Lip tie/ thrush/ shallow latch/ vasospasm ??

[HuggleBuggleBear]

I am bf my dd who is 5 weeks old. I breastfeed my first child for 15 months and with him had similar problems with tongue tie and thrush. And I recognise same problems this time.

Tongue tie noticed at birth and snipped at about a week old but not before I got blisters on my nipples. Breastfeeding got lot better, no longer painful during feeds and my nipples healed. It was awful in that first week and is massively better. However my dd still makes a clicking sound when feeding and the latch isn't perfect. She seems to slip off easily.
She is unable to flange her upper lip probably down to a lip tie which seems really bad as it goes to the bottom of her top gum.
Once I got tongue tie snipped and support with latch things went well then I started getting a burning pain after feeds. My nipples were pink. Was given daktarin gel for dd and flucanozole 100mg for ten days. I've also been taking pro biotics, grapefruit seed extract capsules and bathing my nipples with grapefruit seed extract liquid. I think things got about 50% better but last few days my nipples are burning after feeds again. Does this mean its not thrush or that it's treatment resistive. Could the pain in my nipples between feeds be anything else? I did wonder if it could be poor latch due to the lip tie but then wouldn't the feeds be painful? Or could it be vasospasm/ raynauds as my nipples do sometimes turn white.

Any help/advice much appreciated

Burning after feeds and nipples turning white sounds more like a latch problem/vasospasm to me rather than thrush. (DD was TTd and I had a similar burning after feeds/white tipped nipples). I think thrush is described as being like glass needles and the pain is while the baby is feeding mainly.

It sounds possible that the the tie may have grown back and/or the lip tie may be causing problems. How does the latch seem? Is your DD slipping off/nipple feeding or does she seem well latched? Does she seem to be clamping down when she feeds? Any chance you can get her checked again by the person who diagnosed/snipped the initial tie?

Thanks for replying. I'm going to ring the lactation consultant who snipped the tie and helped with latch. It doesn't feel a good latch I think it's got worse she slips off really easily and it doesn't feel a good seal as I think she is swallowing air. I don't think the tongue tie has grown back but it's definitely worth checking.

The only thing I don't get is why the pain is at its worst between feeds.

Possibly because she is clamping down and numbing your nipples during feeds, then the blood rushes back after the feed and that's when you feel the pain. Speaking to the LC sounds like a good plan, best of luck.

Thanks gonna ring them once I've got my ds down for a nap