Milk Blisters and Breastfeeding

Breastfeeding is a beautiful and natural experience for many new mothers, but it can sometimes come with challenges. One such challenge is the development of milk blisters, also known as milk blebs or nipple blisters. These small, painful lesions on the nipple can make breastfeeding uncomfortable and even lead to complications like mastitis if not addressed properly. In this blog post, we will discuss what milk blisters are, their causes, and most importantly, effective strategies to treat and prevent them.

Understanding Milk Blisters

Milk blisters are tiny, raised, white or yellowish spots that appear on the nipple. They are caused by a blockage in one of the milk ducts, which prevents milk from flowing freely. This blockage can occur due to various factors, including improper latch, pressure on the breast, or even the use of tight clothing. When the milk builds up behind the blockage, it causes the formation of a blister.

Treating Milk Blisters

  1. Warm Moist Compresses: Applying a warm moist compress to the affected area before breastfeeding can help soften the blister and promote milk flow. Soak a clean cloth in warm water and place it on the blister for a few minutes. Or hold a shot glass filled with warm water and lean over it for a few minutes before feeding your baby to help moisten and soften the skin. Repeat this process a few times a day, especially before nursing sessions.

  2. Epsom Salt Soaks: Epsom salt has natural antibacterial properties and can help reduce inflammation. Dissolve one tablespoon of Epsom salt in a cup of warm water and soak your nipple in the solution for 10-15 minutes. This remedy can be repeated a few times a day until the blister heals.

  3. Gently Exfoliate: Using a soft toothbrush or a warm, wet washcloth, gently exfoliate the blistered area after a warm compress or Epsom salt soak. This can help remove dead skin and unclog the milk duct, allowing milk to flow more freely. Only ‘unroof’ the blister as a last resort. This could potentially cause further damage or lead to infection.

  4. Improve Latch: A poor latch can contribute to the development of milk blisters. Ensure that your baby is latching correctly to prevent further irritation and damage to the nipple. Seeking guidance from a lactation consultant can be very helpful in terms of milk blister prevention and if necessary, treatment.

  5. Steroid Cream: Stubborn blisters that don’t go away, may need help from a mild steroid cream. This cream is prescribed by your Doctor and is typically applied to your nipples and covered with plastic wrap overnight. The steroid helps to thin the skin and open up the blister.

Preventing Milk Blisters

  1. Nursing Position: Experiment with different nursing positions to find the most comfortable one for both you and your baby. Your baby should not be latched to just your nipple and breastfeeding should not be painful. Pain is your body’s way of saying stop, something isn’t quite right here. A good latch and a proper position can help prevent the occurrence of milk blisters.

  2. Nursing Bras: Avoid wearing tight or ill-fitting bras that can put unnecessary pressure on your breasts. Opt for well-fitting nursing bras made from breathable fabrics to prevent blocked milk ducts.

  3. Breast Care: Maintain good breast hygiene by keeping your nipples clean and dry between feedings. Avoid using harsh soaps or lotions that can irritate the skin. Letting your nipples air dry after feedings can also promote healing and prevent milk blisters. If your nipples are feeling tender, consider applying olive oil, coconut oil, or lanolin to them after breastfeeding.

Breastfeeding should be a relaxing, and pain-free experience for both you and your baby. If you encounter the discomfort of milk blisters, it's important to take action promptly. By following the strategies mentioned above, such as warm moist compresses, Epsom salt soaks, gentle exfoliation, improving latch, and practicing preventive measures, you can effectively treat milk blisters while ensuring a wonderful breastfeeding journey.

If you require assistance for the treatment of milk blisters, please call a Nourish Lactation Consultant today! We are located in cities all across Canada!