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Why is it painful when breastfeeding?

Understanding Breastfeeding Pain: Causes and Solutions
Breastfeeding is often heralded as a natural and beneficial way to nourish a newborn, yet many mothers experience significant discomfort during this intimate process. Understanding the reasons behind this pain can help alleviate concerns and improve the breastfeeding experience.
Common Causes of Pain
One of the primary reasons mothers report pain while breastfeeding is related to improper positioning and attachment. When a baby is not latched correctly, it can lead to nipple soreness and even damage. Experts emphasize that ensuring the baby is positioned well—meaning the baby’s mouth covers a good portion of the areola, not just the nipple—can significantly reduce discomfort.
Another common issue is nipple trauma, which can occur from repeated friction during feeding. This is particularly prevalent in the early days of breastfeeding when both mother and baby are still learning the ropes. Additionally, conditions such as thrush, a yeast infection that can affect both the mother’s nipples and the baby’s mouth, can exacerbate pain.
Physical Changes and Conditions
Physical changes during breastfeeding can also contribute to discomfort. For instance, engorgement—when the breasts become overly full with milk—can lead to swelling and pain. This condition often occurs in the early days after birth when milk production ramps up. Furthermore, mastitis, an infection of the breast tissue, can cause severe pain, swelling, and flu-like symptoms, making breastfeeding particularly challenging.
Psychological Factors
The emotional and psychological aspects of breastfeeding should not be overlooked. Stress and anxiety can heighten the perception of pain, making the experience more daunting for new mothers. Support from healthcare providers, lactation consultants, and peer groups can play a crucial role in addressing these emotional hurdles.
Solutions and Management
Fortunately, there are effective strategies to manage and reduce breastfeeding pain. Consulting with a lactation consultant can provide personalized guidance on positioning and latching techniques. Additionally, using nipple creams and ensuring proper hygiene can help soothe sore nipples.
For mothers experiencing engorgement, frequent breastfeeding or pumping can relieve pressure and discomfort. In cases of mastitis, medical treatment may be necessary, including antibiotics.
In conclusion, while pain during breastfeeding is a common experience, it is often manageable with the right support and techniques. Understanding the underlying causes can empower mothers to seek help and make informed choices, ultimately enhancing the breastfeeding journey for both mother and child.

What does a blocked milk duct feel like?

A plugged milk duct feels like a tender, sore lump or knot in the breast. It happens when a milk duct does not drain properly. Pressure builds up behind the plugged duct, and the tissue around it gets irritated. This usually happens in one breast at a time.

What does a clogged duct feel like vs mastitis?

Symptoms of plugged ducts, mastitis
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. Mastitis symptoms appear rapidly and include flu-like symptoms such as fever, chills, fatigue and body aches.

What are the early warning signs of mastitis?

Symptoms of mastitis
a burning pain in your breast – you may feel this only when breastfeeding or it may be constant. nipple discharge, which may be white or contain streaks of blood. a lump or hard area on your breast. feeling tired, run down and feverish – you may have flu-like symptoms.

Can breastfeeding hurt even with a good latch?

It may look like your baby is well latched from the outside but your nipple may still be getting pinched. If you have tried to improve the positioning and latch but you still feel intense pain, seek help. Some discomfort when latching in the early days is common as you and your baby are learning.

How do you unclog a milk duct?

Here are a few tips to help you get relief: Lightly massage your breast from the plugged duct down to the nipple before and during breastfeeding. Apply ice or cold packs to provide relief and reduce swelling. Breastfeed on demand and use different positions.

Should I keep breastfeeding if it hurts?

You may feel a gentle tug on your breasts while your baby feeds, but it shouldn’t hurt. If you feel discomfort during nursing, stop nursing and reposition your baby to get a better latch. Your nipple areola (the ring around the nipple) should be mostly in your baby’s mouth.

Why is my breast so painful while breastfeeding?

Breast engorgement is when, for whatever reason, your breasts become overly full. They may feel hard, tight and painful. In the early days, engorgement can be due to your milk coming in. Newborns need feeding little and often.

What does the beginning of mastitis feel like?

What are some symptoms of mastitis? You might have a red, sore area on your breast. Sometimes it feels like getting the flu. You might feel hot and cold with a fever, and have general body aches.

Why does it hurt so bad when I breastfeed?

Breastfeeding shouldn’t hurt. If it does, it’s a sign that something’s wrong. Most often it’s because your baby isn’t latching well. Other issues that cause discomfort can pop up, like clogged milk ducts, engorgement, postpartum cramping or sensitive nipples. Soreness while breastfeeding is normal,

How long until breastfeeding stops being painful?

It should not last for the duration of the feed, and within a few days (for most it is less than a week) the latch pain is gone and breastfeeding should be entirely painless from start to finish. Perhaps the ligaments have loosened a little by this point.

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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