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Painful cracked nipples - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
Doctor :   how can i help yu
User :   i have a 4 months old child
User :   i have got cracked nipples
User :   its very painful
Doctor :   ok
User :   am notable to breastfeed my child
Doctor :   whats the duration
User :   sorry did not get u
Doctor :   since how many days
User :   4 days
User :   slight watery also
Doctor :   burning senation
Doctor :   any itching
User :   no
Doctor :   any discharge
User :   only pain
User :   slight watery discharge is there from this morning
Doctor :   is there any swelling of the breast
User :   no
Doctor :   bleeding is present
User :   no
User :   in between cut flesh can be seen
Doctor :   where yu feeding the baby properly for 6 months
User :   s i was
Doctor :   ok
User :   not 6 months.
Doctor :   its a cracked and fissured nipple
User :   what is the remedy for that
Doctor :   how month old baby is
User :   4 months seven days
Doctor :   its on the both sides or one side
User :   one side
User :   left hand side
Doctor :   which side
User :   right hand side not much
User :   left hand side
Doctor :   you can feed on the right side
Doctor :   try to feed the baby from less painful side
User :   ok
Doctor :   By the time you have finished, the milk may start to drain from the other side and breasts will become soft, allowing the baby to feed without suckling too hard.
Doctor :   dont worry the pain can reduced
Doctor :   make sure that the areola black pigmented region of the breast should be babys mouth
User :   ok
Doctor :   so that the baby cannot bite or chew at the nipples
User :   ok
Doctor :   do not clean the nipples with soap
User :   ok
Doctor :   always wear clean and soft inner garments
Doctor :   clean the nipple after yu feed
Doctor :   expose the nipples to air for some time
User :   ok
User :   should i apply any cream
Doctor :   whats the color of discharge
User :   transparent
Doctor :   if the baby has the thrush
Doctor :   thrush is a white patch in the babys mouth
User :   sorry i did not get u
User :   s he gets
Doctor :   its a fungal infection
User :   should i use any cream
User :   or take any medicine
Doctor :   yes ill advice yu
Doctor :   pain killers to be taken
Doctor :   Tab. Brufamol to be taken twice daily for 3-4 days after food
Doctor :   this will reduce the pain and inflamation
User :   is it ok for the child
Doctor :   this will nit affect yu can take
Doctor :   NIP care tube to be applied 3 times a day
Doctor :   before applying the cream yu should clean the breast with warm water with a clean soft cloth
User :   ok
Doctor :   but before yu feed the baby yu clean the breast with warm water and then feed
User :   ok
Doctor :   even if there is blood in the milk no need to worry
Doctor :   yu can feed the baby
Doctor :   olive can be used
User :   ok
User :   what is the cause for this infection
User :   how can i prevent this in the future
Doctor :   usually it doesnt recur
Doctor :   dry the nipple region after feed
User :   i have got crack between nipple and aerola region
Doctor :   yes
Doctor :   its affects the both region
User :   ok
User :   how do i prevent this
Doctor :   rub a small amout of nip care tube on the nipple and areala region
User :   ok
Doctor :   cracking is due to
Doctor :   Improper breastfeeding technique - e.g. inadequate attachment of baby to nipple
User :   ok
Doctor :   proper feeding positions will prevent this
User :   ok
Doctor :   Overuse of one breast when breastfeeding
Doctor :   frequently change it
User :   ok
Doctor :   Improper drying of nipples following breastfeeding
Doctor :   dry the nipple after the feed
User :   ok
Doctor :   any allergic reaction from the inner garments
Doctor :   can lead to cracked nipples
User :   ok
User :   i need to know about my child
User :   should i contact u other any other doctor
Doctor :   yu can try the treatment and tips given for 2 days
User :   ok thank u
Doctor :   if the condition worsens
Doctor :   then yu need to consult the doctor
Doctor :   and get examined
User :   ok
Doctor :   but if yu follow these insturction it will subside not to worry
User :   thnak you
