How to deal with white spots on the nipple during lactation

Patient's question:

During lactation, white spots have started to appear on my nipples, and there are hard lumps. I sought the help of a lactation consultant to have them lanced and expressed milk. Then, I applied erythromycin ointment. After that, the hard lumps disappeared, but the nipples became red and swollen. Besides the white spots, the baby broke the nipples while suckling, so I used a cotton swab to gently express some milk and applied erythromycin ointment, which helped a bit. A few days later, it became blocked again. I had the lactation consultant express the milk, and then applied Du Ji Du Jiao ointment. The hard lump below improved, but the nipple didn't heal. The baby found it extremely painful to feed, and the nipple remained red, swollen, and still had white spots visible. What should I do? It hurts.

Doctor's answer:

Dear consultant, hello, friend, according to the picture you sent and the description of the situation, this is the inflammation of the nipple. In your case, it is recommended that you pay attention to the hygiene of the nipple. Use physiological saline to brush it every time you change the diaper, and then apply erythromycin ointment. The above is the advice on the question "Nipples have white spots during lactation". I hope it helps you, and wish you health!

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