frequent blebs and engorgments

[Guest guest]

Hi all!I’m a PP-IBCLC in Rome (Italy).Here I am to ask your help for a client of mine.She has an almost 6 mos. baby girl . in the last 6 weeks (about.. unfortunately I forgot her sheet at office and can check for details just tomorrow) she started to have a bleb on a nipple together with engorgements. In a first moment, the problem was about each 10 days, and she went to the hospital where they punched/holed (sorry for my poor English) it. In a second moment, the bleb came back and came and came more often, sometimes in only a couple of days.Latching became even more painful and the mom is really upset and overwhelmed.I saw her 3 days ago. I noted that the latch wasn’t so wide , that is not a problem in a 5 ½ mo.s baby, but as the mom has so much pain, I suggested to try to make her open the mouth wider. I gave her all the suggestions for blebs, but it seems nothing works. I saw some bleaching after feeding too.I am so sorry for her because she is really a very motivated mother but is really very painfulShe sent me a complete “photo history” of these blebs. Can I share with you? Even in PDF it is heavy (10 Mb) so I could put it into the list’s Files folder .Let me know if it’s useful.She gave me her permission to share pictures and use for classes and teaching too JI thank you very very much  in advance for your suggestions and ideas!!Hugsa Carabetta, PP- IBCLCwww.latteecoccole.it