Jean Cotterman ventured this guess about the client with unilateral breast pain:


"This might thereby have built up enough oversupply that some one or more
of the ducts was so dilated, and perhaps bordering on inflamed, that some
of the MER's caused the pain. (I seem to remember now that the pain came
between feedings, but MER's do often happen between feedings, as well as
during them."

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Having experienced this myself, I concur that it is a likely cause.
Yes,refilling or MER between feeds can be painful if the ducts are already
overfull (I am speaking first hand here) and I don't believe for one minute that
it always means there is yeast in on board. I have had many women describe
refilling pain to me. The fact that this one particular mom experienced it only
on one side means, most likely, that there was only overfullness, and hence
ductal stretching, on that side. Could be, as Jean says, that the mom has
overstimulated this side. Could also be that this is just one of those normal
variations in production.

Just MHO,

Susan

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