Is nipple pain normal for breastfeeding?

Sisters often have sore nipples when they are breastfeeding, so you may think this is a normal part of breastfeeding and you just need to tolerate it. 

But not so. During the first week, women will often have pain for a few seconds when the baby is latched on. But if the pain lasts most of the time during breastfeeding or all breastfeeding, this is not normal. 

The pain will be dull, especially if the mother is on pain medication for a few days or weeks after giving birth. Or I focus on feeding the baby to the point where I’m willing to suffer this pain and hope it goes away.

Mom pays attention to the feeling and sees a counselor at the first sign. If you ignore the pain, your nipple may start to crack and bleed and breastfeeding can be very painful.

What causes nipple pain when breastfeeding?

There are many reasons for nipple pain or discomfort. Here are the most common causes:

Baby with a shallow pacifier

You may have sore nipples for the first few days or weeks of breastfeeding if your baby does not have a full mouth. When this happened, I was shallow. I will suck the nipple, not suck it, cause pain, and then affect the nipple a lot. If you notice that the nipple is shaped like a new lipstick, or if you see a strip running down the middle of the nipple, it means that the baby holds the mouth deeper. Ask an expert to find out the correct posture helps deep suck.

Injury while milking

Improper use of a breast pump can also hurt or hurt the nipple. This is probably because the rim attached to the breast pump is too small for the nipple. Ask a specialist to find the right pump and rim size and show mom how to use it properly.

Thrush infection If you have thrush or thrush, you will pass it to your mother and cause pain or damage to the nipples. Signs of thrush in nursing mothers include itchy, red, shiny nipples, and pain in the breast during or after a feeding. See your doctor for breast yeast treatments. If the condition does not improve after a few days of treatment, ask your doctor to rule out the possibility that your mother has eczema, as it has the same symptoms.

Tongue clipping

Another possible cause is that the tongue may be tongue-tied. This means that the area of ​​tissue that connects the tongue to the oral floor is short or long compared to the tip of the tongue. This can cause breastfeeding problems, including painful nipples, but it can be easily overcome after minor surgery. The doctor or specialist will check the baby’s tongue if the nipple is sore.

Milky acne is a condition in which a thin layer of skin covers the milk opening, trapping milk, and clogging the duct. The blisters are like white or yellow spots on the nipple and can cause pain right there and deep inside. The therapist or doctor can always treat it by peeling the skin at the sore spot, otherwise it may take several weeks for the nipple to heal.


A blister is a clear, yellow, or bloody blister on the nipple that causes severe pain during breastfeeding. The reason is that the baby sucks on the wrong joint, so the nipple is friction when feeding. 

Another common cause is improper bras or improper use of the breast pump.

The less common cause is contact dermatitis, usually caused by an allergic mother to ointment, cream, or medicine on the nipple. Stop using nipple cream or medicine until you go to a dermatologist to determine the cause.

If the mother has a history of herpes (herpes), the blister can be a lesion caused by the disease. Stop breastfeeding and see a doctor or a counselor. Mothers can pass herpes to the baby if they breastfeed during herpes outbreaks on the areola or nipple.

Until the nipple is healthy and safe for the baby, she needs to express the milk to maintain the milk supply (but leave the milk to protect the baby). If only one of the breasts is affected, then during that period, the mother may breastfeed on the other.

Spasm of blood vessels. If the nipple looks pale and begins to ache violently for a few seconds or minutes after a feed, then returns to its normal color, which may be due to a constriction of blood vessels in the nipple. This could be due to nipple trauma, nipple compression, or yeast on the nipples. She needs to see a doctor find the cause of the spasm. There is an underlying condition called Raynaud’s syndrome that causes vasoconstriction, but this cause is rare. 

Mom can feel at both nipples at the same time, can last more than a few minutes, and often feels when exposed to cold. See your doctor for treatment and learn how to handle this condition.

How to treat nipple pain?

Contact an expert for help as soon as possible. They can diagnose the cause of the pain and work with your doctor to come up with a treatment plan. Once the mother knows the cause, the handling will be much simpler.

Can you continue breastfeeding when your nipples hurt?

Mother can still breastfeed. But do not try to endure. Remember that mom does not have to suffer this pain. See an expert as soon as possible so she can handle the problem.

If you are in such pain that you are afraid of placing your baby on your breasts, consider stopping breastfeeding. Mothers can express milk for children within 12 to 24 hours. 

You should only use the breast pump provided in the hospital and use an appropriate, funnel-like setting that fits your mother’s nipple. You should also have a breastfeeding specialist to make sure you are using the breast pump properly.