Hi Don t be alarmed if your baby spits up small amounts of blood or passes some blood in his bowel movements -- this is just because he may have swallowed some blood from your cracked and bleeding nipples. This swallowed blood is not harmful to the baby. Meanwhile, to manage the pain and bleeding, try to lessen the engorgement by expressing some milk, either by hand expressing or with a breast pump, before the baby latches on to make it easier for him to latch on. You can also apply warm compresses or take a warm shower before nursing to soften the breasts. Alternate your positions for feedings, and until your breasts heal you might want to start with the breast that is the least sore and limit the time on that breast. You should continue to breastfeed frequently, 8 to 12 times per 24 hours, as this will prevent your baby from sucking too vigorously at each feeding due to hunger. To promote skin healing, clean your breasts gently with a mild soap during your daily shower and rinse well. Then apply a pea-sized portion of your breast milk or medical grade modified lanolin on your nipples to prevent dryness. Use non-plastic lined bras and/or bra pads, and change the pads frequently. Try some relaxation techniques such as deep breathing or listening to soothing music before and during feedings to ease the discomfort.