What is a nipple, areola, breast? Chances are you have never been this up close and personal with your breasts in such a non-romantic way. Welp, there is no time like the present to get all up in your own business to figure out exactly what might be causing you pain.
When we say “breast pain,” we are talking about the breast itself, not the nipple. This includes tissue that goes all the way up into your armpit.
You were doing self breast exams prior to having your baby (right??), so you know how to get in there and really feel all that meaty tissue in your boobs. Hopefully you have a little bit of a baseline of what your breasts feel like when they are not lactating.
Simply put, it is a really good idea to look at and feel your boobs a lot before and after breastfeeding or pumping. Get an idea of what they look and feel like when they have more milk and when they have less milk. Notice where it feels full and firm but not tender and identify spots that maybe feel tender or very tender to the touch.
Look at those boobies in a mirror to make sure you can see coloring all around. Is there a section that seems bright red or discolored?
Also pay attention to how your breasts feel before, during, and between feeding or pumping sessions. Do you feel sensations in your breasts as they fill, when they are very full, and as your milk is starting to flow while nursing or pumping? Notice if these sensations are painful or not. Do they move to different spots every time or is the pain in the same spot always? When you touch that spot, is it tender to the touch? Is there a hard spot there? Redness?
If you find any hard spots that aren’t draining or spots that are tender to the touch, you are having breast pain issues.
Always wash or sanitize your hands before touching your nipples, especially if you have pain, as there may be hidden or obvious breaks in the skin tissue.
The bullseye on your breast is your areola. There are sometime a lot, sometimes a few little bumps on your areola. Those are your Montgomery glands. They rarely (but sometimes) get irritated. It is not as common to have areola pain as breast or nipple pain, but it certainly can happen, especially with a lot of pumping or a poorly fitting pump flange. You would know if you are having areola pain if you look at your areola and they are dry, cracked, or a different color than usual. Occasionally, those little Montgomery glands can get infected or irritated. That looks and feels kind of like a pimple.
Your nipple is your nipple—that nub in the middle of the areola. This is where most breastfeeding pain originates. Take a close look at your nipple. Nipples are very unique to each woman and often different on each side. It is really important that you know your nipples so you can notice when something changes.
Just like with your breasts, you want to look at your nipples before and after breastfeeding and/or pumping.
Before breastfeeding/pumping, look at their general color. Does this seem like your normal nipple color? Are they more pink or red than usual? Do they seem purplish or bruised? Do they seem pale or white like there is decreased blood flow?
How do they feel at rest without yet touching them?
Look more closely at each nipple. Are there any breaks in tissue? Cracks can be sneaky and hide in between nipple lobes. There are often a lot of crevices in nipples. It is only considered a “crack” if it is painful and there is raw tissue there. Are there any white spots that look a little like a blister or a wet scab? Are there any darker, drier scabs?
How do your nipples feel when you touch them?
How do your nipples feel when you latch or pump for the first 30-60 seconds?
How do your nipples feel after this first 30-60 seconds?
After the baby unlatches or you turn off your pump and remove your flanges, how does your nipple feel? Look at your nipple. It should be a lot or a little bigger, fatter, and longer, but it shouldn’t be misshapen, compressed, or look like a new tube of lipstick.
If you saw cracks before latching, how do your nipples look now? You probably have a better view of those wounds.
How do your nipples look and feel five minutes after finishing breastfeeding or pumping? 15 minutes after? An hour after?
If you are noticing any visible damage, pain, or discoloration in your nipples or areola, you are having nipple pain.