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Breastfeeding dramas with newborn - advice please


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#1 chelley

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Posted 27 April 2012 - 04:15 PM

Rafferty and I have had feeding issues since he was born. He has an embedded chin which meant he has had a lot of trouble opening his mouth to even take a bottle or a dummy. We were given a set of oral exercises for him.I asked for help with every feed but by the time I came home from hospital I had bleeding and totally scabbed over nipples.

His attachment looked perfect from the outside but he was badly ridging my nipples and several lactation consultants felt it was his mouth shape.

I started expressing EBM into a bottle and we gave him that while my nipples healed.

Then 4 days after bringing him home I had full blown mastitis in my right breast. I tried nipple shields and he wouldn't have a bar of them. My obs midwife who saw me at home thought I had mastitis but also nipple thrush.

So currently I am booked into Possum Cottage next week for the breastfeeding school. The early childhood nurse saw me yesterday and encouraged me to get him back on the breast.

He is ridging my nipple less each feed but the pain is horrendous.

The pain is in both breasts in the breast tissue more than the nipples. My breasts actually hurt more between feeds and can still be seriously hurting 2 hours after a feed. Last night I fed him at 1am and at 3am I was still awake hugging a hot water bottle, having taken panadol because my breasts hurt so badly.

I breastfeed Aurelia for 17 months with not so much as a cracked nippple. I never had this pain.

Does this sound like nipple thrush? My nipples show no visible signs of thrush except for these stabbing breast pains.

Has anyone else had dreadful breast tissue pain, primarily on the sides of my breasts and towards the bottom.

My bras are well fitted, I have been using Lanisoh and am putting daktarin on for suspected thrush. I am on my repeat script for antibiotics.

Any ideas are welcome.
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#2 Decembergirl

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Posted 27 April 2012 - 04:26 PM

Sounds like thrush to me. If you've got or had cracked nipples avoid lansinoh like the plague, it will only make the thrush symptoms worse. Get some natural paw paw, and some gel pads which you need to change every hour. I had two bouts of nipple thrush with no outward signs and the pain you describe is exactly what I had. Try to keep feeding through the pain if you can, as it will help you avoid another bout of mastitis.

Get yourself to a doctor as soon as you can, to get checked, and also get some Nilstat drops for Rafferty, so that you're not reinfecting each other.

BTW - I've been absent of late, so congratulations on the arrival of your young man! smile.gif
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#3 Guest_Windsor_Guest

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Posted 27 April 2012 - 04:27 PM

Oh you poor thing.

You've just described my experience exactly, even down to the ridging of the nipples (although no one ever suggested that might be due to the shape of bub's mouth, they just kept telling me it 'looked right' when I had them in for every feed...)

I just keep feeding. I had LC home visits and constant mastitis and then an abscess. I remember the pain lessening around 6 weeks, having about one good week then the abscess started flaring up.

Thrush was the first thing everyone asked about but we did not have it.

I really hope you get some help and get it sorted out. Sorry I don't have any more advice other than to say it happened to me too sad.gif

#4 MissNic

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Posted 27 April 2012 - 04:29 PM

Oh I feel your pain. I had the most horrible start to feeding with DS. We went to a b/feeding clinic to be told that the latching looked OK and "it would be good to see what is happening on the inside" rolleyes.gif

The ridging was painful. I was in tears a lot. I hate to say this and I hope it doesn't take you this long but it was 9 hard weeks until we got to b/feeding was a comfortable experience for me.

The things that I did; lanolin, lots of deep breathing, changing feeding pillows to something firm and the best invention ever ... http://www.mothersdi...are/nipple-ease ... I kept saying to DH that I needed something to take the pressure of a bra away and found these by happy coincidence. They helped SOOO much.

I hope it gets better soon. Hang in there if you can.
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#5 Avery

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Posted 27 April 2012 - 05:27 PM

I think it sounds like both. Ive recently had to put J on EMB bottles sad.gif but before that had thrush and mastitis/blocked ducts.

Thrush for me was sharp stabbing pains in my breasts but I had no outward signs (except for J's white tounge).

