Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
Continue the cream as suggested by your doctor. The sore will heal as time progresses but you need to take care. A poor latch can result in damaged nipples. When nipples are damaged, the first few sucks from your baby will be painful, even if the feeding is going well. If the nipple feels better after the first few sucks, your baby is likely latched on properly. Help your baby latch better. Some babies (for example, those who were exposed to medications during labour and birth) may have difficulty in self-attaching. If you are
breastfeeding sitting up, be sure your baby is tucked in close to you, tummy to tummy, and that your supporting hand or arm is placed behind her shoulders, not his/her head, so that she can tip her head back and bring the chin into the breast first. Your nipple should be pointed towards his/her nose, so that as s/he opens wide and tips his/her head back, it will be in the perfect place to slide deeply into his/her mouth, aimed at the roof of her mouth. 1. Breastfeed from the uninjured (or less injured) side first. Baby will tend to nurse more gently on the second side offered. 2. The initial latch-on tends to hurt the worst – a brief application of ice right before latching can help to numb the area. 3. Experiment with different breastfeeding positions to determine which is most comfortable. 4. If breastfeeding is too painful, it is very important to express milk from the injured side to reduce the risk of
mastitis and to maintain supply. If pumping is too painful, try hand expression. 5. Express some
colostrum or breast milk and rub it onto your nipples. 6. Allow it to air dry. 7. Expose your nipples to the air. 8. Keep breastfeeding or express or pump your milk. If your nipples bleed, you may see blood in your milk or in your baby’s mouth. That's OK - the blood is not harmful and you can still give your milk to your baby. 9. Look at your baby’s tongue. Sometimes a poor latch and damaged nipples happen because the baby has a ‘tongue tie’ or tight
frenulum - the piece of skin under the tongue. A tongue tie is only a problem if your baby cannot latch well or if it's causing damage to your nipples. Your doctor or a
pediatrician can fix the tongue tie very easily. Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr Sanjay Kini