can anyone help in regards to blocked ducts???? please!!! | ExpatWoman.com
 

can anyone help in regards to blocked ducts???? please!!!

59
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EW NEWBIE
Latest post on 09 August 2011 - 18:08

does anyone have any alternative ways to dealing with blocked ducts other than

(a) letting the baby suck them out
(b) pushing them out (very painful)
(c) using breast pump (seems to make them worse)

have been dealing with this problem since DS was born six weeks ago. feel like i have golf balls in my breasts that will break through the skin. they also leave my breasts feeling bruised and extremly tender

any advice will be greatly appreciated!

2782
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EW EXPERT
Latest post on 13 August 2011 - 11:52
good luck!
59
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EW NEWBIE
Latest post on 13 August 2011 - 11:50
ok, so made appointment with the doc, so fingers crossed she'll be able to help. will let you know how things go. thank you for all the support xxx
1861
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EW EXPERT
Latest post on 11 August 2011 - 10:02
I totally agree with HAK (have been doing a lot of that lately ;) ) No bad thing - it's mutual! :) We could be the same person for the bleeding nipples though - with DD I hadn't had any real issues, but DS, gosh, there were scabs on the scabs... if indeed they were ever left to scab over. He had such a strong suck, I don't think they stood a chance and I also don't think he was ideally latched on, but for the life of me, I couldn't get him to change. [OP - this also goes to show that it's down to bubs and therefore what happens with one, may not happen with another!'>
2782
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EW EXPERT
Latest post on 11 August 2011 - 09:17
I totally agree with HAK (have been doing a lot of that lately ;) ), expressing is a terrible indicator of how much your baby is getting. I often got only around 15 mL from one side and maybe 50mL from the other. I got very worried about this especially since my baby had reflux and so vomited up half his feed, and in the end went out and bought a set of baby scales so I could weigh my baby, at which point I discovered he was gaining around 200-300 grams a week, which is loads, even 100 is fine, weight gain is the best indicator that your baby is getting enough milk, but don't weigh more often than once a week, because the gain varies by day, and by how recently your baby has pooed :). Believe me, my baby is massive ;), and I still can't get much if I pump. After the first 2 weeks I stopped pumping and gritted my teeth (and I would say do the same until your latch is sorted as the bottles won't help that at all, he will suck differently on a bottle and then try to suck that same way on you, forget about his sleep routine/dreamfeeds right now and work on the latch, then worry about that. As an aside, despite old wives tales, bleeding nipples are not a reason not to breastfeed directly from that side, your blood is not remotely harmful to your baby, whatever is in your bloodstream is also in your breastmilk. As far as the tongue-tie not being bad enough to fix, it was the same story for me, with one awful Dr telling me there was no problem as my baby was gaining weight well, this 5 seconds after I had said my nipples were bleeding and I was in agony each feed and considering giving up!, have no regrets getting it fixed, it was a 2 second procedure and under local anesthetic, compared to the heel prick procedure in the hospital after he was born, it was nothing (and less blood was involved)!. Hang in there, and work closely with your LC, but don't be afraid to try more than one LC, they all have different tips and one may help your more than another. Every cent you spend on fixing your latch is money saved on formula! <em>edited by kiwispiers on 11/08/2011</em>
1861
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EW EXPERT
Latest post on 11 August 2011 - 01:01
Because i was expressing i could see how much was coming out, i started to worry my breast were and still are not producing enough milk. For example from one breast i might be able to get out 90ml and from the other only 15ml. (which originally it was the other way round). For this reason i'm not sure if he's eating well. Can I just chip in (again) as say that expressing often [i'>isn't[/i'> a good indication of how much bubs is getting. Babies are much better at getting the milk out than pumps (in general). To give you an idea, I could only ever express about 30ml from an expressing session that would be 20 minutes of pumping - if I got 100ml after doing both breasts, I was overjoyed. I once decided to pump whilst feeding DS and when he triggered my let-down, the milk came pouring out so much, the bottle was full in less than 2 minutes. Both my children only ever fed for 5-10 minutes at a time (every 3-4 hours, I guess... I didn't really pay attention!) and hugged the 75th-91st centile as if there was no tomorrow. In short, trust your body. Trust your instincts. They're almost always right. <em>edited by Hello.Again.Kitty on 11/08/2011</em>
