What should I do if there are white spots on my nipple and the baby is in pain while breastfeeding?

Patient's question:

There's a white spot on the nipple, it hurts especially when the baby is feeding, and it's also clogged milk that can't be expressed. I've applied erythromycin ointment and cold compresses to the affected area, but it's not working. I also have symptoms of fever and headache. How can I treat it quickly?

Doctor's answer:

Based on your description of the condition, the reappearance of white spots on the nipple could be caused by various situations, such as blocked milk ducts, thrush, or blocked milk ducts at the end of the nipple and nipple injury (e.g., from biting). The following methods may help alleviate the issue: applying cold compresses, soaking the nipple in warm water, or using cotton balls soaked in olive oil to cover the nipple, then wearing a bra. You can also try removing the dead skin on the nipple. If you need to express milk, it's best to have a professional do it for you. If you must burst the white spots, it's better to go to the hospital for this. Fever may indicate the development of mastitis, so it's recommended to revisit the hospital for follow-up.

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