Mastitis/blocked ducts were more the painful dull ache, lump in the breast and pain while feeding. Only relieved whem the lump was finally massaged/expressed out.

Hope you are feeling better soon xxx
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#6 **** Sarah and Adam ****

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Posted 27 April 2012 - 07:15 PM

I had nipple vasospasms with my first, can present similarly to thrush, do a google and see if the symptoms relate.

I hope you can get into a groove, it can be so hard.

#7 chelley

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Posted 27 April 2012 - 07:28 PM

thanks girls I don't think it is vasospasm Heather because my nipple does not look white.

Rafferty shows no sign of thrush in his mouth.

Windsor did your BFing issues with Caitlin improve or did you go to formula?
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#8 *MrsW*

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Posted 27 April 2012 - 09:06 PM

You poor thing. I had nipple thrush and blebs for the first 10 weeks. It was horrible, but I was determined to keep feeding.

I agree about seeing your GP. I had to use drops in D's mouth, cream on my nipples, oral tablets for me and I also managed to get thrush down there. So had to treat that too. Also, make sure you wash everything in hot water to stop it spreading.

One day I woke up to feed him (and dreading it) and he just latched on with no pain and had our first beautiful connecting feed that I had been dreaming of.

10 weeks of hell, but worth it in the end. On days that I couldn't take the pain I would express a feed or use formula.

Hang in there x

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#9 ClaireBear

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Posted 27 April 2012 - 10:37 PM

You are describing my experience with breastfeeding Alexandra almost word for word. I had severe stabbing pains in my breasts that would radiate outwards at any time and it was decided by the LC that I had thrush in my ducts. Alexandra had no symptoms. She also had the set back chin and we were given exercises to do as well.

I expressed and bottle fed for weeks and took diflucin and had some gel as well to use in her mouth and on my nipples (it wasn't nilstat, it was another that says on the pack not for under six months but the LC and OBGYN assured me it was the gold standard for treatment).

I got her back on the breast at 9 weeks and although her latch is great, I still sometimes have ridging when she comes off. The good news is, it doesn't hurt anymore.

I really feel for you. All I can say is hang in there. I'm sure you'll look back in a few weeks and say, "Wow that was tough, but I did it!".
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#10 Guest_Windsor_Guest

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Posted 28 April 2012 - 08:40 AM

QUOTE(chelley @ Apr 27 2012, 07:28 PM) View Post

Windsor did your BFing issues with Caitlin improve or did you go to formula?


The feeding itself improved between 6-8 weeks but the abscess caused a host of other issues and we went to EBM at 10 weeks with a slow wean to 14 weeks. She got formula top ups when I was in hospital and when I was home I just couldn't put her on psyschologically.

#11 Woodland

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Posted 28 April 2012 - 08:52 AM

My DS couldn't seem to open his mouth wide enough for us to achieve successfull bf. I had nipple thrush and in the end was hospitalised with severe mastitis.
I stopped bf him while in hospital (he was 3 weeks old) because it was affecting my bond with DS as I would associate him with pain.
As soon as I started bottle feeding I actually started to enjoy him.
Next baby Im going to use nipple shields from the beginning and if bf isn't successful within a few weeks I'll not hesitate to move to bottle feeding.
Good luck with it all Chelley, some babies just don't seem to have the mouth for successful bf so if its not working don't feel bad about moving on to bottle feeding (that's what its for).
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#12 goodgirl

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Posted 28 April 2012 - 11:02 AM

QUOTE(ClaireBear @ Apr 27 2012, 11:37 PM) View Post

I expressed and bottle fed for weeks and took diflucin and had some gel as well to use in her mouth and on my nipples (it wasn't nilstat, it was another that says on the pack not for under six months but the LC and OBGYN assured me it was the gold standard for treatment).

We went through 3 bottles of Nilstat before we tried Daktarin which cleared up the thrush for me. I could see it in L's mouth though even though I showed no outward symptoms. It's not recommended for babies under 6 months because of the choking hazard. Parents were spooning clumps of gel in which obviously a baby can't swallow. We used it on L when he was about 3 or 4 weeks old but put some on our finger and rubbed it around his mouth.

