What should I do about cracked nipples?

Nipple fissures may result from improper care, dry nipple skin, inverted nipples, nipple eczema, fungal infections, and other causes, requiring targeted management. If bodily discomfort occurs, prompt medical consultation is recommended. Specific analyses are as follows:

1. Improper Care

This may lead to dryness, cracking, and flaking of the nipple skin. Cleaning with warm water can promote local blood circulation and help improve symptoms. It is important to keep the nipple area warm and avoid excessive friction.

2. Dry Nipple Skin

When the nipple skin lacks oil and moisture, it becomes thin and fragile, making it prone to cracking. Applying moisturizers such as lotion or olive oil when the nipples are dry helps maintain skin hydration and prevents fissures caused by dryness.

3. Inverted Nipples

This condition may present with wound-like ruptures. Wearing loose, breathable clothing and properly fitting bras can reduce friction from fabrics.

4. Nipple Eczema

Prolonged friction on the nipple area may cause symptoms such as red papules and blisters. Medications such as tacrolimus ointment, pimecrolimus cream, or erythromycin ointment may be applied as directed by a physician. Laser therapy may also be used for treatment.

5. Fungal Infection

Fungal infection of the nipple area may trigger inflammatory reactions, leading to symptoms including itching, flaking, and cracking. Treatments may include topical antifungal agents such as terbinafine hydrochloride cream, miconazole nitrate cream, or oral fluconazole capsules, used under medical guidance.

To prevent and treat nipple fissures, it is important to maintain proper breastfeeding posture, protect the nipples, ensure adequate nutrition, and practice good hygiene. Maintaining healthy lifestyle and dietary habits also helps prevent the occurrence of nipple fissures.