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debcot
10-15-2009, 02:26 PM
Hi, I'm new to this, so please bear with me!!
I'm mum of 3, youngest being 12wks. Always had probs with breastfeeding, ranging from agony to uncomfortable... With the current babe, I've had oversupply, mastitis&blocks then thrush (from antibiotics i guess) and now recurrent blocked ducts on one side.

i guess the latch is the underlying problem. Last couple of days have found if my nipple goes in at a different angle (not pointing upwards/nipple to nose) the feed is pain free!!! (first day off painkillers!!!) Hurray... However the side that first blocked about 5 weeks ago continues to have a tendency to block. I've got good at spotting it early and clearing it, though it ususally means a day of baths, compresses, massage etc. It seems to happen if i ever feed sat up - even if its not hurting, milk seems to be flowing etc. I tend to lie down but its not always poss. As I'm paranoid, I do spend a lot of the feed compressing, massaging lumps etc and maybe should leave it alone...

What I've tried for the blocked ducts (usually in same place, always on same side, varying size, at worst, whole underside of boob solid, no milk coming out): hot and cold compresses seem to help, wide toothed comb, massage etc. I was advised that as big part of problem seemed to be over supply (v painful fast let down, at the slightest touch, lots of leaking, blocks if ever baby a bit longer between feeds), to do block feeding, and then one side per feed, which i've done and my supply seems to be more in line with the baby's needs now. Its a fine balance though, as I know i should feed more often to clear a block, but that sends my supply back up... At one feed on the side that tends to block, I tend to feed, wind him/change position, feed, change nappy/position, feed again, to make sure the breast is really drained. ALso I take Lecithin supps, wear an oversized bra/nothing tight, take care with my position when in bed, and obviously, work on the latch.

This week, after having to feed baby out of the home to attend baby massage, and therefore not totally draining the boob i presume, I had a definate block, though once cleared, its felt the block is still there, hidden almost; though the breast feels soft to the touch after a feed , and no more milk is coming when i try to drain it well, i can feel something (like a tightness) when i pick something up, or stretch.

So.. after all that waffling, my questions are could there be a block even though i can't feel a lump (my breasts aren't particularly big). And any ideas on why they keep happening - although i do generally nip them in the bud, i feel i just can't relax. There was a bleb, though i had cleared it (with scraping, sterile needle), and now i can see the tiniest bit of white (really tiny) where it was, and if i squeeze my nipple around this after a feed a drop of milk emerges - this couldn't still be causing a problem could it - there's not enough there for a needle to get hold of.

ANy help SO gratefully received

xx

debbie_page
10-15-2009, 02:42 PM
Hello and oh my goodness. You have been through so much! I'm assuming that baby is gaining weight really well. If so try extending your block on one side by another feeding. Your overproduction likely is the culprit but sometimes ducts run zigzag ad make it very difficult if not impossible for babies or pumps to drain completely. I would suggest vitamin B6 100 mg 2x/day for at least a couple of weeks, also. Using a vibrator or electric toothbrush as part of your breast care can also work. The nipple bleb can still be causing problems so just continue to gently squeeze after each feeding.

Does this help at all? I'd love to hear what different latch you used that really worked.

Debbie Page, RN, IBCLC, CEIM
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debcot
10-15-2009, 03:07 PM
Thanks, will try doing two feeds on side that blocks, and fingers crossed other side doesn't start doing it. I have used an electric tooth brush when I can feel the lump, but I can't actually feel one at the moment, but i bet i will in the morning, and theres definately something brewing... I just wish it wouldn't keep happening.

Yes my little one is gaining around 8-9oz per week, despite hardly ever feeding more often than every 3 hrs. I tend to prompt him to feed rather than the other way round, partly due to not wanting to leave my breasts any longer, and partly so i won't get caught with a hungry baby on the nursery/school runs.

Re the latch, I had been pointing it up towards his nose, waiting for a wide gape (though he's not great at this) and would end up with my nipple kind of aiming on an angle towards the roof of his mouth. Every LLL leader/HV specialist etc i've seen have said it looks right, and have always encouraged this angle. The latch change was that I'd read that 'nipple to nose' isn't always helpful. I position him so my nipple is more in line with his lips than nose. I've started aiming more for the back of his mouth. Its not always perfect, but on the last feed, when it was uncomfortable, i moved him further round (while lay on his side, further up towards my armpit) and it became painfree. He actually looks more like his chin is tucked under, and his nose as well as chin are pressed on my breast, rather than the usual head back, chin nustled in, nose clear or breast that I've been advised... You would think it wasn't right, but milk flows and it doesn't hurt. This is all on the non-blocking side, which has always been the sorest nipple. The nipple on the other side tends not to feel as sore, hasn't since the early days, so you'd think the latch would be better there, and he certainly swallows away, but yet block after block...

Thanks for your comments though, its nice to just have someone to share my thoughts with.

x