Breastfeeding

Sore Nipples

Sore nipples are probably the most common problem mothers have when breastfeeding. Sore nipples may be caused by different things. Treatment of sore nipples depends on the cause. It is important to find out what is causing the problem. A certified lactation consultant (IBCLC) or health professional trained in lactation support will be able to help.

Breastfeeding should not hurt, and the skin on your nipple should not break down. However, mild tenderness is fairly common for the first week or two of breastfeeding. The discomfort is similar to the kind of tenderness some women have with their menstrual cycles. It should go away in the first few weeks.

If your nipples are very sore or feel bruised it is likely due to a poor latch or problems with sucking. Suspect a problem with baby's latch or sucking if your nipples become very red, raw, blistered, or cracked. A latch or sucking problem might also result in nipples that look creased or blanched (turn white) at the end of feedings. Structural variations in the baby's mouth can cause these problems as well. Seek help from your health care provider or lactation consultant to get the treatment you need. Certain creams or dressings may promote healing. Others can actually cause more damage. Also, avoid any treatment that might result in drying the nipple tissue. Products that are drying may lead to cracking of the skin.

When nipples become red and burn, or feel extremely sore after weeks or months of pain-free breastfeeding, it may be due to a yeast infection such as thrush. Yeast may appear as white patches in the baby's mouth or it may show up as a bright red diaper rash. Specific medications are needed to treat yeast infections. Contact your baby's physician for more information and treatment.

Contact us

For additional information on this or any Health Topic, please call the Family Resource Center, 513-636-7606, or your pediatrician.

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