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Sore, cracked, and beat-up nipple FAQ- please add your helpful info  

post #1 of 9
Thread Starter 
There seems to be a lot posts lately asking what to do with sore and cracked nipples and that gave me the idea to make this thread. I am hoping to get it stickied so as to make the info more easily accessible. Please reply with your helpful info and links.

NOTE: This FAQ is not about treating thrush. There is already a dedicated thread for thrush. This FAQ is about treating sore/cracked nipples in general, regardless of whether there is thrush, and without specifically giving info on treating thrush. Thank you in advance for sticking to topic and helping to create an effective sticky.

Thanks!

To start out, here is my advice for cracked or beat-up nipples:

When I get a crack I go straight for the Aquaphor. This stuff is a lifesaver for cracked nipples or lips. What I do is
1. Hand express a little breastmilk onto the nipple and rub it to soften the cracked skin
2. Nurse the baby, being sure to change positioning often to help avoid soreness or more cracking
3. When the baby has finished, I hand express a litt more milk onto the nipple and let it air dry
4. Then apply a thick layer of Aquaphor onto the cracked nipple
5. Make sure no clothes are abrading the nipple and the Aquaphor stays on until the next nurse (no top on is the best)
6. Gently rub any extra Aquaphor off the nipple before the next nurse
Aquaphor has no flavor just FYI.

Other helpful info:

One thing I found VERY helpful was realizing that changing nursing position often was the best help for alleviating soreness when nursing my newborns. This helps because the baby's palate is rubbing on different sides of your breast instead of in the same spot all the time you nurse.

It was helpful to learn that a painful initial latch-on the first few weeks was just normal for me and it diminished over time. The pain would only last for about 1 second and curled my toes.

It was also helpful to learn that there is often pain when your milk lets down. It can be an excruciatingly sharp pain for a couple seconds. This pain also diminished over time.

Both of these kinds of nipple pain are usually very normal. Deep breathing through the intital latch-on and letdown pains helped me a lot. After a few weeks, breastfeeding became pretty much painless.

Constant pain while nursing is not normal. If for any reason you feel the pain is too severe or that breastfeeding doesn't seem to be going right or is failing, immediately contact a Lactation Consultant, or the nearest Le Leche League group for more assistance. www.llli.org Don't wait too long if you feel something is wrong, as supply problems can quickly appear, when a mom is hesitant to nurse because of the pain.
post #2 of 9
Thread Starter 
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post #3 of 9
Besides Aquaphor, lanolin creams from brands like Lansinoh, Medela, and even Gerber are readily available at drug stores, big box dept. stores (i.e. Target, Walmart, etc.), and the requisite baby stores.

Breast milk seems counterintuitive to me (and didn't work for me) because wet skin left to air dry easily chaps and letting my nipples chap on top of the cracks was not fun. However, some people swear by it.

I liked the creams because they acted like a barrier between my sore nips and whatever shirt I was wearing. Also, it was so bad sometimes that even the breast pads hurt against them and the cream helped with that.

The creams generally don't need to be washed off before feeding, but if you need to use an SNS with tape then the tape won't stick to skin with the cream on it (even several hours after applying the cream).

My best advice though is that if your pain is so intense that you can't take it and you "cave" and give a bottle, DON'T beat yourself up. Just relax and refocus. You can get through it.

I totally agree, though, that the best fix is early intervention. Have the latch evaluated by a good IBCLC (not all of them are wonderful). If it hurts past the first few seconds, take the babe off and try again. They may sound like they're inconsolably crying, but be assured that it will stop. You will feed them and they will be ok. If they have to wait 5 minutes while you both work on a good latch, they will survive, and they'll likely be more satisfied after feeding with a good latch than not.

Getting latch problems solved as early as possible is paramount. Your relationship with your babe will benefit on all levels if you can get these frustrating problems solved ASAP. But still, it can take a while (I and many women here are testament to that). Prolonged problems are hard to deal with, so find someone to talk to about your frustrations - vent them when you can and try your hardest not to dwell.
post #4 of 9
Quote:
Originally Posted by zensven42 View Post

It was helpful to learn that a painful initial latch-on the first few weeks was just normal for me and it diminished over time. The pain would only last for about 1 second and curled my toes.
Just an FYI that a lactation consultant I work with told me that this happens because when you are not feeding the nipple heals a little and becomes almost scab-like (even though it may not look like a scab). The initial suction of the latch-on causes that healing to crack open, which causes the pain. Just thought you might want to know!
post #5 of 9
I had terrible thrush, and when it was gone, I was still sore. I couldn't manage Lansinoh or anything that thick, so I tried Earth Mama Angel Baby's Nipple Butter and it was much nicer, both to apply and in effect. It's organic too, so your baby isn't getting some petroleum residue.
post #6 of 9
medela makes a product called breast shields...they are these orb-like, UFO-looking deals that you wear over your nipples. they form a seal that doesn't allow clothes to rub or anything else. if you apply lansinoh (or other cream of your choice), wear these, and never take them off unless you are feeding or showering, it makes a HUGE difference. like, my nipples always healed within 24 hours, even if they were cracked and bleeding before.

i always recommend them when people talk about nipple wounds and nipple pain. i really think they helped save my early BF relationship because i had a horrible birth and was not in the mood for any more blood!
post #7 of 9
Quote:
Originally Posted by readytobedone View Post
medela makes a product called breast shields...they are these orb-like, UFO-looking deals that you wear over your nipples. they form a seal that doesn't allow clothes to rub or anything else. if you apply lansinoh (or other cream of your choice), wear these, and never take them off unless you are feeding or showering, it makes a HUGE difference. like, my nipples always healed within 24 hours, even if they were cracked and bleeding before.

i always recommend them when people talk about nipple wounds and nipple pain. i really think they helped save my early BF relationship because i had a horrible birth and was not in the mood for any more blood!
Yes, I used these a lot when my psorasis (yes, I have psoriasis on my nipples) would flare up and I would have a horrible crack halfway around my nipple. I put on my RX ointment, put a shield on and it healed wonderfully.
post #8 of 9
Thread Starter 
bump- keep the good advice coming!
post #9 of 9
Thread Starter 
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Mothering › Forums › Breastfeeding › Breastfeeding Challenges › Sore, cracked, and beat-up nipple FAQ- please add your helpful info