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These were my steps and I never had one stick around longer than 24 hours:
1) Take lots of phytolaccta (can buy at sprouts)
2) Warm clogged area before nursing
3) Nurse every hour and massage duct toward the nipple while nursing
4) Ice pack on clogged duct after nursing

Sunflower lecithin, hot shower with massage, then pump that side at a HIGH setting (like, way higher than normal!) and massage very hard (you won't bruise, but you will think you might). It hurts so bad, but you need to get the clog out before mastitis sets in. Good luck!

Do you mean a bleb? Like a white pore on the nipple that you can see is clogged? Ive never had to do it, but it was reccomeded to me that you could take a sterilized needle and lance it. Thinking about that makes me want to pass out...ugh. I'd ask your doc to do it since there is a risk of infection. My only other advice is what you are doing: try epsom salt soaks/heat prior to nursing. Try gently rubbing the nipple with a warm wet wash cloth in the shower.