671
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EW GURU
Latest post on 10 August 2011 - 23:11
Great - sounds like you have a good plan in place :). I do hope Dr Delphine can help (I'm sure she will). In the meantime, have you tried laid-back nursing to help facilitate latch? www.biologicalnurturing.com (click on For Mothers for a description and a lovely video). Dr Delphine may be able to suggest more effective ways to help your little one latch once she's assessed a feed, but you might like to try this in the meantime if you haven't already. Good luck! xx
59
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EW NEWBIE
Latest post on 10 August 2011 - 22:41
Thanks for all the support ladies, it might sound bad but i'm happy not to be the only one going through this. You are now my new role models! Am giving myself till three months, if i'm still having the same issues then i'll speak to my husband again about putting DS on formula (not that hes going to have a choice at that point, unless he wants to take over breast feeding, but at least he can feel as though he's had a say) To answer your question designbabe originally i was expressing all the time from my right breast whilst my nipple was bleeding (as no blood was going in the bottle so i could give that to DS) whilst feeding him from my left. Once my nipples healed i started breastfeeding day and night from both, but continued to express when i could. With the milk i was able to express i was also able to let my husband do the dream feed (however it would take me all day to get that one bottle) but i always felt better cause at least i knew he had eaten well. Because i was expressing i could see how much was coming out, i started to worry my breast were and still are not producing enough milk. For example from one breast i might be able to get out 90ml and from the other only 15ml. (which originally it was the other way round). For this reason i'm not sure if he's eating well. between feeling my breast is empty (except for the lumps caused from the blocked ducts) and not knowing if he is using the nipple shield as a dummy (which now he's also pulling my nipple through the holes, so again i'm not sure if he's getting milk from the breast!) and also stressing about all this (which they say stress reduces milk supply!) Is it any wonder i'm worried? Was told by my LC to take the alfalfa. she informed me it does not increase milk supply but enhances the quality of milk. Now i'm still feeding everyday but been trying out new ways to feed DS. For example will give expressed milk during dream feed and another bottle at next feed to see if he will sleep better cause he was constantly falling asleep on the breast. Again this way i reasured that he has eaten well and puts me at ease. I do try and remove the nipple shields during feeds to see if we can go without but i'm still not good at latching him correctly so it ends up hurting me further, so i then go back to the shields BCF / FRANCES - thank you for the information and contact details. Am already working with a LC, she was the one who spotted the tongue tie, but she said it was to slight for something to be do about it. either way will call Dr Delphine tomorrow and see what she says. maybe she can be of some help. will let you know how i get on again many thanks for the support :)
671
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EW GURU
Latest post on 10 August 2011 - 12:06
Ooh you poor mama :( Tongue-tie and nipple shields can both cause blocked ducts; can you see an IBCLC to get the TT sorted and possibly a plan for weaning from the shield if she then considers it appropriate? If you're in Dubai, Dr Delphine is highly recommended and she can treat most tongue tie (or can refer you to Sharjah if TT is posterior). Hang in there, get help, and please let us know how you get on. xx
2782
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EW EXPERT
Latest post on 10 August 2011 - 09:27
Steth you are being very brave, and I know how you feel, my guy also had tongue tie, and also had a bad latch which all the hospital nurses kept saying was fine, he had a strong suck and yes, I had bleeding nipples within days :( and yet was still told the latch was fine. It was painful to breastfeed for the first 10 weeks, yes thats right 10 LOOONG weeks. At the 6 week point I was very close to giving up, but I'm glad I hung in there because at 10 weeks, I decided one day just to forget about the right holds etc and let him do it his way, and he opened his mouth wider and latched, am still breastfeeding him now and he was one year old last friday, those days seem so far away now. Anyway, my point is, most probably the problem is still his latch, definitely there is a problem if you still have cracked nipples at 6 weeks, even mine only last 2 weeks (I got the tongue tie fixed around then) if you haven't already had the tongue tie fixed please don't wait any longer, you wouldn't expect your child to learn to write with his fingers tied together, don't expect him to suck well with tongue-tie, the longer you leave it the more painful the surgery will be as the area