Simple Tips for Soothing Sore Nipples
Breastfeeding can be an incredible experience, but it’s no secret that it can also come with challenges—nipple pain being one of the most common. If you’re experiencing discomfort, know that you’re not alone, and the good news is that solutions are available! Nipple pain can stem from a variety of causes, and figuring out what’s going on is the first step toward relief. Let’s dive into the common causes of nipple pain, how to care for your nipples, and when to seek professional help. (Hint: If you have pain - you probably need help!)
Why Am I Experiencing Nipple Pain?
Pain during breastfeeding can arise for many different reasons, and it’s important to look at both you and your baby when identifying the cause. Some moms experience discomfort in the early postpartum period as they adjust to breastfeeding, which can often be alleviated by adjusting positioning or latch (great time to book a home visit with me so I can help!)
However, there are more complex causes of nipple pain that might require additional management, such as:
Engorgement: Breasts become overly full, making it difficult for your baby to latch properly.
Hyperlactation: Also known as oversupply, where your baby may clamp down to stop the heavy flow of milk.
Vasospasm: Changes in blood flow to the nipple, which can cause sharp, burning pain, especially in cold weather.
Nipple Blebs: These are tiny white spots on the nipple that block milk pores and cause pain.
Dermatitis: An allergic reaction to soaps, oils, or creams used on the breast, which can lead to skin irritation.
Sometimes, deeper breast pain can present as nipple pain or vice versa. If you’re noticing increased sensitivity before your menstrual cycle or during pregnancy, hormonal changes could also be the culprit.
Nipple Wound Care: Healing the Right Way
If nipple trauma or wounds are causing you pain, it’s essential to treat them like any other wound on the body—keeping the area moist and protected is key to healing. Here are a few things to keep in mind:
Lubricate and Cover: Just like healing a burn, keeping the nipple lubricated with an organic nipple balm and covered with a hydrogel pad helps speed up recovery. Moist wound healing can make all the difference in avoiding complications and promoting healing.
Avoid Over-Cleansing: Washing too often, whether prenatally or postpartum, can strip the nipple of its natural oils, leading to skin breakdown. Treat your nipples as you would any other sensitive skin area.
Skip the Lanolin: While lanolin has been a popular go-to for nipple care, it can cause allergic reactions in some moms. If you’ve been using lanolin and noticing irritation, it’s best to stop. Instead, opt for simpler, allergen-free products that can keep the skin hydrated without causing sensitivity. I love Earth Mama, Angel Baby brand.
Be Cautious with Pumps: If you’re using a breast pump, make sure the flanges fit correctly and avoid using too high of a suction setting. Pumps can sometimes cause more harm than good, leading to further nipple trauma. Hand expression may be a better option if you’re dealing with significant pain. Book in for a Breast Pump Fitting to make sure everything is the right size, and your settings are ideal!
If you’re experiencing significant nipple trauma, such as deep cracks or fluid seepage, it may be helpful to use polyurethane matrix pads (Nursicare Pads). These pads provide closed wound healing and absorb any excess fluid. Unlike hydrogel pads, you shouldn’t use polyurethane pads or Mepilex with balms, as the pad’s absorptive surface needs to contact your skin directly. Just like any wound, it’s essential to address nipple trauma early to prevent it from becoming a bigger issue down the road.
Why Continued Breastfeeding is Important for Healing
It’s common for parents to wonder, How can my nipple heal if my baby is still feeding so frequently? Surprisingly, continuing to breastfeed can actually help with healing. The nipple and areola are highly vascular, meaning they have a good blood supply that aids in recovery. What’s more, your baby’s saliva contains enzymes that can promote healing, and breastfeeding helps maintain healthy bacterial balance on the skin.
Even if you’re experiencing nipple trauma, breastfeeding doesn’t have to stop (unless you want to!) Pain management, wound care, and adjustments to latch and positioning can allow you to continue nursing while your body heals.
What to Avoid for Nipple Pain Relief
When managing nipple pain, it’s important to steer clear of products or practices that can make things worse. Here are a few things to avoid:
Antiseptics and Alcohol: These can dry out the skin and delay healing.
Gentian Violet: Although sometimes recommended, this can lead to significant tissue damage and should never be used on nipples.
Drying Agents: Products like Epsom salts, wet tea bags, or even using a hair dryer on your nipples can increase the risk of skin breakdown and should be avoided.
Nipple Shields and Silverettes: While these products are marketed to reduce pain, they can often do the opposite! Silverettes, in particular, trap moisture and can lead to swelling and grooves in the areola, worsening your pain. Nipple shields should only be used under the guidance of an IBCLC if absolutely necessary.
When to Seek Help
If you’re dealing with persistent nipple pain, it’s important to seek help from a professional. As an IBCLC, I can evaluate both you and your baby to identify the root cause of the problem and develop a personalized plan to get you back on track. Whether it’s adjusting your baby’s latch, managing oversupply, or providing wound care recommendations, support is just a click away.
Final Thoughts
Nipple pain is common, but it doesn’t have to derail your breastfeeding journey. With the right care, personalized guidance, and a little bit of patience, most causes of nipple pain can be resolved. If you’re struggling, don’t hesitate to reach out—I’m here to help you navigate these challenges and ensure that you and your baby are comfortable and thriving.
Struggling with nipple pain or breastfeeding discomfort? Schedule a consultation with me today, and let’s work together to find relief and get you back to enjoying this special time with your baby.