Blebs
Nipple blebs, commonly referred to as milk blisters, are small white or yellowish spots that can develop on the surface of the nipple. While they can be frustrating and painful for breastfeeding mothers, understanding their causes and learning effective treatment strategies can help you breastfeed more comfortably.1 Remember, you’re not alone in this journey—don’t hesitate to reach out to a healthcare provider or lactation consultant for support and guidance.
Causes2
Recent research on nipple blebs suggests that the main cause is inflammation of the milk ducts. As inflammatory cells multiply, they can reach the skin’s surface by lodging in the nipple pore. Mothers often experience blebs in conjunction with conditions such as engorgement, oversupply, and plugged ducts.
Symptoms2
- Visible Bleb: A small, raised blister-like bump on the nipple.
- Discomfort or Pain: Sensitivity or sharp pain at the site of the bleb, especially during breastfeeding.
- Breast Fullness: A feeling of fullness or engorgement that may not resolve with feeding or pumping.
- Reduced Milk Flow: Compression of the milk ducts from engorgement, may make it more difficult to empty your breast.
- Changes in Feeding Patterns: Your baby may cue to feed more frequently or be more fussy at the breast due to reduced milk flow.
Treatment2
- Assess Latch: Ensure your baby is latching comfortably.
- Feed on Cue: Continue to be responsive to your baby’s feeding cues.
- Anti-Inflammatory Measures: Apply cold compresses in between feedings to help reduce inflammation. Taking Ibuprofen, as directed, may also help to reduce swelling.
- Avoid Heat: While heat feels good, it may actually prolong symptoms.
- Gentle Massage: Gently massage the breast around the bleb while breastfeeding or pumping to help clear the blockage.
- Good Hygiene: Keep the nipple area clean and dry.
- Lecithin: Oral lecithin may help treat and prevent the recurrence of blebs, with a recommended dose of 4,800 mg per day.
- Hydrocortisone: Applying a moderate potency topical steroid cream, such as 0.1% triamcinolone, can reduce inflammation on the nipple’s surface. This is safe for breastfeeding and can be wiped off before feeding your baby.
- Avoid Unroofing the Bleb: If a bleb is present, avoid unroofing it, as this can cause trauma and further narrowing of the milk duct.
- Monitor for Infection: Be alert for signs of infection, such as increased redness, swelling, or fever. If these occur, seek medical attention.
- Get Breastfeeding Help: Working with a Lactation Consultant can provide invaluable support in helping you overcome your breastfeeding challenges, including sore nipples caused by thrush or other factors.1
What If I Have Questions?
If you are interested in learning more, these Aeroflow classes expand on some of the topics discussed above:
- Ultimate Breastfeeding Prep
- Lactation Q & A
- Moms Circle
To register for these classes, log into your portal or click here.
Want More Info?
For a directory of Aeroflow’s other Care Guides offering information on pregnancy, baby care, and more, browse our comprehensive list of titles:
References