DS2 was born last October with Spina Bifida, so there was never a time to get the rest I should have had as a breastfeeding mama of three, and I had two bouts of mastitis, one in each breast, when DS2 was still in the NICU after the initial surgeries.
DS2 is doing well, taking one serving of pureed veggies and meat for lunch and one serving of pureed fruit of the spoon, the rest is breast. However, I have had on and off problems with my breasts for months and am at the end of my wits. Now there is chronic inflammation behind my nipples, they are always bleeding after feeding, there is mastitis (hard red hot lump) in one breast, I'm in pain and have had bouts of fever and chills. Earlier this week, I caved in and let my obgyn finally put me an antibiotics (I held out this far because resistancies are extremely dangerous for kids with SB who are at high risk for UTIs due to neurogenic bladder). I have already had to switch from cefuroxim to a penicillin derivative bacause I developed an itchy rash and I am still somewhat itchy, though it's better. Fever is down, pain is better, but so far bleeding, painful lump and inflammation are still there. Apparently this is my last option before taking something that's not compatible with breastfeeding.
Weaning is not an option. Nuff said. Y'all get it. (Even with the little solids he gets, he is already constipated, as kids with SB get due to neurogenic bowel as soon as they're not EBF any more, and we do enemas and laxatives. With formula, that'd be so much harder to control, and he needs his gut flora and stuff for when he needs to take antibiotics himself, which for kids with SB is more often than AB kids, too - again, UTIs, surgeries, etc.). If he were to take a bottle, which currently he isn't.
Things I've tried:
Nipple shields. Forget it.
Block nursing. I did that with my older ones due to oversupply, did not do it with DS2 thinking keeping supply up was critical, but have now switched cause I couldn't take the pain from my right breast any more. Now I do one side for three hours, that's usually one feeding, sometimes two. I feel better doing it, not sure whether it really helps.
Lansinoh and coconut oil on my nipples. Appears to make no difference, but haven't been religious about it. Would it help if I got obsessive?
Warming before and cooling after. Do that when someone else is in the house to help me with DS2. Again, should I make sure I do it every time?
Night weaning. He can sleep through the night, but does not always want to. But the switching back and forth from round the clock nursing to sleeping wreaked havoc on my breasts! Now poor DH has to get up and offer water, while I stare at my kindle to distract myself from the screaming, wanting nothing more than to just nurse him, but I just can't do it anymore - it's nightweaning or it's over.
I am eating an antiflammatory diet, but had, coincidentally or not, wheat the two weekends before the last two flareups, for a wedding and a birthday. That's it for wheat for me now, can't take the risk that it had something to do with it.
can you think of anything else? Am truly lost.