Why sore breasts after feeding - search for causes

Immediately after birth, the woman is usually the problem starts with breastfeeding. That there is no milk, it suddenly comes a lot and there are pains in the breasts. But it all goes away, and will be in trouble, but will be the joy of communicating with their child and the confidence that he will grow up healthy.

What happens to the breasts after childbirth

During pregnancy the breasts ready to feed the baby. Under the influence of pituitary hormones and female sex hormones in them has increased the number of glandular cells and the length of the milk ducts.

After birth, begins to stand out a large number of pituitary hormone prolactin Prolactin - effect on the body is not fully known   and under the influence of the mammary glands begin to secrete colostrum initially and then milk. But in the female body is interconnected, particularly, the effect of various hormones. So, to postpartum reduced smooth muscle of the uterus and this body has regained its normal size in the back lobe of the pituitary produces the hormone oxytocin, which has also helped in childbirth uterine muscles to contract and expel the fetus.

After birth, oxytocin causes the simultaneous reduction of the muscles of the uterus and breast ducts. Therefore, attachment of the child to the breast can cause breast pain in the abdomen and at the same time.

What to do? This is normal, you just need to be patient and wait until the uterus is reduced. Typically postpartum period lasts six to eight weeks, but chest pain associated with release of oxytocin are characteristic only for the first eight to twelve days.

Chest pain associated with nipples

Problems arise when the nipples of their irregular shape (for example, flat or inverted nipples) and trapping the wrong baby pacifier (he must capture not just mouth the nipple and areola - the areola). And in fact, and in another case there is trauma nipples, they appear abrasions and cracks, which causes severe pain during and after the feeding of the child.

What to do? If the nipples are irregular in shape, then you need the advice of a doctor to buy special covers for the chest that will compensate for the individual characteristics of the nipples. If the child correctly grasps the nipple, it is necessary to learn to do it right - even at this age it is quite possible. To do this, the child's mouth, first served the lower part of the areola and nipple, and then only the top of the areola. If you always insist on such a seizure of the nipple, the baby will soon get used to it.

Abrasions and cracks between feedings can be lubricated with sea buckthorn oil, ointment and gel solkoseril (they contain an extract of cattle blood and promote tissue repair).

Lactostasis

Lactostasis or stagnation of milk usually occurs in the first month after birth, when under the influence of hormones abrupt inflow of milk, and a little baby still can not suck the breast.

In this case, the chest is hard and painful. The skin over her pale, shiny themselves breasts are very tense. Because of edema can occur compression of the ducts of the breast and the difficulty of discharge of milk. There is a paradox: in the chest a lot of milk, and the child can not be his "get." The situation is dangerous by the fact that in edematous breast often develops an infectious process if there gets an infection (for example, through small cracks in the nipples).

What to do? Express milk. Better to do it, for example, under a warm shower. When a sharp spasm pass and milk will begin to stand out, you need to attach to the baby's chest - he will suck more than you can decant. Assign also drugs, relieves spasms of smooth muscle - Nospanum or papaverine Papaverine - for pain caused by spasms of smooth muscles .

Acute lactostasis can cause pain in the case when you want to interrupt the already-established lactation. Usually lactation ends spontaneously twelve to fourteen months after delivery. But sometimes lactation is increased and in this case it is recommended evanescent pumping of milk every twelve hours. If this does not work and lactostasis increases, the prescribed drugs that inhibit the secretion of prolactin, such as Dostinex. Last designate half tablets (500 mg per tablet) every twelve hours for two days. Mammary glands slimming today is not to stop lactation - is harmful.

Acute mastitis

Acute mastitis (inflammation of the breast) while feeding the baby Breastfeeding - a personal choice   breast often starts on the background lactostasis Lactostasis - stagnation of milk in the mammary gland   and infection in the breast ducts through cracks and abrasions nipples. Signs of acute mastitis is redness, swelling and pain in the same breast. In severe mastitis suffering overall women: high fever, chills and malaise appears.

In this case, you should immediately consult your doctor, because the tactics of treatment depends on the stage of the disease when inflammation is just beginning it can be treated conservatively by warming procedures and antibacterial drugs, breastfeed while you can. If an abscess has formed, it is by no means impossible to heat and should only be opened.

