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Discussion Starter · #1 ·
nak<br><br>
My DS is 3 weeks old and my nipples still feel like they are going to fall off. His latch seems to be good, and it helped a bit to go up to the next size nipple shield (we're using it because of my let-down and his tiny mouth), but wow. Every night, my nipples feel like they're on fire.<br><br>
DS is also nursing for 45 minutes on a single breast in a single feeding (I'm block feeding b/c of oversupply too). Is this normal???<br><br>
Help!
 

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Hang in there mama. Do you have any cracks on your nipples? That can cause pain, otherwise take the self to a lactation consultant, as it should not still be causing you problems. Sometimes it is just hard to get that latch just right. Also instead of the nipple shield for a fast letdown, my lc taught me to just slow it using my hand and pinching off the end and that was ds could get started and I slowly let up as my breast started to empty, and this was much easier than the shield. You can also go get some of these, they are onderful, keep them in the fridge and wear them between every feed, they really, really help sore nipples....<a href="http://www.toysrus.com/product/index.jsp?productId=2901998" target="_blank">http://www.toysrus.com/product/index...ductId=2901998</a>. These medela hydro gel pads are great, they say use 24 hrs, but I always used mine until they no longer would stick or swelled to much from leaked milk.<br><br>
If it continues you might need to consider that you might have some yeast causing the problems on your nipples, keep a close eye for any signs of thrush on you or the baby. Good luck mama.
 

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Have you seen an IBCLC?<br><br>
Has he been checked for tongue tie?<br><br>
45 minutes seems like a long time -- it's possible he has a weak suck or a latch that needs to be evaluated or tweaked a bit.
 

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I second the suggestion to check for tongue tie.<br><br>
Is thrush a possibility?<br><br>
Are your nipples white immediately after the babe nurses? (could be a sign of vasospasm or Raynaud's--see kellymom.com)
 

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Discussion Starter · #5 ·
We've seen an LC innumerable times since he was born. I have HUGE nipples, which is another reason why we were seeing her. My nipple was practically flat each nursing session before we used the shields.<br><br>
He definitely doesn't have tongue tie. His suck reflex is wonderful - one of the reasons I haven't yet nursed him without pain. Maybe thrush, but I have no idea what to look for. My nipple is bright white and SORE after each feeding.<br><br>
It's probably a latch issue, but I cannot for the life of me, fix it. Nor do I know what to fix.
 

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I think that the nipple being bright white after nursing is not normal. Check this out and see if any of it seems to apply to you. <a href="http://www.kellymom.com/bf/concerns/mom/nipple-blanching.html" target="_blank">http://www.kellymom.com/bf/concerns/...blanching.html</a><br><br>
Is your LC a IBCLC? You might want to try seeing a different LC to get a second opinion. You could also look for a LLL meeting in your area or call someone at LLL.<br><br>
Here is some thrush info <a href="http://www.kellymom.com/bf/concerns/thrush/thrush-resources.html" target="_blank">http://www.kellymom.com/bf/concerns/...resources.html</a><br><br>
Does your babe have a shallow latch?<br><br>
Has the LC specifically checked the suck? She should stick her finger in the babe's mouth and have the babe suck on her finger so that she can feel if the babe is sucking properly.<br><br>
Make sure you're not missing a tongue-tie. It took 3 IBCLC's before tongue tie was diagnosed for us. A lot of them overlook it. It has caused us all kinds of problems, and it is better corrected sooner rather than later.<br><br>
My babe clamps down with her gums to try to slow the milk flow. Do you think yours is doing this? Does it hurt more when your letdown happens and when babe is gulping? To slow the letdown, get gravity to help you by having the baby on top of you (you lying on your back in bed or in a recliner) as much as possible. Another trick to slow the letdown is to squeeze above the areola before letdown happens and don't let up with the squeezing until the milk has slowed down a good bit.
 

