an injury, chances are it is just an injury that is now taking a long time to heal--maybe it is healing, but I just can't tell yet. The dry-ish looking skin that's there otherwise might just look that way because nobody's nursing (exfoliating?) that side anymore. I don't know. Admittedly, I am a BIG worriwart. BIG. HUGE. ONE.
I have an appt with my MW's back-up OB/GYN a week from yesterday.
Does anyone know anything about this? I'd really appreciate any information!
Ann
However, in doing my very interesting LLL training studying I came across some information that bothered me.
When my DD was born I had terrible wounds--they peaked when she was about 3 weeks old, and it wasn't until she was maybe 3-4 months old that I was able to get them to totally heal with bactroban. All except one wound--it was a scale-looking one on one side that would not heal. I would nurse and the scale would come off every week or two or three, then the scaly part would grow back again. Two IBCLCs looked at it and referred me to the local center for breastfeeding medicine for the issue. The doctor looked at it, as well as a resident. She said that it would likely heal with weaning, but that is wasn't a weaning issue. Nearly a month ago I weaned her from that side--so, she no longer nurses the affected side, though she does nurse on the left, or unaffected side. So, in that 3-4 weeks this thing hasn't healed--it looks like a scale still--Ive tried lansinoh and polysporin, and I've tried just leaving it. I noticed yesterday that the whole bottom part of the nipple (not areola) looks a bit dry and flaky--not sure how long it has looked like that, I hadn't noticed. It is not itchy or painful (except painful when I was in the act of nursing, which I'm not doing on that side any longer). Also, I have been able to express a tiny bit of what looks like colostrum from the injured side but not from the uninjured side.
The reason I am actually concerned about this is that the doctors I've seen haven't recommended any testing for Paget's disease. I just read about it in an LLL book and to be honest, it scared the daylights out of me. This could also be an issue that happens to medical students--you know, they read something in a pathology book and all of a sudden they think they have some bizarre tropical disease--power of suggestion, right? I'm wondering if I should ahve been screen for Paget's though. It is a very rare disease, and my guess is that in the past 33 months that if it were some sort of cancer (like Paget's) I would know by now. Also, if this came up as an injury, chances are it is just an injury that is now taking a long time to heal--maybe it is healing, but I just can't tell yet. The dry-ish looking skin that's there otherwise might just look that way because nobody's nursing (exfoliating?) that side anymore. I don't know. Admittedly, I am a BIG worriwart. BIG. HUGE. ONE.
I have an appt with my MW's back-up OB/GYN a week from yesterday.
Does anyone know anything about this? I'd really appreciate any information!
Ann
