Eczema or dermatitis on the nipple and areola can cause itching, burning and a red or crusty appearance.A bacterial infection causes similar symptoms particularly if there is obvious nipple damage and is usually a more likely culprit than yeast (Amir et al, 2013 Thomas, 2013).Damaged nipples that are healing from a poor latch may feel itchy or experience nipple vasospasm due to the injury ( Thomas, 2013).Some medications for thrush could make nipple vasospasm worse (see below). Vasospasm of the nipple (constriction of blood vessels in the nipple due to baby pinching and distorting the nipple) -may cause burning nipple pain and/or colour changes of the nipple and may also be associated with Raynaud’s Syndrome.A poorly fitted breast pump can also cause sore nipples. Poor positioning and attachment at the breast-can cause burning nipple pain and soreness, friction blisters and milk blisters (blebs), deep breast pain ( mammary constriction syndrome) or lead to breast engorgement and inflammation.Alternative explanations for nipple and breast pain include: An IBCLC lactation consultant can be a helpful partner to identify possible causes of pain related to breastfeeding. Baby may have a sore bottom and nappy rash. Note that a sore bottom and nappy rash can also be associated with a dietary intolerance see Milk Allergy in Babies.Ī white milky coating on the tongue alone is not necessarily thrush Thrush can spread to lips, gums, inside the cheeks and the roof of a baby’s mouth Not thrush? Alternative explanationsĪs already highlighted, many of the symptoms listed above can be difficult to distinguish from other causes of sore nipples or deep breast pain.Viral infections may also coat the tongue or change the appearance inside the mouth for example herpes infections. Note that a white, milky coating just on a baby’s tongue is not necessarily thrush since thrush will quickly spread to lips, gums, inside the cheeks and the roof of baby’s mouth. ![]() This may make a baby’s mouth sore so they may find feeding painful and appear fussy. Babies may have white patches of fungal growth inside their cheeks, or on their gums or tongue which don’t rub off.Thrush is more likely if pain continues even after latching and positioning help from a breastfeeding specialist, or if thrush symptoms come on suddenly after pain free breastfeeding (NIFN, 2014). Several breastfeeding authors question the idea of ductal thrush as a condition. 8 Note that deep breast pain is not an indication that Candida has overgrown in the milk ducts within the breast to cause “ductal thrush”. Pain may be felt deep in the breast, sometimes as a stabbing or burning pain and sometimes in the back and shoulders.There may be a loss of colour in the nipple or areola. ![]() White patches similar to oral thrush or tiny blisters are also said to be possible.
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