the white spot sounds like a yeast infection. you probably won't be unable to open it up cos the yeast is right at the opening of the duct. mrs chee would use a sterilised needle & poke it so the milk opening unblocked. meanwhile, buy NutriBiotic GCE (Grapefruit seed extract). it's a very strong anti-oxidant & it kills bad yeast (the ones that you have in your ducts) follow the instructions to take it orally. put 15 drops diluted in 1 oz water, paint this solution on your nipple after each feed, then cover your infected nipple with PLAIN yogurt & cover with breastpad until the next feed. Remove & rinse nipple & areola well before each feed cos the GSE is VERY bitter.
NutriBiotic is sold at Health Quest, they have a branch in HappyValley Yik Yam Street (across from Hk Sanatorium) & Times Square Basement LogOn (across from Citysuper). Meanwhile , refrain from eating anything sweet, made with yeast or grapes. So no bread, dessert, wines, grapes, anything that promotes yeast growth. put baby's chin at where you have the white spot & hopefully baby can help suck it out. what i did was i hand express at that duct (but i was pretty good at hand-expressing then & mrs chee had been teaching me a lot), so the duct clears out.
bte, i gave you the wrong no, must'v been a typo. do tell mrs chee about your yeast infection & book her for next week to come to see you.
a lot of us had yeast infection, but not much ppl know about them besides LCs. if you go to your ped or ob about it, they'll probably giv eyou anti-biotic. DO NOT TAKE ANTI-BIOTIC. cos it kills the good yeast in your body & your yeast infection will become worse.
good luck!