Patient's question:
The base of the nipple itches at night, especially itchy, and I couldn't help but scratch it during the period. Now I'm breastfeeding, and the baby is 3 weeks old. It's also shedding dry skin. I want to know what's going on. I applied sesame oil (as shown in the picture), and after applying it, it became even itchier.Doctor's answer:
Based on your description and the photos, this should be nipple eczema. Breast eczema is more common in young women, especially lactating women, and it recurs on the nipple and areola. If the eczema is severe and the patient is unable to breastfeed, weaning can be considered. During the acute phase, non-specific antihistamines such as terfenadine and diphenhydramine can be used, and the intake of seafood and other irritating foods should be avoided. For those who are disturbed by rest and deep sleep, mild sedatives and hormone medications can be used to reduce local symptoms. Wet poison clearing can be applied.