well, I hate to sound like a broken record...

but I would still try a heating pad on "low" on nipple(s) after feedings for 
20 minutes, even if mom cannot see color change. I have had moms who have 
their after feeding breast pain go away with the heat in the absence of 
color change.

Now I have not heard someone have the symptoms down the arm.  How about 
cabbage  under the arms if the tail really does seem large?

Kathy Leeper, MD, IBCLC
MilkWorks- Lincoln, NE

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