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<div>Originally Posted by <strong>smeisnotapirate</strong> <a href="/community/forum/post/11560803"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">We've seen an LC innumerable times since he was born. I have HUGE nipples, which is another reason why we were seeing her. My nipple was practically flat each nursing session before we used the shields.<br><br>
He definitely doesn't have tongue tie. His suck reflex is wonderful - one of the reasons I haven't yet nursed him without pain. Maybe thrush, but I have no idea what to look for. My nipple is bright white and SORE after each feeding.<br><br>
It's probably a latch issue, but I cannot for the life of me, fix it. Nor do I know what to fix.</div>
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It definitely sounds like a latch issue to me. Without seeing it, I can't say how to fix it either! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><br><br>
Have you been seeing the same LC? It might be time to switch -- is she an IBCLC? That credential makes quite a difference sometimes.<br><br>
He might have a <i>strong</i> suck, but it might not be an effective one, especially if there's something wrong with the latch. If the latch isn't deep enough, his sucking is making your nipple hit the hard palate of his mouth instead of the soft palate. Ouch!<br><br>
Have you been doing the whole breast sandwich thing? Does he have an asymmetrical latch, with the majority/all of the bottom areola (under the nipple) in his mouth, and a little (or a lot, depending on how large your areolas are) areola peeking above his upper lip? Are his lips everted? Is his tongue sticking out over his gums?<br><br>
This video shows the "flipple" technique, which might help: <a href="http://www.breastfeedingmadesimple.com/bms%20new%20home%20page_files/Latch%20Animation.swf" target="_blank">http://www.breastfeedingmadesimple.c...0Animation.swf</a><br><br>
More from that site:<br><br><a href="http://www.breastfeedingmadesimple.com/bms%20new%20home%20page_files/page0006.htm" target="_blank">http://www.breastfeedingmadesimple.c...s/page0006.htm</a><br><br>
The "Your Baby Knows How to Latch On" video is also good: <a href="http://www.ameda.com/community/videos.aspx" target="_blank">http://www.ameda.com/community/videos.aspx</a><br><br>
Finally, I have had some success with clients in letting their babies latch on alone. Sit skin to skin (with your baby's chest laying inbetween your breasts) with your baby with your hands "floating" above them -- just in case they make a sudden movement that causes them to flip or fall. Give him time and he'll make his way to a nipple and latch on -- it's not just newborns that have the ability to do this! Usually letting a baby latch on themselves results in a pain-free latch, but if it's still painful I would have him checked again for a tongue tie throughout his mouth -- not just the front -- or a bubble palate. Maybe cranial sacral therapy would help.<br><br>
Sorry if you've heard all of this already!
 

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I remember using some Lansinoh cream in the beginning when I had sore nipples. It seemed to sooth them.<br><br>
My mom had told me about this next suggestion that she did when she nursed my sister.....she would take gauze, cut up in small pieces and get them wet and freeze them. Then would put on her nipples when they hurt. I didn't try this one.....but probably would have if the lansinoh didn't help.<br><br>
I also met with a LC to check the latch and position when DS was about 3weeks old....at my first LeLeche meeting.<br><br>
good luck.....it will get better!
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>smeisnotapirate</strong> <a href="/community/forum/post/11560803"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">My nipple is bright white and SORE after each feeding.</div>
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That sounds like a latch problem. I would get some help from a LC. Do they go white in between feedings? I have that and yes it's painful but doesn't last that long or happen that often.
 

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I'd call your LC again too. But if your nipples burn, could you have thrush?
 

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Discussion Starter · #11 ·
nak<br><br>
I think it's latch. I went up to the next biggest size shield and really got picky with his latch, and it's not burning.<br><br>
The bigger shield really helped.<br><br>
Still turning white, though.
 

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Hey Sara! I have Raynaud's and it causes my nipples to turn bright white, especially if we have a less than stellar latch. It also HURTS like an SOB. I failed at nursing my first two because of this pain, so I understand where you are. Don't let your nipples get cold. The whole 'walk around with no top and do skin to skin' didn't work for me. I have to have a snug bra on almost all the time (cept at night, I just refuse) and I pull the flap up the moment my nipple comes out of their mouthes. Do your hands tend to get painfully cold in the winter? Do the tips of your fingers and toes get ice cold and nothing warms them up? Do they hurt when you DO get them to warm up? Those are signs of Raynaud's.<br><br>
What really did it for me was getting a good latch. I'm the Latch Nazi now and they don't get the nipple unless they open up wide and latch on correctly. It can suck to take them off 10 times a feeding but they're smart critters and they catch on quickly. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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my nipples were sore for quite a while... until maybe 6 weeks due to what i think now was oversupply. once my supply regulated it got better... hang in there!
 

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With DD1, my nipples were sore for 6 weeks. She would also nurse for about 45 minutes on one side. That worked fine for us. With DD2, I only had 5 weeks of pain and several trips to the LC. It WILL get better, hang in there.
 
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