Find breastfeeding tips from the moms at Bella Materna.

What to Expect: Breastfeeding

Sore Nipples

I know it does not sound appealing; but the truth is until your body has accomedated the regular feedings - you will find that you have sore nipples.  I relate it to wearing in a new pair of shoes!  Once you and your baby get into your rhythm the soreness usually goes away (just like a new pair of shoes that get worn in).  If it is unbearable, get help! 

What Can I do About Sore Nipples?

  • Change your nursing position often to find one that is the most comfortable. Try to relax and express some milk so that it is flowing when the baby latches on. Be sure to empty your breasts so that you do not become engorged.
  • Bathe your breasts in fresh air and sunlight as often as possible.
  • Do not use soap on your nipples as this causes them to dry out further.
  • Apply a salve on your nipples that contains olive oil and skin healing herbs such as calendula, chamomile, or marshmallow. (see Motherlove’s Nipple Cream). Aloe vera and honey also promote rapid healing, but need to be washed off before nursing.
  • Apply Organic Cabbage Leaves, they gently cool, and you can leave them in your bra cups without a big mess.  Take them out when you feel cooled down, even at room temp they have a healing effect.
  • Apply warm, wet black tea bags, which contain tannin.
  • You may have thrush, a yeast infection that causes sore, cracked nipples.  If ithey don't seem to get any better it may be this yeast break out.

If it continues - hire a Lactation Consultant they are worth every penny.


Other reasons you could continue to be in pain past the first 2-3 weeks.

What Is Thrush?

Thrush is a yeast infection that grows in moist places, such as in the folds of a baby’s skin. It appears as red, irritated patches on the neck, armpits and thighs; and as white patches on the tongue and insides of the cheeks. It can also be a diaper rash that doesn't clear up easily.

When thrush spreads to a nursing mother’s nipples, it makes nursing painful. The nipples are red, itchy, cracked, and sometimes have white patches. Both the mother and infant should be treated to keep from re-infecting each other, even when the symptoms appear in only one.

What can I do?

Treating thrush effectively can take a holistic approach, including diet and household hygiene.  Here are some natural and effective things to do at the first sign of thrush.

  • Olive oil has anti-fungal properties. Apply olive oil or an herbal salve made in an olive oil base to your nipples. Find an Organic one, so that it does not need to be washed off (you might want to wipe it off, but not need to wash it off.)
  • Motherlove Diaper Rash & Thrush Relief are effective on thrush infected nipples.
  • After nursing, wash your nipples with apple cider vinegar (1 T. to .50 cup water). Wash it off before nursing again.
If thrush continues, you may need to put on the super cape of clean:


  • You can treat thrush similarly to a yeast infection. Eat foods to rebalance live cultures in the intestines. These foods include miso, yogurt that contains live cultures, and liquid or powdered acidophilus. Acidophilus can be diluted for babies and swabbed in their mouth (some infant probiotics are available). Probiotic combinations are available in capsules that will increase the “good” intestinal flora. Eat fewer foods made with yeast and cut down on sugar in your diet.  Drink more water 64 oz / day!
  • Boost the immune system with Vitamin C, zinc, B complex, echinacea, and garlic capsules.
  • Wash hands frequently with soap and water to help prevent thrush from spreading. Yeast can live on towels, so you may want to use paper towels until all signs of thrush disappear. Wash bath towels in hot water after each use and add distilled white vinegar to the final rinse (yeast cannot survive the distillation and PH). 
  • Sanitize all items that come in contact with the baby's mouth or breast milk in hot water or run them through the dishwasher to keep yeast from spreading. Clean places where mold grows (damp or moldy corners, bathroom floors, windowsills, etc.) with a bleach solution or white vinegar.
  • Swab the insides of your baby’s cheeks four times day with baking soda and water (mix 1 tsp. baking soda in 1 cup of water). Or, coat the inside of the mouth and your nipples with yogurt that contains active cultures.
  • Spray moist areas (baby’s armpits, folds of skin, under breasts) with 1/4 cup distilled white vinegar diluted in 1 cup of water. Do this several times a day until two weeks after symptoms disappear. Dust slippery elm powder on your nipples and folds of baby’s skin to keep them dry, as well as to help with healing.
  • Keep nipples exposed to air and sunlight as much as possible. Do not wear nipple shields and change breast pads often. Go bra-less, if possible, and change your shirt as soon as it becomes moist from nursing. Thrush thrives on milk and moisture.
  • Get plenty of rest.

Thanks to MotherLove for this helpful information.

 For further reading, we suggest the books listed on their Resource Page under the category of “Women’s Health, Pregnancy and Lactation.”

 Where can I find more information?