Baby's nipple is sore and oozing blood when sucking

Introduction In the early stage of nipple cleft palate, when the baby has sputum, the nipple has a knife-like pain, and the cracked nipple is a superficial ulcer that occurs during the lactating nipple. It usually occurs in the first week of breastfeeding, and the primipara is more than the maternal.

Cause

The cause of pain and oozing of the nipple knife in infants with sputum:

(1) Causes of the disease: The scalp epidermis is thin and tough, and there are many factors that can cause cleft palate. Common causes of the disease are:

1. The nipple is invaginated or too small, which makes it difficult for the baby to suck, and the nipple damage occurs when the breast is sucked too much.

2. The feeding is not correct, and the nipple and most of the areola are not delivered into the baby's mouth.

3. Excessive use of irritants such as soap or ethanol desiccant on the nipple.

4. Excessive secretion of milk, spillage erodes the nipple and surrounding skin, causing erosion or eczema.

5. The baby's oral motor function is dysfunctional or the mouth is inflamed. If the nipple is bitten during the lactation process, the nipple may be split.

an examination

Related inspection

Breast examination breast examination breast film

Examination and diagnosis of nipple knife pain and oozing when the baby has sputum:

In the early stage of the disease, when the baby contains sputum, there is a knife-like pain in the nipple, and then the nipple appears oozing, or a light yellow thin liquid seeps out, and the exudate is dried to form scars on the surface of the nipple. If you continue to suck the baby, there will be small cracks or ulcers on the surface of the nipple. At this time, the nipple is red and swollen, and there is severe pain during breastfeeding. The scar can also be soaked, rubbed off and peeled off, and the crack becomes larger.

The nipple splitting occurs in a circular or vertical direction, and the cleft palate is often at the junction of the base of the nipple and the areola. For example, when the laceration is deep, the nipple can be partially broken. When the vertical splitting is severe, the nipple can be divided into two halves. Bacteria on the nipple can cause disease in the baby. Chapped hemorrhage, the baby sucks blood into the stomach to form a baby's pseudo black stool. A small gap and ulcer on the surface of the nipple of a lactating woman can be diagnosed with severe pain during breastfeeding.

Differential diagnosis

Identification of symptoms of nipple knife pain and oozing susceptibility in infants with sputum:

1, adolescent breast pain: the earliest breast pain in girls, usually 9 to 13 years old. First, the nipple is uplifted, and the breast tissue under the nipple appears to have a large humus induration, with slight pain. After the menarche, as the breast matures, it will disappear on its own.

2, breast pain during pregnancy: some women in the 40 days after pregnancy, due to the secretion of a large amount of estrogen, progesterone, prolactin in the placental villi, so that the breast hyperplasia, breast enlargement, resulting in breast pain, the weight can last throughout the pregnancy .

3, postpartum breast pain: 3 to 7 days after delivery, often can appear double breast fullness, induration, pain. This is mainly caused by lymphatic retention of the breast, venous filling, interstitial edema, and poor ductal ducts.

4, breast pain after artificial abortion: This is due to sudden interruption of pregnancy, the body's hormone levels have dropped sharply, so that the newly developed breast suddenly stopped growing, causing breast lumps and breast pain.

5. Breast pain after sex life: This is related to physiological changes in the breast during sex. Sexual apathy or sexual disharmony, because of the lack of sexual gratification, breast congestion, swelling is not easy to subside, or regressive incomplete, persistent congestion, can cause breast pain.

In the early stage of the disease, when the baby contains sputum, there is a knife-like pain in the nipple, and then the nipple appears oozing, or a light yellow thin liquid seeps out, and the exudate is dried to form scars on the surface of the nipple. If you continue to suck the baby, there will be small cracks or ulcers on the surface of the nipple. At this time, the nipple is red and swollen, and there is severe pain during breastfeeding. The scar can also be soaked, rubbed off and peeled off, and the crack becomes larger.

The nipple splitting occurs in a circular or vertical direction, and the cleft palate is often at the junction of the base of the nipple and the areola. For example, when the laceration is deep, the nipple can be partially broken. When the vertical splitting is severe, the nipple can be divided into two halves. Bacteria on the nipple can cause disease in the baby. Chapped hemorrhage, the baby sucks blood into the stomach to form a baby's pseudo black stool.

A small gap and ulcer on the surface of the nipple of a lactating woman can be diagnosed with severe pain during breastfeeding.

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