If it is thrush you can try having really hot showers (as hot as you can bear) and let the water run over your breasts and nipples for as long as you can. Thrush doesn't like heat so this will help clear it up quicker. Massaging the breasts in the shower will also help if there's blocked ducts or mastitis.

When I had thrush I expressed and bottle fed L. I found the pump far less painful (although it still hurt) than breastfeeding and feeding L directly made me cry through every feed. Do what you need to do to get through each day and if that's keeping R away from the breasts till they heal, then do it. Babies can learn to breastfeed later if you wish. It took me about 3 weeks to teach L to breastfeed (with nippleshields) which we did for 3 months. At that point all of my pain and issues were over and then I spent the next 3 months teaching L to breastfeed without shields. It took a while but we got there.

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#13 Myst

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Posted 28 April 2012 - 11:26 AM

Oh you poor thing sad.gif sad.gif

I had terrible nipple thrush for 16 weeks with Avery. It was terrible and wasn't diagnosed for around 8 weeks as there were no visual signs on either me or Avery. The pain that you are describing does sound like it could be systemic thrush which is what I had. Unfortunately if the thrush is systemic (meaning it has moved inside your body rather than being a topical condition) then you will need something to treat it on the inside.

I used Daktarin, Nilstat, sunlight and just about every known remedy for thrush but nothing worked. In the end it was a 4 week course of Diflucan (which cost a LOT) was what helped though to be honest it was a lot of just working through the pain. For me it felt like razor blades coming through my nipples when A fed and then it was a duller and deeper but constant pain in-between feeds. I cried pretty much through all feeds for a long time until I just learnt to cope better with the pain. Avery also couldn’t latch properly and after many workshops on breastfeeding and paying for personal consultations it seemed that she never would get the latch. It all looked good from the outside but it wasn't.

I would try a course of Diflucan, if the pain stops then you will know that it is systemic thrush, if it doesn’t then at least you will have ruled that out. I have also had mastitis but the thrush pain was much deeper in the breast, it was much worse. Here is a link to my post about thrush if you want to have a read: http://community.i-d...howtopic=146400

Good luck, I hope things get better. Also just FYI – I am still breastfeeding Avery and she is now 19 months, she has never been a great feeder or latcher but we got there in the end though I have nothing but respect for anyone that decides to switch to formula after these sorts of problems. It really becomes a decison about whether it's worth all of the pain.

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#14 chelley

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Posted 28 April 2012 - 12:07 PM

QUOTE(Windsor @ Apr 27 2012, 04:27 PM) View Post

Oh you poor thing.

You've just described my experience exactly, even down to the ridging of the nipples (although no one ever suggested that might be due to the shape of bub's mouth, they just kept telling me it 'looked right' when I had them in for every feed...)

I just keep feeding. I had LC home visits and constant mastitis and then an abscess. I remember the pain lessening around 6 weeks, having about one good week then the abscess started flaring up.

Thrush was the first thing everyone asked about but we did not have it.

I really hope you get some help and get it sorted out. Sorry I don't have any more advice other than to say it happened to me too sad.gif


I got the "it looks right" at each feed too


QUOTE(ClaireBear @ Apr 27 2012, 10:37 PM) View Post

You are describing my experience with breastfeeding Alexandra almost word for word. I had severe stabbing pains in my breasts that would radiate outwards at any time and it was decided by the LC that I had thrush in my ducts. Alexandra had no symptoms. She also had the set back chin and we were given exercises to do as well.

I expressed and bottle fed for weeks and took diflucin and had some gel as well to use in her mouth and on my nipples (it wasn't nilstat, it was another that says on the pack not for under six months but the LC and OBGYN assured me it was the gold standard for treatment).

I got her back on the breast at 9 weeks and although her latch is great, I still sometimes have ridging when she comes off. The good news is, it doesn't hurt anymore.

I really feel for you. All I can say is hang in there. I'm sure you'll look back in a few weeks and say, "Wow that was tough, but I did it!".


Claire thanks for the encouragement. Your symptoms are IDENTICAL to mine. Thankfully someone else understands how painful it is. I guess I need to get myself some diflucan and get back to the GP.

Thankyou so much smile.gif

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