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10 Ways To Treat Engorgement And Sore/Cracked Nipples

Breastfeeding can be tough. For some women and babies, it’s a skill that’s picked up easily, naturally and quickly. But for many mothers–if not the majority–they don’t have that experience. There’s a lot of tears and growing pains. Both literally and figuratively. Learning how to get a good, deep latch takes time. I tell my clients often that the first two weeks are all about building your milk supply, and that it takes about 6 weeks to really get over the major hurdles and feel more confident at breastfeeding. However, while you’re going through those obstacles learning this new skill you may experience engorgement, a clogged milk duct, sore nipples, cracked nipples, bleeding nipples or even mastitis. It can be a literal pain in the boob. 🙁 That’s why I’m sharing some things that can really help you through those aches and pains. Here’s what can help.

1. Good Nipple Butter

Did you know that both our lips and our nipples have the highest density of nerve endings of any area on the body? Crazy, right? Because they are sensitive and delicate areas, they require care. Think about it; if you lick your lips constantly and bite them every couple of hours throughout the day and night, more than likely you will experience chapped lips. They will then crack and bleed and become very painful. This is why we wear chapstick to avoid lip irritation. Now imagine all of that happening but with your nipples . . . Not fun. But that’s exactly what’s happening when you breastfeed. A little human is licking, sucking, pulling and tugging on your nipples. That’s why you need a chapstick for your boobs and getting a good nipple butter is the key to this solution. Earth Mama has a wonderful nipple butter that is great for mom and safe for baby. The perfect chapstick for your nipples. 😉 It’s made of only natural ingredients and is a brand that we love and trust. Using this will help hydrate your nipples and avoid irritation and pain. You’ll thank me later.

2. Cooling Pads

These things are the BEST! When you’re feeling engorged and your breasts are getting hard, sore and downright painful, these Soothing Nursing Pillows from Bamboobies are amazing. They provide incredible relief. What I love is that they are reusable, they can be cooled or warmed depending on what you need, they can be worn with or without the sleeves on a clogged milk duct, and/or engorged breasts. They have been a saving grace to so many mommas. They are a breastfeeding mom’s best friend!

I recommend using it as a hot compress for 5-10 minutes before nursing and then applying it as a cold compress for 10 minutes after feedings to help reduce swelling and inflammation if you are experiencing engorgement.

3. Hot Shower

For engorgement, take a warm shower and hand express enough milk so it no longer hurts. Don’t completely relieve and empty your breasts though. By just expressing a little breastmilk and relieving the pressure it will help soften your breasts and ease your discomfort. The warm water will help your breasts let down a bit.

4. Massage

As just mentioned, while you’re taking a warm shower, gently massage and compress the breast (or breasts) to express some of the milk and diminish engorgement. Also, massage the breast when the baby pauses between sucks. This may help drain the breast more, leaving less milk behind.

5. Air Drying

If your nipples are sore and feeling raw, you may find that anything touching them makes them hurt even more. One thing you can do is use breast shells to protect them from being touched by your bra or t-shirt. But something that can help even more is letting them air dry. As much as possible, expose your nipples to the air so they will stay dry and heal. This is one of the best things that you can do for healing.

6. Check for Tongue Tie and Lip Tie

Tongue tie and lip tie can be tough to diagnose. If you think that your baby is having difficulty lifting his/her tongue or moving it forward normally you may want to speak with a pediatric dentist to see if your baby has either of these issues. They are fairly simple to fix and can really help your baby get a better latch which will then cause much less irritation to your nipples while breastfeeding.

7. Breastmilk

You know how “My Big Fat Greek Wedding” would put Windex on everything to make everything better? Well if you meet a breastfeeding mama, you’ll quickly discover that breastmilk is the cure all for all things. You’ll often hear, “Just put a little breastmilk on it.” Clogged tear duct, ear infection, you name it. Some mamas think it’s the answer to curing it all. And one of those things is also sore/cracked nipples. Express some of your breastmilk and rub it around your nipples and let them air dry. Do that after every feeding and you should soon notice a difference.

8. Breathable Nursing Pads

If your nipples have cracked and are bleeding, you will want to gently wash your nipples after each feeding so you can reduce the chance of infection. Once a day use a gentle soap to clean them. After each feeding, use the nipple butter and a good nursing pad that is breathable to keep your nipples from rubbing or touching other things such as your shirt. We don’t want your nipples to stay damp so make sure to change out your nursing pads once they do become damp. This is why I recommend Bamboobies nursing pads. Their reusable and disposable nursing pads are breathable and are our favorites. Your breasts will be so happy with these.

9. Breast Pump

If massaging or hand expressing isn’t doing the trick, briefly use your breast pump to help soften your breast to allow baby to get a better latch. When your breasts are rock solid it can be difficult for baby to grab ahold of your nipples and areola to breastfeed. Your pump can help.

10. Nipple Shield

Nipple shields aren’t normally my first recommendation. They can sometimes cause more problems than solve. Some babies can become dependent on them and will refuse to nurse without them which can be frustrating for mom. If the other things listed above haven’t worked, it may be worth giving it a try. We recommend only using it when necessary to give your nipples a break.

11. Lactation Consultant

Many people think that it’s normal for breastfeeding to be painful. It can be, but there are things that you can do to avoid that. If these tips haven’t helped you resolve the problem you are experiencing, I recommend seeking out an IBCLC (a breastfeeding expert) who can help you with the issues that you are experiencing and give you suggestions on how to resolve them. Often a mother with sore or cracked nipples will have more than one problem (a poor latch, clogged milk duct, engorgement, developed a bacterial infection, etc.) so you may have to work through each one with a lactation consultant before the feedings become pain-free. But you can get through it and it will get better! You just have to keep trying and ask for help when needed.

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