How to treat cracked and peeling at the base of the nipple

Patient's question:

The areola at the base of the nipple is always cracked, and the skin around the base is always peeling and oozing. The peeling skin is a bit hard and has been persistent. Both sides are affected, with the left side being more severe at times and the right side at other times. I have been breastfeeding since the baby was six months old, and it has been going on for over a year now. I would like to consult about what this condition is, whether it is serious, and if it can be treated.

Doctor's answer:

Based on the described symptoms, consider nipple cracking during lactation. It is recommended to maintain the correct latch during breastfeeding, ensuring the baby covers the nipple and most of the areola. After feeding, gently remove the nipple from the baby's mouth and apply medication to promote healing of the cracked area. Pay attention to the cleanliness and hygiene of the nipple area as well; use a warm towel to wipe the nipple before and after each feeding. Wear breastfeeding-specific bras, and seek medical attention promptly if the condition is severe.

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