obsolete Fissure of nipple associated with childbirth

Fissure of Nipple Associated with Childbirth

A fissure of the nipple, also known as a nipple fissure or crack, is a small tear or split in the skin of the nipple. This condition can occur due to various reasons, including:

• Mechanical irritation: Friction and pressure on the nipple during breastfeeding or other activities can cause a fissure.
• Inflammation: Inflammation of the nipple tissue can lead to a fissure.

Symptoms of a nipple fissure may include:

• Pain or discomfort in the affected area
• Visible crack or split in the skin of the nipple
• Redness and swelling around the fissure

It's worth noting that this condition is considered obsolete, meaning it is no longer commonly used or referenced in modern medical literature. However, the underlying causes and symptoms remain relevant today.

References:

• [2] (Fissure of nipple associated with childbirth)
• [8] (Nipple fissure as a wound during breastfeeding)

Based on the provided context, it appears that the term "obsolete Fissure of nipple" might be referring to a condition related to the nipple, but I'll assume you meant to ask about the signs and symptoms of nipple fissures associated with childbirth.

Nipple fissures are a common issue among breastfeeding women. The signs and symptoms commonly associated with nipple fissures include:

• Pain or tenderness in the nipple [4]
• Cracking or splitting of the skin on the nipple [4]
• Bleeding from the nipple [1]
• Difficulty breastfeeding, particularly if the fissure is located on the areola or in the nipple canal [4]

Additionally, some women may experience severe nipple pain when their baby is nursing, and a visible fissure across the tip of the nipple or around the base can be observed [6].

It's essential to note that these symptoms can also be indicative of other conditions, such as mastitis. If you're experiencing any of these symptoms, it's crucial to consult with a healthcare professional for proper diagnosis and treatment.

References: [1] - Cracked nipple (nipple trauma or nipple fissure) [1] [4] - Signs and symptoms commonly associated with nipple fissures include pain or tenderness in the nipple, cracking or splitting of the skin on the nipple, and bleeding. These symptoms may be accompanied by difficulty breastfeeding, particularly if the fissure is located on the areola or in the nipple canal. [6] - 7.6. Sore or fissured nipple. Symptoms: The mother has severe nipple pain when the baby is suckling. There may be a visible fissure across the tip of the nipple or around the base.

Based on the provided context, it appears that diagnostic tests for fissures of the nipple associated with childbirth are not typically required.

According to search result [10], no imaging tests are typically required to diagnose nipple fissures. Diagnosis is usually made through physical examination and assessing patient symptoms (source). This suggests that a thorough physical examination by a healthcare professional is sufficient to diagnose nipple fissure, rather than relying on diagnostic tests.

In fact, search result [14] mentions that nipple pain can be intermittent and present during and immediately after breastfeeds, which may be a symptom of nipple trauma or fissure. However, it does not mention any specific diagnostic tests for nipple fissure.

It's worth noting that search result [13] highlights the importance of proper care during pregnancy and postpartum period to minimize problems such as nipple trauma due to fissures. However, this is more focused on prevention rather than diagnosis.

Therefore, based on the provided context, it seems that diagnostic tests for obsolete fissure of nipple associated with childbirth are not typically required or recommended.

• No imaging tests are typically required to diagnose nipple fissures [10].
• Diagnosis is usually made through physical examination and assessing patient symptoms [10].
• Nipple pain can be intermittent and present during and immediately after breastfeeds, which may be a symptom of nipple trauma or fissure [14].

Based on the provided context, it appears that there are various treatment options for nipple fissures, but the focus here is on drug treatments.

According to search result [9], a prospective cohort study showed that 58% of women reported nipple damage and 72% experienced nipple pain 1 week after giving birth. This suggests that nipple fissures can be a common issue associated with childbirth.

Regarding drug treatment for nipple fissures, search result [11] mentions that treatment options include "drug therapy with antifungal and antibiotics". However, it's essential to note that search result [9] also states that research suggests no topical medications for the definitive prevention and treatment of nipple fissures [5-7].

Furthermore, search result [15] discusses a clinical trial involving mupirocin plus aFGF group or mupirocin plus placebo group for treating nipple fissure and pain. This indicates that there is ongoing research into drug treatments for nipple fissures.

However, it's worth noting that search result [14] mentions that lanolin is a common treatment for nipple fissures, but several articles have reported controversial effects. Lanolin is not considered a drug treatment, but rather a topical application.

In summary, while there are some studies and clinical trials exploring drug treatments for nipple fissures associated with childbirth, the current evidence suggests that there may be limited or no definitive drug treatments available for this condition.

• The incidence of nipple damage and pain after giving birth is high, with 58% of women reporting nipple damage and 72% experiencing nipple pain [9].
• Research suggests

Based on the provided context, it appears that the differential diagnosis for an obsolete fissure of the nipple associated with childbirth involves considering various possible causes.

According to search result [10], differential diagnosis is crucial in cases where symptoms may be due to modifiable factors such as improper latch techniques or flange size. The most common cause of nipple fissure is poor latch, which can lead to soreness and discomfort for both the mother and the baby.

Additionally, search result [13] mentions that a differential diagnosis should be formulated based on the history, exam, and time postpartum. This suggests that healthcare providers should take into account the individual circumstances surrounding childbirth and lactation when diagnosing nipple-related issues.

Furthermore, search result [12] provides information on symptoms associated with a sore or fissured nipple, which can aid in differential diagnosis. The symptoms include severe nipple pain during suckling, visible fissures across the tip of the nipple, and squashing of the nipple from side-to-side at the end of a feed.

It's essential to note that search result [3] highlights the importance of evaluating mothers and babies together when diagnosing nipple-related issues, as this can help identify potential causes and develop an effective treatment plan.

In summary, differential diagnosis for an obsolete fissure of the nipple associated with childbirth involves considering various possible causes, including poor latch, improper techniques, and individual circumstances surrounding childbirth and lactation. This requires a comprehensive evaluation of symptoms, history, and exam findings to determine the most likely cause and develop an appropriate treatment plan.

References: [10] - Differential diagnosis [13] - Nipple fissure diagnosis [12] - Sore or fissured nipple symptoms [3] - Evaluating mothers and babies together