#asktheexpert my nipples got cracked and blood comes out from nipples feeding time i face too much pain what to do?

Question

Accepted Answer

Cracked nipples that bleed and cause significant pain during breastfeeding can be very uncomfortable. This condition is common, especially in the early stages of breastfeeding. The pain and bleeding may occur due to several reasons, including improper latch, dry or sore skin, or an infection. Here’s what you can do:

1. Ensure Proper Latch: A poor latch is one of the most common reasons for cracked and bleeding nipples. Make sure your baby is latching on properly. The baby’s mouth should cover a large portion of the areola, not just the nipple. If you're unsure, you can seek help from a lactation consultant to improve the latch. 2. Express Milk and Apply It to Nipples: After feeding, express a little breast milk and rub it on your nipples. Breast milk has natural healing properties and can help soothe and moisturize the skin. 3. Use Nipple Cream: Use a lanolin-based nipple cream (or another doctor-recommended nipple balm) after each feed. Lanolin is safe for both you and your baby and can help protect the skin and promote healing. 4. Air Dry Your Nipples: After breastfeeding, allow your nipples to air dry for a few minutes before putting on a bra or clothing. This helps to keep the area dry and allows healing. 5. Avoid Irritants: Make sure that your nursing pads (if you use them) are not too tight, as friction can worsen the irritation. You can switch to soft cotton pads that do not irritate the skin. 6. Use Warm Compresses: Applying warm, moist compresses to the affected area can help soothe pain and promote healing. 7. Consider Nipple Shields (if necessary): If the pain is severe, you can temporarily use nipple shields to reduce direct contact and help your nipples heal. However, they should be used under guidance to ensure that they do not interfere with proper latching. 8. Monitor for Infection: If the pain is accompanied by redness, swelling, or a burning sensation, or if the bleeding does not stop, consult your doctor, as it could be a sign of an infection such as mastitis or a fungal infection (like thrush). 9. Rest and Heal: Take short breaks from breastfeeding if necessary. You can pump milk to relieve engorgement or provide milk to your baby using a bottle, but make sure to maintain regular feedings to avoid supply issues.

If the pain and bleeding persist, or if you notice signs of infection, it’s important to consult your healthcare provider for further treatment and to rule out any underlying issues.