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Suggest Treatment For Ulceration Around The Nipple

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Posted on Wed, 21 Sep 2016
Question: Hi doctor my wife is breastfeeding and she has ulcerations around the nipple and she is using fucidin to paint the nipple area . And my child is always crying
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Answered by Dr. Michelle Gibson James (6 hours later)
HI

This occurs if only the nipple is placed in the mouth. The areola (the dark part around the nipple), should also be inserted, as much as possible to reduce the stress on the nipple.

She should apply some of the same breast milk to the nipple to help with healing.

The baby may be crying if he or she is not getting enough. 15 mins each breast or 30 mins on one , alternating with each feed.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Michelle Gibson James (3 hours later)
but she is using fucidin is this affect on the baby .
doctor
Answered by Dr. Michelle Gibson James (19 hours later)
Brief Answer:
no should not cause any significant problems

Detailed Answer:
HI

Sorry about the late reply

No the fucidin would not affect the baby significantly. It is normally used twice a day, morning and evening and she can use a very very small amount after a feed in the mornning/evening.

As mentioned, breast milk applied to the breast after each feed actually helps to heal these cuts which can be very painful to the mother when the baby is breastfeeding.
She can use paracetamol for herself for the pain, this would not affect baby. Babies use baby paracetamol if they need it

They occur if only the nipple is inserted. She needs to try to insert some of the surrounding areola as well to reduce the pain and help to make sure baby gets enough.

Feed for 1/2 on one breast then alternate or 15 mins each breast with each feed.
Don't let the baby fall asleep before he or she is finished because then wouldn't get enough. If starts to fall asleep , gently stroke the side of the mouth or feet to wake him/her.

Also , mummy needs to relax if she feels stressed which is natural. As a mom, I know that it can be difficult but if she is stressed, it actually will reduce breast milk production.
Sit in a comfortable setting and feed

Feel free to ask anything else
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Suggest Treatment For Ulceration Around The Nipple

HI This occurs if only the nipple is placed in the mouth. The areola (the dark part around the nipple), should also be inserted, as much as possible to reduce the stress on the nipple. She should apply some of the same breast milk to the nipple to help with healing. The baby may be crying if he or she is not getting enough. 15 mins each breast or 30 mins on one , alternating with each feed.