Brief Answer: Don't start lactodex, use nipcare cream on nipples Detailed Answer: Hello, Thanks for posting your query. Please do not start your baby on any formula feeds if you want your baby to be healthy, starting on formula feeds will cause serious infections. Use Nipcare cream to heal the cracked nipples. Nipples crack because of wrong position while breast feeding. To avoid nipple cracking follow these steps. 1. Your wife should hold your baby close to her body while breast feeding. 2. The entire body of your baby should be well supported, that is head, neck and body. 3. Baby's body should be fully turned towards the mother. 4. The whole of the nipple and the areola(The dark area around the nipple) should be completely inside the mouth of the baby while feeding. 5. Your baby's mouth should open widely when latching on to the breast. 6. Feed from one breast at each time till your baby gets a little older. 7. Feed your baby, every 2 hours once, and each time alternate the side. 8. After feeding the baby, wash the breast and apply Nipcare cream on the nipple. 9. If your baby is not able to empty the breast on one side, then express the remaining milk to completely empty the breast. Please, do not start your baby on any formula feeds if you want your baby to be healthy. Hope this answers your query. Feel free to write back to me if you have any doubts. All the best. Regards.

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Brief Answer: You need to consult a doctor. Detailed Answer: Hello again, Thanks for writing back. Nothing except breast milk can be digested by your baby, there are no alternatives. I am sorry to know that your wife is suffering so much, I can fully understand your situation, but as I said, there are no alternatives to breast milk, and if you feed your baby anything other than breast milk, you will be taking a huge risk with his life. That said, here is the solution. Express the breast milk from the breast into a clean tumbler, and feed your baby with a clean spoon or palada. Do not use a bottle to feed your baby at any cost. In my honest and humble opinion, it is high time that you consulted a doctor. Go to the Neonatalogy department in AIIMS, no other hospital has a good neonatal department that can understand your particular problem. I have given you the reasons for nipple cracking in my earlier answer, I will say it again, the most important reason for nipple cracking and painful nipples is wrong way of feeding. As soon as you correct that wrong way of feeding, that is, if you make sure that the entire nipple and areola is inside the mouth of your baby, then the cracking will stop and your wife will feel better immediately. Please follow my advice if you want your baby to be healthy and well. Hope this will clear your doubts. All the best. Regards

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Brief Answer: Please read my suggestions in earlier answers. Detailed Answer: Hello Mr. XXXX XXXXXXX I can understand your problem completely, I know your wife is suffering due to the cracked nipples. I kindly suggest you to read my suggestions again. I have given you what to do and how to do, step by step, since this is an online forum, I can not do anything more than this. If you were from Bangalore, where I have my practice, I would have asked you to consult me personally so that I could demonstrate the methods which I have mentioned earlier. The only solution to cracked nipples is to make sure your baby is not biting or holding the nipple while trying to feed, that is, as I have mentioned in my previous two answers, you should make sure the entire areola (The dark circle around the nipple) is completely inside your baby's mouth, trust me, if you follow my suggestion step by step as I have mentioned, the cracked nipple will heal automatically. Please go and consult neonatologists in AIIMS, they will show you how to breast feed your baby properly. The only problem as far as I can see is the position of holding your baby while breast feeding, if that is correct then all your problems will be solved. Please be patient and feed your baby as I have suggested, within two days you will see that your baby is feeding very well and also the cracks in the nipple will heal. I am extremely sorry, I can not suggest you something that is unethical like feeding formula feeds when I know the damage it can cause your baby. I can not suggest any alternatives because they will harm your baby, and knowingly I can not cause harm to your baby, I hope you can understand our professional limitations and ethics. Please follow my step by step instructions as I have mentioned in my first answer. Nipple crack will not cause nay major breast problems, don't worry about that. I hope you will understand my point well. All the best. Regards.

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