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What are the symptoms of vasospasm in breastfeeding?

Understanding Vasospasm in Breastfeeding
Vasospasm, particularly in the context of breastfeeding, refers to the intermittent constriction of blood vessels in the nipple, which can lead to significant discomfort for nursing mothers. This condition often manifests after breastfeeding sessions, causing a range of symptoms that can affect both the physical and emotional well-being of the mother.
Symptoms of Nipple Vasospasm
The primary symptom of nipple vasospasm is intense pain in the nipple or breast, which typically occurs after the baby has finished feeding or even in between feeds. This pain can be sharp and may be accompanied by a sensation of burning or throbbing.
Another notable symptom is color changes in the nipple. After breastfeeding, the nipple may turn white or pale due to the constriction of blood vessels, a phenomenon often referred to as blanching. This color change can be alarming for mothers, as it visually indicates the underlying issue of reduced blood flow.
In some cases, the nipple may also appear red or purple as blood flow returns, which can be distressing and may lead to further anxiety about breastfeeding. The pain and color changes can be exacerbated by cold temperatures, which can trigger or worsen the vasospasm.
Causes and Contributing Factors
While nipple vasospasm can occur independently, it is often secondary to other breastfeeding challenges, such as a poor latch. A poor latch can lead to sore nipples, which may then contribute to the development of vasospasm as the body reacts to the pain.
Additionally, conditions like Raynaud’s phenomenon, which affects blood flow to extremities, can also play a role in the occurrence of vasospasm in breastfeeding mothers. Stress and fatigue, common in the postpartum period, may further exacerbate symptoms, making it crucial for mothers to seek support and manage their overall well-being.
Conclusion
For mothers experiencing symptoms of vasospasm while breastfeeding, it is essential to consult with a healthcare provider or a lactation consultant. They can offer guidance on improving latch techniques, managing pain, and exploring treatment options to alleviate symptoms. Understanding and addressing vasospasm not only enhances the breastfeeding experience but also supports the overall health of both mother and baby.

How long does breastfeeding vasospasm last?

When the blood vessels in the nipples are affected by vasospasm, you may feel pain before, during or after breastfeeds. The pain can last for a few seconds or longer. You may also experience vasospasm when you have ‘let down’ (when your milk ejection reflex has been activated).

Can birth control cause vasospasm?

In some breastfeeding mothers, the blood vessels in the nipple can spasm, known as “nipple vasospasm”. Certain medications such as Fluconazole/Diflucan (thrush treatment) or the birth control pill. Nipple vasospasm may sometimes feel like a thrush infection of the nipple or breast.

What do vasospasms feel like breastfeeding?

Describing nipple vasospasm
You may feel intense nipple pain, which is worse when you are cold. Some women describe the pain as a burning and throbbing. You may notice the nipple or the tip of the nipple blanches or turns white. You may notice other colour changes of the nipple.

Why do I get shooting pains in my breasts while breastfeeding?

Symptoms: Breast or nipple pain that’s stabbing, burning, or feels like pins and needles—both during and after nursing—can be the result of a vasospasm, when contracting blood cells reduces blood flow to a particular area. You may also notice your nipples turning white, then blue or red.

When is the peak of vasospasm?

Vasospasm is a complicated process involving arterial wall thickening and vasoconstriction. It usually happens in large cerebral arteries 3–7 days after hemorrhage and peaks at one week [53].

How do I know if I have vasospasm?

When a vasospasm develops in the coronary artery, the main symptom is chest pain often described as constricting, crushing, pressure, squeezing or tightness. Patients who have experienced hemorrhagic stroke are at an increased risk of developing a cerebral vasospasm.

How do you reverse vasospasm?

Cerebral vasospasm treatments include:

  1. Increasing fluid intake.
  2. Increasing blood pressure.
  3. Removing the trigger that’s causing vasospasms.
  4. Giving a vasodilator like verapamil orally or nimodipine through an IV (intravenous, through your vein).
  5. Rarely, giving intra-arterial vasodilators if needed.

Does a clogged milk duct cause shooting pain?

Plugged duct symptoms progress gradually, and can include pain, a hard lump, a warm and painful localized spot or a wedge-shaped area of engorgement on the breast.

How do you detect vasospasm?

A provider’s physical exam can be a key part of making their diagnosis, but these tests are important, as well:

  1. Electrocardiogram (EKG).
  2. An angiogram after injecting medicine in your coronary artery to start a spasm.
  3. Positron emission tomography (PET).
  4. Computed tomography (CT).
  5. Magnetic resonance imaging (MRI).

What are the symptoms of mammary constriction syndrome?

This pain may be throbbing or constant, deep or superficial, itchy, tingling, aching or knife-like, burning or freezing, shooting, sharp or dull, or a combination of any of the above.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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