Information and Management of Nipple Blebs

 

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Information and Treatment of Nipple Blebs Breastfeeding With a Nipple Bleb. A nipple bleb may not bother you at all, or it may cause extreme pain during Treat Nipple Blebs While Breastfeeding. Breastfeed very often and make sure your baby is.

A milk bleb or blister is a blocked nipple pore. This usually happens when a milk duct becomes clogged, causing milk to back up. Breast milk becomes thick and hard as a result, which blocks milk flow near your nipple opening. Sometimes, a small amount of skin can grow over the bleb, preventing it from healing.

Symptoms of milk blebs and milk blisters. Another treatment for persistent milk blisters: Once per day, spray breast and nipple area with a solution consisting of 5 drops of grapefruit seed extract, 1/4 cup vinegar, and 2 cups water. Vitamin E ointment – applied very sparingly and wiped off before feedings (too much vitamin E can be toxic to baby) – can also help. Nipple blebs are small white spots on the tip of the nipple.

They range in size from 1 to 3-4mm. They are often associated with sharp, deep and intense pain. These blebs are the tip of a clogged duct in which a very thin layer of skin has grown over the opening. The milk then bulges out against the clog, causing pressure and pain.

Treatment. 1. Using antibiotic and anti-inflammatory medicines: After the doctor ruptures the blister, antibiotics, and anti-inflammatory medicines compatible with breastfeeding have to be used.

If the blister formation is due to infection, then antibiotics will be the first line of treatment. At times, nipple blisters might recur even after treatment. A bleb (also called a milk blister or blocked nipple pore) is what forms when a little bit of skin grows over a nipple pore (milk duct opening), and breast milk backs up behind it.

According to kellymom.com, “A milk blister usually shows up as a painful white, clear or yellow dot on the nipple or areola, and the pain tends to be focused at that spot and just behind it. If it does not hurt, no treatment is necessary. If the nipple bleb is painful, try the following: • Before breastfeeding, apply wet heat to the nipple using a warm compress or by soaking in the bath. This will thin the skin to help your baby draw out the plug of thickened milk during a feeding. Place olive oil on a cotton ball and place over your nipple inside your bra.

Apply vinegar to a breast pad and place over your nipple (s). Soak your breast in 2 teaspoons of Epsom salts mixed with. We document the treatment and outcome of a patient who presented with left-breast dysbiosis and nipple blebs and whose milk culture grew multi-drug-resistant, methicillin-resistant Staphylococcus aureus. She was treated safely and effectively with intravenous daptomycin and dalbavancin. The operation for bleb resection can be done via mini-thoracotomy or thoracoscopy.

The procedure is performed with general anesthesia using a special endotracheal tube that allows intentional collapse of the lung which is operated on. The procedure is performed through a series of small incisions.

List of related literature:

Nipple blebs appeared to be an inflammatory response to nipple trauma in some women.

“Breastfeeding Management for the Clinician” by Marsha Walker
from Breastfeeding Management for the Clinician
by Marsha Walker
Jones & Bartlett Learning, 2016

In addition, an eczematous or psoriasiform plaque of the nipple and surrounding skin can be seen in Paget’s disease due to epidermal extension of an underlying ductal adenocarcinoma of the breast (Fig. 53.13).

“Dermatology E-Book” by Jean L. Bolognia, Joseph L. Jorizzo, Julie V. Schaffer
from Dermatology E-Book
by Jean L. Bolognia, Joseph L. Jorizzo, Julie V. Schaffer
Elsevier Health Sciences, 2012

In early anatomic studies of the breast, which were done on autopsy specimens, the duct system was identified by pushing dye into the duct under pressure.6 The duct, being elastic, stretched to suggest ductal sinuses leading to the impression—the ducts had sinuses that collected milk in the areola.