Chest can be ill for various reasons, so it is best to consult a doctor.

Galina Romanenko

The nipples often sore during breast Breastfeeding - a personal choice   breast, as in this case, they constantly injured. For the remaining states of sore nipples combined with any other symptoms: chest pain, breast enlargement, changes in the shape of nipples, and so on.

What to do when sore nipples

First of all, you need to understand why they hurt. To do this is to consult a doctor. If a woman breastfeeding her child, it will help her in this case, a pediatrician who will tell you how you need to put the baby to breast feed him, removing the nipple from her mouth and take care of their breasts. In most cases, this is enough.

But sometimes the nursing mother nipples may hurt in the background lactostasis - stagnation of milk in the mammary glands. Often lactostasis is also associated with inappropriate feeding practices. If, during which developed lactostasis gets into the mammary gland infection, it can begin its inflammation - mastitis. In this case, you must contact the surgeon or clinic mammologu.

Finally, if the sore nipples are not associated with feeding the baby, then you should pay attention to the correctness of the menstrual cycle. Delayed menses may indicate pregnancy - sore nipples at the same time may well emerge. But the delay menstruation can talk about some irregularities in the female reproductive organs - inflammatory, hormonal shifts. All of these processes can also cause pain in the nipples. In this case, you need to first consult a gynecologist, who, after examination, may send a woman to another specialist.

By mammologu should turn in case in the mammary glands are palpated any seals. In addition, the specialist should show women with severe pain and breast enlargement before menstruation - this may indicate the presence of a hormonal disease diffuse (spread) of mastitis.

The pain in the nipples can help the pediatrician

The pediatrician will help establish the correct feeding of the child with the regular emptying of the breast (this is the prevention of stagnation in the breast milk), as well as learn how to properly put the baby to her breast. Here are the main recommendations of the pediatric nursing mothers:

• you need to properly care for your breasts; a woman should always be clean underwear, crush and traumatic chest; Shower must be taken once a day, while the breast washed with soap; before each feeding breasts just wash with water;
• the baby should be taught to grab the nipple with the areola - so he will not be injured; for it before feeding nipple is above the mouth, and the mouth should get first the lower part of the areola and then the nipple;
• while feeding the child should be the correct position: on the side facing the breast; if the child lies on the back and turn the head to take the nipple, it can severely injure him;
• pull the nipple of the baby's mouth should be carefully without damaging the nipple, for this you just need to press a finger at his gums;
• when mixed feeding to finish feeding the baby is better not to mix through the nipple, and a spoon, or he forgot how to breastfeed - sucking nipples and breasts require different movements.

The pain in the nipples can help the surgeon

The surgeon will help reduce congestion in the breast, cure mastitis and cracked nipples and abrasions.

If cracks and abrasions nipples:

• if not too painful, it is possible to feed the child; with strong pains feeding is stopped, but the milk decant;
• between breastfeeding is better to keep open to abrasions and cracked nipples dry on the air;
• After feeding and between feedings nipples should be lubricated own milk, and when it dries on top of the gel to smear solkoseril two or three times a day; Gel can not try too hard to wash off - it is a natural base for the child is safe;
• You can not smear nipples alcohol, vodka, green paint and other alcohol solutions - this will increase skin dryness and cracked nipples increase.

If mastitis:

• surgeon prescribed antibiotics and physiotherapy, if not yet festering;
• will open the abscess, if it has already been formed.

The pain in the nipples can help surgeon mammolog

If you suspect mastitis, benign or malignant tumors Malignant tumor: cells are mad   mammolog appoint a full examination of the breasts, which includes a blood test for hormones, blood count, ultrasound and X-ray examination, laboratory examination punctate breast taken by puncture education.

If it is confirmed the diagnosis of diffuse mastopathy Diffuse breast disease - affects the whole breast Then adjust mammolog woman day regimen and nutrition prescribe bracing means and is watching her. In identifying nodal mastopathy Nodal mastopathy: Early diagnosis is important   usually recommended surgery, which can be done on an outpatient basis. When detection of cancer a woman immediately sent to the oncologist the earlier start to treat it, the better the prognosis.

Galina Romanenko