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Suggest treatment for skin cracks on breast - Online Doctor Chats

Date : 06-Apr-2014
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:hi
Doctor:Hi
Doctor:Welcome back.
Doctor:How can I help you?
User:ms. XXXXXXX
User:need gycan
Doctor:As a Physician, i can help you within my expertise. As informed earlier, you can always use Ask a Doctor option to consult a gynecologist online.
Doctor:Please proceed with your question if you wish to discuss now.
User:okay....I am XXXX wife...I have a one year old daughter and I breastfeed her since birth...
Doctor:Ok
User:but from past one week....my breasts are bleeding and I am unable to feed her. Since she is not used to with bottles and all...my baby is not able sleep properly at night
User:I am applying coconut oil and some baby lotion to it...but it is not helping
Doctor:Do you mean it's bleeding from trauma or there is blood discharge from the nipple?
User:can i apply something else which can treat it as soon as possible
User:its bleeding from trauma i guess...cracks around the nipples
Doctor:Do you notice any other skin changes such as redness, swelling from where it is bleeding besides the crack?
User:there is skin peeling and cracks that bleed
User:no swelling
Doctor:Is it on both sides or only one side?
User:it started with one side but now its on both sides
Doctor:Ok; Let me brief you.
User:okay please continue
Doctor:What you describe is a common complaint in breast fed mother especially when the baby starts dentition.
Doctor:Unfortunately these cracks need time and rest to heal. No miracle pills to heal it.
Doctor:Oiling and moisturizing it with vitamin supplements will aid in the recovery; but that takes time.
Doctor:If your daughter is not used to other feed, I would suggest you to try expressing milk and feeding
Doctor:until it heals.
Doctor:Alternatively you can try feeding her from only the less painful area; and once the other area heals
Doctor:you may switch off sides.
User:I tried doing but she doesnt take in bottle or glass.... since she is on solids and give her something or the other during the day....but nights she cries a lot
User:both sides it has got severe now.... cant a apply something else
Doctor:As I suggested earlier sore nipples will need some time to recover. But you can try couple of things more.
Doctor:1. Soak the nipples in a warm saline water solution.
Doctor:It helps in reducing the oedema/pain as well as hydrates the nipple.
Doctor:you can try it before feeding and after feeding the baby.
User:ok
Doctor:2. Apply an antibiotic to make sure it doesn't get infected.
Doctor:You can apply bactroban ointment thin layer.
Doctor:Make sure you wipe it clean before feeding.
Doctor:What I suggested are temporary fix.
User:pk
User:ok
Doctor:Besides this
Doctor:avoid wearing thigh undergarments.
Doctor:try cold compresses to reduce inflammation.
Doctor:If it pains continuously, you can take oral pain killers too.
User:like
Doctor:I wouldn't use oral tablets if you are not in pain when not feeding.
Doctor:If it hurts every day, you can take tab. Ibuprofen 200mg after food.
Doctor:It doesn't get into the feed significantly and even if it does, it has no serious implications on the baby.
User:ok since i dont feed during day...I wont
Doctor:You could try the tablet if you are not allergic to medicines or have history of asthma.
Doctor:At this instance, I would like you to make your daughter wean away from breast feeds completely.
Doctor:Try increasing her dinner meals so that she doesn't become hungry.
Doctor:Or you may want to add some small snacks before her sleep to keep her free from hunger.
User:I wanted to feed her till she gets two...is it ok if her wean her now
Doctor:The more you keep feeding her, the more are you risking yourself to trauma.
Doctor:And mastitis is common complication.
Doctor:There are benefits of feeding her; but there are cons too.
Doctor:You will be risking yourself to injuries
Doctor:therefore I always suggest my parents to wean off breast feeds as the child grows and starts developing more teeth.
Doctor:Hope you understand what I suggested.
Doctor:Do you have any more questions?
User:she only feeds to get back to her sleep
User:No nothing as such.....
User:Thanks for your suggestions and valuable time
User::)
Doctor:Thanks for consulting me.
Doctor:Bye for ow.
User:bye
Doctor:Hi
Doctor:You can back on chat.
Doctor:is there anything else?
User:no i was just checking the medications you gave
Doctor:It's bactroban ointment.
Doctor:Thin application twice or thrice a day. Make sure you wipe it clean while feeding.
User:Is it thigh undergarments or thin that has to be avoided
Doctor:And insert/soak into a bowel of warm salt water.
User:ok
Doctor:Avoid tight garment. Pressure will delay the healing. Some gnecologist advice to keep it open to air.
Doctor:I give that choice to you.
Doctor:Is there any thing else?
User:ok
User:no thanks
User:bye
Doctor:Thanks for consulting me.
Doctor:Bye for now.'
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