“Breastfeeding: A Guide for the Medical Profession” by Ruth A. Lawrence, MD, Robert M. Lawrence, MD
from Breastfeeding: A Guide for the Medical Profession
by Ruth A. Lawrence, MD, Robert M. Lawrence, MD
Elsevier Health Sciences, 2015

In 2010, Caviggioli et al. published a case series including 24 patients utilizing AFG for reconstruction of the nipple–areola complex following burns, a technique that they called “nipple resuscitation.”

“Evidence-Based Procedural Dermatology” by Murad Alam
from Evidence-Based Procedural Dermatology
by Murad Alam
Springer International Publishing, 2019

A reddened localised region may be indicative of mastitis and require treatment with antibiotics.The nipples should be inspected for damage if the woman is using a breast pump or breastfeeding.

“ACCCN's Critical Care Nursing” by Leanne Aitken, Andrea Marshall, Wendy Chaboyer
from ACCCN’s Critical Care Nursing
by Leanne Aitken, Andrea Marshall, Wendy Chaboyer
Elsevier Health Sciences, 2016

Flattening, crusting, and retraction of the nipple can also occurs as the disease progresses [13] Unfortunately, most of the clinical characteristics associated with IBC are nonspecific, resulting in a significant number of cases being initially diagnosed as mastitis or breast abscesses.

“Management of Breast Diseases” by Ismail Jatoi, Manfred Kaufmann
from Management of Breast Diseases
by Ismail Jatoi, Manfred Kaufmann
Springer Berlin Heidelberg, 2010

If the nipple shield is effective in correcting milk transfer problems in the hospital, its use should be continued after NICU discharge.

“Breastfeeding and Human Lactation” by Karen Wambach, Jan Riordan
from Breastfeeding and Human Lactation
by Karen Wambach, Jan Riordan
Jones & Bartlett Learning, 2016

Rees, Gravelle, and Hughes107 reported on a series of 30 patients (25 to 75 years of age; mean, 52 years) with nipple retraction associated with the mammary duct ectasia phase of MDAIDS.

“The Breast E-Book: Comprehensive Management of Benign and Malignant Diseases” by Kirby I. Bland, Edward M. Copeland, V. Suzanne Klimberg
from The Breast E-Book: Comprehensive Management of Benign and Malignant Diseases
by Kirby I. Bland, Edward M. Copeland, V. Suzanne Klimberg
Elsevier Health Sciences, 2009

With the same remedy Skinner (ibid.) cured many cases of retraction or flattening of the nipple in nursing women.

“A dictionary of practical materia medica: in three volumes. Penthorum sedoides Zizia” by John Henry Clarke
from A dictionary of practical materia medica: in three volumes. Penthorum sedoides Zizia
by John Henry Clarke
B. Jain, 1997

(b) Treatment includes feeding every 1½ to 2 hours; cold applications between feedings; heat application shortly before feeding; massage to speed milk release; softening the areola by using a pump or expressing milk to begin flow or pressing gently on the areola to move swelling back.

“Study Guide for Foundations of Maternal-Newborn and Women's Health Nursing” by Sharon Smith Murray, MSN, RN, C, Emily Slone McKinney, MSN, RN, C
from Study Guide for Foundations of Maternal-Newborn and Women’s Health Nursing
by Sharon Smith Murray, MSN, RN, C, Emily Slone McKinney, MSN, RN, C
Elsevier Health Sciences, 2013

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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  • mba, kalo di pria normal gak kalau ada jerawat di puting? aku tiba2 muncul yang jerawat, gak sakit sama sekali, udah 2 bulanan ga ilang2 jadinya parno

  • Waduhh bnyak yg ngalamin dan rata2 makin parah aku buka coment karna lagi ngalamin… Kog ngeri Yaa ada yg smpe brbulan2 saya baru liat td pagi dan pyudra saya juga bengkak ke asi GK keluar gmna ini?? ��

  • Aku skr mengalami milk blister, apakah saat terus kasih menyusui bayi cairan jerawat keluar dan terminum bayi apakah aman buat bayi..??? Sy kwatir…???

