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Re: vasospasms/Reynauds

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I gave a session about this at last year's ILCA conference. I

experienced it myself and have worked with quite a few women over the

years who have. Neither I nor most of my clients have had true

Raynaud's, which has led me to believe that it is not true Raynaud's,

but rather an artifact of nipple trauma, with the nerves

over-reacting and going into spasm. I've had pretty good success

with pressing the blood back into the nipple to stop the spasm, and

thus the pain. Most people who experience it in early lactation find

that although the blanching may continue indefinitely, the associated

pain seems to end after a few months.

At 11:04 PM 1/20/2011, Leigh Anne wrote:

>

>

>Hi all,

>

>Has anyone heard of Lactation induced Raynaud's? I have a mom who

>has the symptoms but only while she is lactating.

>

>Thanks,

>

>Leigh Anne O'Connor, IBCLC

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I have also seen it only when the client has a bad case of thrush, and then it disappears completely. Billowitz, IBCLCIsrael From: [mailto: ] On Behalf Of West, IBCLCSent: Friday, January 21, 2011 7:00 AMTo: Subject: Re: vasospasms/Reynauds I gave a session about this at last year's ILCA conference. I experienced it myself and have worked with quite a few women over the years who have. Neither I nor most of my clients have had true Raynaud's, which has led me to believe that it is not true Raynaud's, but rather an artifact of nipple trauma, with the nerves over-reacting and going into spasm. I've had pretty good success with pressing the blood back into the nipple to stop the spasm, and thus the pain. Most people who experience it in early lactation find that although the blanching may continue indefinitely, the associated pain seems to end after a few months.At 11:04 PM 1/20/2011, Leigh Anne wrote:>>>Hi all,>>Has anyone heard of Lactation induced Raynaud's? I have a mom who >has the symptoms but only while she is lactating.>>Thanks,>>Leigh Anne O'Connor, IBCLC__________ Information from ESET NOD32 Antivirus, version of virus signature database 5804 (20110120) __________The message was checked by ESET NOD32 Antivirus.http://www.eset.com

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Definitely. I have worked with mothers who have used the hand warmers that

people sometimes use in their gloves or shoes at sporting event or for outdoor

work. They are the size of a credit card, and the mother will place them over a

thin cloth layer, either bra or what have you.

Some people also us nifedipine.

>

> Hi all,

>

> Has anyone heard of Lactation induced Raynaud's? I have a mom who has

> the symptoms but only while she is lactating.

>

> Thanks,

>

> Leigh Anne O'Connor, IBCLC

> leighanne625@...

> www.leighanneoconnor.com

>

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Never heard of this, but… I had vasospasms only while nursing, not caused by trauma. Now, years later, I am developing Reynauds in my feet. I would encourage the mother to keep nipples warm as much as possible. Becky , IBCLCMilky WayLa Plata, MD

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I have seen it without thrush, and without a history of Raynaud's. Some of the moms have admitted to being sensitive to cold, some haven't. They may have a tendency to this and not be aware of it, but not sure that is always true.

It also can masquerade as thrush- I spent a 3 hour visit with a mom who had been treated for thrush, trying to figure out what was causing her pain, and at the very end as we were walking out she said "Here's the pain!" and we looked and finally 'caught' her slightly blanched and then reddened nipples. It was subtle but the pain was an 8-9 with this. Heat was not enough but she responded to nifedipine.

She had oversupply and her baby was clamping to protect her airway, pretty sure that was what set it off.

RE: vasospasms/Reynauds

I have also seen it only when the client has a bad case of thrush, and then it disappears completely.

Billowitz, IBCLC

Israel

__________ Information from ESET NOD32 Antivirus, version of virus signature database 5804 (20110120) __________The message was checked by ESET NOD32 Antivirus.http://www.eset.com

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Can you describe more (if you would be so kind) about pushing the blood back? That might be a really handy thing to know.

Re: vasospasms/Reynauds

I gave a session about this at last year's ILCA conference. I experienced it myself and have worked with quite a few women over the years who have. Neither I nor most of my clients have had true Raynaud's, which has led me to believe that it is not true Raynaud's, but rather an artifact of nipple trauma, with the nerves over-reacting and going into spasm. I've had pretty good success with pressing the blood back into the nipple to stop the spasm, and thus the pain. Most people who experience it in early lactation find that although the blanching may continue indefinitely, the associated pain seems to end after a few months.At 11:04 PM 1/20/2011, Leigh Anne wrote:>>>Hi all,>>Has anyone heard of Lactation induced Raynaud's? I have a mom who >has the symptoms but only while she is lactating.>>Thanks,>>Leigh Anne O'Connor, IBCLC

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