thickens and becomes more vascular. After the snip you will still need to work on the latch as he has had 6 weeks of doing it wrong, but you will get there. Ideally you should get rid of the shields when you can, try removing them mid feed once your milk is flowing well, keep trying until one day he takes the breast without because although they do help some babies to latch they are also very likely to be contributing to the drainage problem and probably the thrush too. If you can manage, do keep going a bit longer, I set myself a 3 month goal and told myself if things were still bad then I would stop, mentally thats a lot more achievable than a 6 or 12 month goal. Finally if you can't take it, fair enough, do stop and don't feel bad about it, but do it SLOOOOWLY, I think another thing that kept me going was probably the knowledge that to stop breastfeeding there would be a lot more engorgement issues and I couldn't bear the thought of that. Finally, realise you are amazing for having persevered!
1861
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EW EXPERT
Latest post on 09 August 2011 - 23:40
Aw, Steth... you're doing a great job hanging in there - many wouldn't have stayed that course! As Kiwispers and I said, it's quite possible that it's not actually properly blocked ducts (even though it feels like it), but a case on one duct (and associated cluster of milk-producing thingumies) just producing loads and not clearing. I'm not trying to pooh-pooh what you're experiencing, but it just sounds remarkably similar to my experience second time around - first time, everything was engorged and hard... second time around, my breasts felt absolutely normal, as if I didn't have any milk (which was so far from the truth!) *apart* from these two ducts, in identical places on each breast which would get engorged and not clear completely. In the end, the massage helped clear them slightly and I resigned myself to the fact that they would always be the engorged ones, instead of my whole breast. Just to give a bit of perspective, with my first, my whole breasts would get so engorged they looked like half-melons stuck to my chest and on one occasion, I felt they were so full to bursting, I had to crash'n'burn out of my shopping trip, phoning my husband to get the pump ready so that I could let off steam (so to speak) as soon as I got through the door. Unfortunately, he hadn't understood my sense of urgency and "hadn't quite got round to it", but DD woke up, as if by magic! Whilst I admire your husband's resolve, it's not him who's going through this and this is entirely your own call. Everyone's different and on such a personal issue, only you know how far you want to go and absolutely no-one has the authority to undermine your decision.
142
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EW NEWBIE
Latest post on 09 August 2011 - 23:31
You sound just like me after my first DS.... I too didnt get the latch right and was so unsure that I only used sheilds-absolutely the same story with the nurses pressuring and attaching the baby to already torn nipples- ouch. I think your problem is th sheild- it does'nt help in milk extraction properly. At around 2 months DS1 went on a nursing strike as he prefered bottles to the sheild with its poor flow. We did a amjor nurse in where - I was determined to b/f- i tried to latch him without sheilds and this time it worked like a charm. You can try to contact an LC beacuse it should not hurt. Alternatively fixing tongue tie is also a simple procedure. How often do your pump/express and how often do you feed? I would stop the alfalfa to increase milk- you do not seem to need to increase supply at this stage. In order to ensure effective emptying of the breast- it is better to feed without the sheild and i feel it will make your baby a better nurser. I too felt I would never have another kiddo but when the first turned one (and he was such a doll then) we thought we could try for number 2, and 4 weeks later i was preg and 2 years later ......well lets just say there won't be a number 3....
59
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EW NEWBIE
Latest post on 09 August 2011 - 22:26
Many thanks for the reply Unfortunately i have tried all of those suggestion. in the past 6 weeks i have milked my child in every hold possible including from on top (felt very much like a cow being milked!). he doesn't always manage to suck them out, even if i massage/push on/ pressure on the area during feeds I also on a daily basis: -before feedings i'm putting on a hot press, -after feeding i'm putting on a cold press -i also wash my breast with Epson salt and warm water after a feed -i clean my breast with vinegar water (due to nipple thrush......which i never knew existed) -i use daktaren cream for the thrush -on top of that i put on lanolin (?) cream to help with the cracked nipples -i also take 4 tablets of lecithin a day which is meant to help with the blocked ducts -i'm also taking 3 alfalfa tablets a day to enhance my milk (not to mention my multi vitamin and extra iron tablets) In addition to all of this i also have to use nipple shields as DS never latched