Blebs and Breastfeeding - What Are They?

Blebs and Breastfeeding - What Are They?

 

Blebs or white spots can appear on the tip of the nipple and are often  associated with breastfeeding. There are a few different types. The difference  can be unclear when looking at them. The causes include improper latch, clothing  rubbing on the nipple, not enough fluid in the mother's diet and possibly too  much saturated fat in her diet also.

There are blebs which are a tiny collection of fluid that occurs when a tiny  amount of milk has leaked into the nipple tissue at a duct outlet. They are  usually caused by an improper latch and are flat. Sometimes there is associated  pain. Sometimes it is completely painfree.

There are also plugged nipple pores. These resemble a bleb in appearance. The  plug is usually tiny and round, and is often an oily substance. If you squeeze  upward on the base of the nipple, the plug will pop up. If it is a plugged  nipple pore, there is almost always a hard, sore area in the breast where the  milk is unable to get out. Hence a plugged duct. The swollen area may press on  close by ducts and stop their drainage.

A milk blister is another type of white spot. This is when a single cell  layer of skin grows across a nipple pore and blocks it. The blister is usually  raised with fluid. There is epithelial growth factor in the milk which helps the  mucous membranes to mature. It is thought to aid the baby's gut lining to  mature. Epithelial growth factor can be the cause for a single cell layer to  grow over a milk pore on the nipple.

At times there can be associated lumps and pain in the breast where the bleb  is preventing an area of the breast from draining. Generally the "white" colour  is the build up of the fat in the milk. Sometimes the baby will pop the bleb  while feeding. Other times women will break it with a sterile needle or their  fingernail. In the case of a plugged nipple poor and a blister, once the  blockage is released it is common to see a long thick tenacious stringy looking  length of white come out of the pore that is now unblocked. Sometimes you won't  see it because the baby has ingested it while feeding which is of no concern.  This is the fat and solids part of the milk that has accumulated. Massage can  also assist in getting this blockage out.

Another remedy is lecithin. Lecithin is found as a powder additive that can  be added to foods. Lecithin is an emollient which means it helps dissolve fat.  So in the case of blebs, it keeps the fatty part of the milk suspended in the  milk more.

Lecithin can be ingested by the mother to aid in the treatment and prevention  of blebs. Some women may experience blebs in one breastfeeding experience and  not the next. The theory behind blebs forming is that the mother's milk is a  little thicker- perhaps due to the woman's hydration. Perhaps a diet a little  higher in saturated fats.

Generally when popping any of the white spots mentioned above, take care with  hygiene. Ensure you wash your hands beforehand, use sterile equipment and be  vigilant afterwards. Some women use an antibacterial cream on the area for a few  days after. Using warm compresses to pop the blebs is also used and can be very  effective when used together with massage.

Seek assistance from a professional if you are unsure or nervous about  this.

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