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Common breastfeeding concerns: breast soreness, inflammation, and infections

Chapped or cracked nipples are perhaps the most common problem that women experience during the first few weeks of breastfeeding. There are many over-the-counter remedies available to alleviate chapping, but the most commonly used are ointments made from lanolin. There is a common belief that women need to wash their breasts between each feeding, which is both untrue and a major factor in chapped nipples. Skin around the areola and nipple can become chapped simply because it is unaccustomed to amount of friction that occurs during breastfeeding, and washing that skin with soapy or plain water will cause it to become dry and more prone to cracking. Between feedings, mothers should allow their breasts to remain uncovered and dry naturally when possible. Most often, the cause for chapped nipples is that the baby is not latching on properly to nurse. This can be remedied with help from a lactation consultant, doctor, or simply by some independent research so that a new mother understands proper latching technique and how to help her baby achieve it. Lanolin ointments do not have to be removed before breastfeeding, so they can be freely applied to alleviate discomfort and dryness and they are harmless to the baby. Women with wool allergies should avoid lanolin-based products because lanolin is made from sheep's wool, but many other lanolin-free treatments are available without prescription.

It is also possible that nipple soreness can be related to thrush, which is a fungal infection that can make breastfeeding painful. Common symptoms of thrush included reddened patches on nipples and breasts, and shooting pain while nursing. This can be easily treated with creams that are used to treat vaginal yeast infections, or other preparations as recommended by a physician. A woman's should consult her doctor if thrush is suspected.

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Engorgement of one or both breasts may occur when the mother's milk supply "lets down" and comes in fully. Engorgement can lead to flattened nipples due to the pressure behind them, making it difficult for the baby to properly latch on and help relieve the breasts of excess milk. Relief can be obtained by using applications of heat and cold, massage, and over-the-counter pain relievers that are approved by a physician. Engorgement can be the result of an atypical length of time between feedings or feeding from one breast more than the other.
 
Women who believe they are experiencing engorgement should consult with their physiciain to ensure that they are not suffering from mastitis, an infection of the mammary glands. Like chapped nipples and engorgement, mastitis can also result from improper technique and positioning during breastfeeding, allowing bacteria to enter through a milk duct in the nipple. There is a commonly held belief that women cannot breastfeed if they are affected by mastitis, but this is yet another myth. Although breastfeeding an infant must be handled carefully in the presence of infection, nursing can actually help the mother recover from mastitis by reducing pressure on the affected breast. If a woman suspects that she has mastitits, it is very important that she sees her doctor as soon as possible. Women suffering from mastitis must seek the care of a doctor in case antibiotics are needed, and to ensure that breastfeeding continues in a way that is safe for mother and baby.
 
Women must also be aware that even in cases of mastitis and thrush, breastfeeding can usually be continued during treatment and in fact, often helps to relieve pain and swelling in the breasts. There are common myths which suggest that the milk produced during mastitis and thrush will make the baby sick, but this is not true in most situations. 
 

If you enjoyed this article, be sure to click "like" or "share" on the Facebook link at the left, and click here to see Melanie Nowlin's entire resource article collection on the subject of breastfeeding. You can also follow her on Twitter for links to new articles, breastfeeding Q&A, and daily updates. Ms. Nowlin also manages a Facebook community, "Breastfeeding Support and Advocacy", to which she posts article updates and helpful links for breastfeeding and expecting mothers. 


Aiken, SC
33.561641693115 ; -81.722137451172

, Breastfeeding Examiner

Melanie Nowlin, a former professional caregiver and current stay-at-home mother, has been writing for the web for years. An avid breastfeeding advocate, Melanie possesses a wealth of nursing knowledge gleaned from diligent research and hands-on experience. She believes that with a realistic...

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