Patient's question:
The child's mouth is bitten, and today I noticed some pus coming from the crack. Hello, can I change the diaper for the child? How should it be treated? Thank you! The kind of assistance needed: Can I change the diaper for the child?...Doctor's answer:
The cracked one cannot be fed to the baby anymore, as it is leaking pus, indicating inflammation. If the baby eats it, they will ingest the inflammation, and the condition will only worsen. There is no other option but to wait for it to heal slowly. The other breast can be used instead. If the cracked one starts producing milk, it should be expressed to prevent milk from returning. Applying gentamicin ophthalmic ointment can help reduce inflammation. Additionally, the baby’s fish oil can be applied to the area, as it contains vitamin A, which aids in skin regeneration. The baby can only be fed once the condition has fully healed.Proper nipple care should be practiced regularly—gently wipe with warm water. With good care, it will be less likely to be cracked. Cracked nipples are not caused by the baby biting the nipple, as the baby cannot reach the nipple in this way; it is due to inadequate pre-pregnancy care. First-time mothers have delicate nipples, and prolonged exposure to the baby’s mouth during breastfeeding softens the nipple epidermis. Combined with the baby’s sucking force, the epidermis may peel off, leading to breakdown and cracks. Therefore, it is essential to gently wipe the nipples with warm water frequently. Avoid using soaps or other detergents, as they may remove the natural lubricating substances on the nipple and areola. Also, do not apply moisturizing oils. After feeding, you can express some milk and let it air-dry on the nipple.