Doctor :   Use only plain water for cleaning
User :   ok
Doctor :   yu can apply cool pads
Doctor :   to reduce the pain
User :   alright
Doctor :   even honey will help
Doctor :   yu can apply it
Doctor :   but do not mix 3-4 things
Doctor :   use NIP care tube
User :   ok
Doctor :   and olive oil
User :   ok
Doctor :   if the baby has white patch in the mouth
Doctor :   thats a fungal or yeast infection
Doctor :   then there is a chance of yu getting cracked nipples
User :   how can baby's mouth can be cleaned
User :   right now am cleaning with a cloth
Doctor :   thats not problem
Doctor :   it will not affect the baby much
Doctor :   its a self limiting condition
Doctor :   no need to clean
User :   ok
Doctor :   or use any ointment for baby
Doctor :   it will reduce on its own
Doctor :   but yu need treatment
User :   ok
Doctor :   Nystatin cream to be applied
Doctor :   this is only when the baby has white patch in the mouth
Doctor :   other wise not required
Doctor :   Nip care will also prevent the recurrance
Doctor :   yu should rest and relax while breast feeding
Doctor :   keep the baby on feed
Doctor :   what other alternatives are yu using for the babys feed
User :   ok
User :   he is having nestum rice and simyl powder
Doctor :   ok yu can continue that
Doctor :   it will suppliment the babys feed
Doctor :   yu can consult the gynecologist if the conditon worsens
Doctor :   Is there any thing else I can help you with?
User :   i need to know about my child
Doctor :   Please fill the feedback form say done when done.
User :   he fell down yesterday
Doctor :   ok yu can procced
Doctor :   how did this happent
User :   i was carrying him
User :   i slipped and fell
Doctor :   ok
User :   his head got injured
Doctor :   any injuries for yu and baby
Doctor :   ok did it bleed a lot
User :   nothing for me but baby hs got head injury
Doctor :   any swelling
User :   v got his C T SCAN done
Doctor :   ok
Doctor :   what did the report say
User :   Undisplayed fratures of left occipital bone
Doctor :   ok
User :   am worried about the child
Doctor :   what did the consultant say
Doctor :   what was the advise given
User :   he hs just given ibugesic
User :   2ml three time
Doctor :   are yu with me
User :   s
Doctor :   any other advise given
User :   not to give him head bath
User :   shoudl not give massage
User :   thats all
User :   but am worried about him
Doctor :   because its an undisplaced fracture
Doctor :   nothing to worry
Doctor :   i can uderstand fracture word itself is
Doctor :   and its a baby healing of the fracture is soon
Doctor :   yu can continue the ibugesic syrup 2 ml
User :   ok any other precaution need to be taken
Doctor :   how is the baby now
Doctor :   active
Doctor :   feeding well
User :   he is active
Doctor :   crying well
User :   feeding well
User :   s
Doctor :   yes not to massage the baby head
Doctor :   make sure that this type of accident will not happen again
User :   ok
Doctor :   because the babys bone is very soft
Doctor :   fracture can happen
Doctor :   other thing is it will heal sooner
Doctor :   when is the next appiontment for baby
User :   tomorrow
Doctor :   ok
Doctor :   nothing to worry both of yu will get well soon
Doctor :   any more query that i can help yu
User :   after how many days can i give him head bath
Doctor :   is there any swelling on the head
Doctor :   or any wound
User :   yesterday swelling ws there
User :   now it hs reduced
Doctor :   any wound thats exposed area
User :   no
Doctor :   better yu avoid it for another 4-5 days
User :   ok
Doctor :   main worry is while head bath
Doctor :   fracture should not get worsened
Doctor :   let it heal faster
User :   ok
Doctor :   after 4 0r 5 days yu can give him the head bath
Doctor :   till then yu can scrub the body with warm water
User :   ok
Doctor :   ok
Doctor :   any thing i can help yu
User :   thats all thank u so much
Doctor :   please fill the feed back form
User :   ok
User :   sure i will
Doctor :   ok take care yu and your baby will get well soon
User :   thank u
Doctor :   Thanks for consulting HealthcareMagic. Bye for now.Please refer your friends to our service.
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