  • Doc merai betai me jus 15 days pehlai feed chora hai nd ab merai breast Mai pain hai gathhan nahi hai laikn pain hai or mainai nipples ko dabaya then usmai thick type nikal it’s not yellow daikhnai Mai white hai laikn pain hai

  • Jadi black niplle pore itu bukan jerawat yg seperti pada wajah ya? Istri saya mnegalami dr semalam.dia takut saat mengurusi pecah dan tertelan anak..

  • Halo bu dokter saya ike dari madiun mau bertanya.. saya baru melahirkan 3 hari lalu.. sepertinya saya mengalami jerawat pada puting inni.. asi saya produksi terus tetapi tidak bisa keluar lancar sehingga pd saya sangat keras dan sakit.. saya kasih asi scr langsung ke anak saya.. saya juga sudah melakukan cara pada video.. tapi tetap tdak keluar lancar.. bagaimana solusi lainnya bu???

  • Hai, selamat siang, salam kenal dokter Christysiyorus, saya Lilis, saya seorang working moms. Masih mengASIhi bayi yg sekarang usianya 20bulan, namun sejak usia 18 bulan baby saya sudah tdk mau menyusu langsung. Jadi semenjak usia 18bulan itu saya selalu lakukan pumping krn asi msh berproduksi.

    Saya sering kali mengalami milk blister, dari usia baby krg dr 1th smp dg br2 ini.. dan skrg pun msh ada.

    Awal2 memang kayak ngilang dengan sendirinya karena sesering mungkin menyusui langsung, nah stlh kjdian yg PD kiri bgkak krn blister (wkt itu sy mmg slh sy kutak katik pk tgn sndiri krn penasaran knp sring skali blister tp eh malah jd bgkak), kmudian sy cr2 dokter laktasi slma 1 bulan (krn d daerah sy jarang sekali bahkan tdk ada dokter laktasi, itu pun dokter yg sy tmui sbnrnya dokter anak yg merangkap jd dokter laktasi) Alhamdulillah ktmu, krn PD sy bgkak, puting sy titik asinya jd berkurang, nah krn udh 1 bulan br bs ktmu sm dokter tsb jd titik asi sdh trtutup lapisan kulit yg bengkak itu. Kmudian sy ditindak, wah mantap sekali rasanya, krn utk mengembalikan jumlah titik asi, tindkannya itu d tusuk tusuk dg jarum tanpa bius. Alhamdulillah nemang titik asi bertmbh tp tdk kembali k semula, krn dinding kulit puting yg msh menebal jd agak sulit utk mncari titiknya.

    Ok, stlh beberapa bulan smpe usia baby sy 20 bulan sy ktmu lg sm blister, dan rasanya udh gk bs tahan tiap pumping kayak ada jarum yg merayap, ngilu d beberapa bagian salurn asi. Tepat sminggu yg lalu sy mncari bidan utk breastcare krn klo k dokter tkut d tusuk2 lg. Dan trnyta d bidan pun sm tindakannya dg jarum, tp bukan d tusuk melainkan d congkel blister nya (tanpa bius), mantap sekali rasanya. Utk beberapa saat memang rasa sakit ktika ada blister itu hilang, kmudian stlh drhnya ng deep krg lbh 12 jam stlh tindakan br saya pumping kembali.. agak nyaman tp kdg kluar drh dr bkas yg d congkel blisternya itu.

    Nah dr kmrn titik putih itu ada lagi dok d tmpt yg sm.. kenapa y dok, tdnya aq mw hubgi bidan lg. Tp stlh aq searching d yuotube sy ktmu sm video ini, jd sy ragu utk k bidan lg… ingin coba tutorialnya. Knp ko rasanya itu kayak ada jarum yg lg berjalan? stiap habis pumping ngilu d PD kiri sampai gk bs tdr..