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If you have a burning pain with breastfeeding, you may have tried treating yourself and your baby for thrush.
But if you’ve been treating it with effective treatments for a while and your pain hasn’t improved, it might be time to consider whether it’s thrush after all. It might be a relatively common condition called Raynaud’s vasospasm of the nipple.
Raynaud’s is a sudden constriction of blood vessels which limits blood flow and causes color changes. It’s thought that up to 20% of women of childbearing age may experience Raynaud’s. Because the burning pain of thrush and Raynaud’s is similar, they are easily confused, and mothers are sometimes treated repeatedly for thrush when the culprit is Raynaud’s.
Typical symptoms in breastfeeding are:
Raynaud’s is seen more often in women who have autoimmune diseases such as rheumatoid arthritis, and symptoms may be more common during colder times of the year.
Before you suspect that Raynaud’s may be the cause of your pain, make sure that your baby’s latch is good. A poor latch is the most common cause of pain with breastfeeding, and compression of the nipple can cause it to blanch after a feeding. To make sure that the latch is good, have a lactation consultant or another person who is very skilled at helping achieve a good latch help you get the baby on the breast well. There are many causes of breastfeeding pain (shallow latch, tongue tie, blebs), and a good breastfeeding support person will run through them with you.
The symptoms of Raynaud’s often go away on their own - by about 10 weeks postpartum, according to Dr. Jack Newman. If they don’t, there are treatments for Raynaud’s which appear to be effective. Here are some treatment options:
If you’d like to seek help from your physician, you may want to print out studies from Pediatrics and Obstetrics and Gynecology, and the Journal of Human Lactation which discusses treatment with Nifedipene.
This information is presented for educational purposes, and should not substitute for medical advice from your healthcare provider.