Hi doctor my sister has new born baby. She is 24 year old. Her prbm is due to feeding it's paining in her right side nipple. Wt type of prbm it is? Is any infection. Pls give some solutions.

Dr. Vaishali RanaHomeopath16yrs exp

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The most important part of successful breastfeeding is the latch. If your baby is not properly latched on to your breast, feedings could be painful. There are specific techniques that can be used when latching your baby to your breast. Breastfeeding may cause your nipples to be sore. While correcting the latch will make a difference for your long term comfort, it may prove helpful to use a nipple cream to ease the soreness immediately. The following techniques used with proper positioning, can help ensure a good latch: Get in a comfortable chair with great back support to feed your baby. Using a stool to rest your feet on will help with good posture and prevent you from straining your neck and shoulders. Use your breastfeeding support pillow if you have one. (And if you don't, use whatever kind of pillows you can find to help support you and the baby.) A good breastfeeding pillow can make a huge difference in getting the baby in a proper position to latch on well. Make sure your baby is tummy-to-tummy with you at all times. Make sure you bring your baby to you, and do not try to lean into the baby. Not only will this cause severe strain on your neck and shoulders, but it can affect the baby's position. Remember to keep your baby's ear, shoulder, and hip in alignment, which will make swallowing easier. The baby's nose should be opposite the nipple. You might need to hold your breast to help guide the nipple to your baby's mouth. Grasp the breast on the sides, using either a "C"�� hold or "U"�� hold. Make sure to keep fingers far from the nipple so you don't affect how baby latches on. Aim the nipple toward the baby's upper lip/nose, not the middle of the mouth. You might need to rub the nipple across the top lip to get your baby to open his/her mouth. The baby's head should be tilted slightly back. You do not want his chin to his chest. When he opens his mouth wide with the chin dropped and tongue down, he should latch on to the nipple. If he does not open wide, do not try to shove the nipple in and wiggle the mouth open. It is best to move back, tickle the lip again with the nipple and wait for a wide open mouth. Try to get as much of the lower portion of the areola (the area around the nipple) in the baby's mouth. The baby's chin should indent the lower portion of your breast. Look to see if the baby's bottom and top lip are flanged out like fish lips. If they are not, you may use your finger to pull the bottom one down and open up the top one more. There are many different positions that can work while breastfeeding. It is important to find one that is comfortable for both you and your baby. Make sure to utilize the tips in the above list to help ensure your position is correct. Remember, breastfeeding should not be painful. A good latch will help keep discomfort to a minimum. When the baby has not latched on well, other problems can develop including cracked and sore nipples. If the pain is from a blocked milk duct, you should apply moist or dry heat compresses to your breast for 10 minutes, three times a day. Also, massage your breast in a warm shower. As the duct unplugs, you may express some milk, which helps relieve pain. Continuing to feed on that breast is important because breastfeeding helps further open the milk ducts. It's important that you see your doctor or a lactation consultant if you have any of these symptoms: shooting or burning breast pain either during or after feedings pain deep within your breast strong pain in the breasts or nipples that doesn't get better after properly latching on and positioning your baby nipples that are cracked, itchy, burning, or are pink, red, shiny, flaky, or have a rash with little blisters. 

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Dr. Sajeev KumarGeneral Physician32yrs exp

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He nipple may be retracted or there may be cracks and need to see and apply a cream like Masse cream in between feeding and wash before feeding. 

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Dr. Farzana Shakeel ShaikhPediatrician24yrs exp

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Pain can be due to cracks in the nipple. It can be due to infection also. Apply your own milk after feeding the baby. The last part of milk is rich in fat and can help in healing. If there is any tenderness in breasts and discharge then please consult your doctor. 

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