properly (been told due to a tongue tie) however whilst in hospital i was never shown how to latch him properly. Every time i called the nurses to ask for help they would tell me he was latched correctly (he never was). he was only taking in the nipple, finally when the LC would come and see me, id have just finished the horror of feeding, non the less she would try to latch him after a feed which just further damaged my already cracked nipples. by the time i got home my cracked nipples turned into bleeding nipples (talk about painful and scary!) so then i started expressing. I feel as though my breast are empty all the time but for me to be getting blocked ducts must mean i'm doing something wrong. i want to be able to continue breastfeeding but at this rate it looks to be impossible. due to this reason i don't want to have any other children! before anyone suggests formual, my husband doesnt want me to give that as long as i can still breast feed!
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EW GURU
Latest post on 09 August 2011 - 21:40
In addition to the great advice I recommend making an appointment with Dr Delphine Dupuis, family doctor (special interest paediatrics, lactation and women’s health) and IBCLC at MediCentres Motor City Tel: 04 360 8866. And for telephone helpline Association of Breastfeeding Mothers Counsellor (7 days/week, 5:30pm-9pm) 050-4705577 I hope you find some relief soon, pls let us know how you get on.
2782
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EW EXPERT
Latest post on 09 August 2011 - 20:04
Something that I learnt (when I suffered from these) was that "blocked ducts" are not actually "blocked", they are just not drained and are therefore full to the point that milk is leaking into the surrounding tissue, causing inflammation/pain. Yes you need to empty them but if using a pump, only pump enough to relieve the pain/firmness, hand expressing might be better and feeding directly is best of all. Only massage/use heat right before a feed and use cold compresses after, you don't want to stimulate letdown without drainage. You can take paracetamol or ibuprofen (paracetamol safer for baby). Don't go too long between feedings and work with an LC to make sure your baby has a deep latch so is more likely to drain all the ducts evenly. Also make sure your bra/clothes are not too tight as this can cause them. The good news is that after the first few months, your supply settles down and you are far less likely to get engorged, in the meantime I wouldn't "push" them out, get an LC to show you the gentle circular massage and don't just push in a radial way towards the nipple, the massage should be firm but shouldn't hurt, I did find a gentle circular motion over any lumpy bits (and keep moving your finger don't keep it on the skin in the same place) was the best way to get them flowing. There is a supplement called lecithin which is said to be helpful too, not sure how it works I never tried it myself. Ultrasound can also be used as therapy. If you get a fever, chills etc then you likely have progressed to mastitis. Having dealt with a breast abscess which needed surgery, don't much around with mastitis, get antibiotics ASAP Biggest thing is get your latch checked, make sure you keep your baby close and he takes in a good mouthful of nipple AND aureola, if he doesn't and you can't fix that, then try and massage around the aureola while feeding to stimulate in the way he should be. Blocked ducts suck, but truly it doesn't stay that way once your supply is sorted, it will even out soon. :)
1861
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EW EXPERT
Latest post on 09 August 2011 - 19:39
you could also try firm but gentle massage from the outside of the breast towards the nipple while bubs is feeding. It won't be instant relief by any means, but anything to get the flow going a bit better. It could also be that those particular ducts are *just* getting engorged more than the others - second time around the ones that go from armpit to nipple were almost always tight and hard, whereas the reast of the breast was fine. With the help of this firm massage, they could be emptied (finally!). Just watch out for any redness or burning sensation (or the surface of the breast getting hot) and if it happens, hop off to your Dr's to get you checked out for mastitis.
Anonymous (not verified)
0
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EW NEWBIE
Latest post on 09 August 2011 - 18:39
try feeding with baby lying down and you lying over him, gravity helps with the flow and clearing blockages apparently.
822
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EW GURU
Latest post on 09 August 2011 - 18:31
I may be worth bathing your breasts alternately with hot and cold water, or going into the hot shower and let your milk flow with the warm water. Don't be tempted to squeeze the milk out as your body will try to produce more and exacerbate the problem. Try feeding baby in different positions (eg across body, rugby ball position, sitting upright) to ensure all the different ducts are emptied. HTH
 
 

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