Cracked Nipples

30yr old breastfeeding mother present with complaints of pain and blood discharge (Not frank blood ,mixed with milk) from both nipple for the past 1month.and Left side inverted nipple. Lscs done before one month.P2L2. How to manage this case??

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Cracks in nipple suggest injuries while feeding baby or unhygienic breast Meanwhile baby should be top feeded as long as cracks heal which is natural healing keep nipples washed and cleaned Locally mupirocin oint Orally ciprofloxacin 500mg 1bd

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This is a case of cracked nipple with inversion of nipple lt side. This may be due to injury during sucking or unhealthy condition of nipples . Inverted nipple should not cause any problem except breast but baby latch over the whole areola and thus no problem Nipple and areola must be cleaned both before and after breast feeding To keep the area healthy by cleaning the area with savlon or betafine lotion To apply mipurocin ointment locally Antibiotic broad spectrum. For

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? CRACKED NIPPLE .. MAYBE.. POST TRAUMATIC.. AS IT'S A..CASE OF BREASTFEEDING.. NEED'S.. GOOD HEALTH AND HYGIENE.. TOPICALLY..MUPIROCIN.. BS..ANTIBIOTICS WITH..NSAIDS AS PER REQUIREMENT.. EXPERTS OPINION..

Tnx Dr Vipin Bihari Jain sir
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Antibiotics anti inflammatory Local nip care cream Advice her nipple shield till her ulcer heals

Tq Mam❤
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Messey cream locally Nipple shield locally Antibiotics orally Nsaid orally T bact oint locally

Tnx Dr Grace B
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The best treatment is applying hindmilk. N do continue breast feeding.

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Azithromycin. Mupirosin ointment. Analgesics sos.

T bact ointment Feeding with nipple cap If possible dreesing Homeoapthic management Graphities 30 BD

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