Christine stated, "She nurses lying down at night. I read about ductal cramping, which I am not sure what that is. I also read about rapid refilling of the ducts and ductal thrush and vasospasms. Would any of these cause severe pain at night and not during the day" Perhaps, mom's side-lying is compressing nerves, and in her case the large blood vessel, and causing the resultant pain with the refilling of the blood vessel, or blood supply to nerves. If you'd like more info on vasospasm you could go to Jack Newman's handouts on breastfeedingonline.com. I'd suggest to mom that she not lay on her side or try a pillow behind her back and lean back, bringing her breast off the bed a bit, so her breast isn't "smushed" into the bed causing compression. Years ago I remember a mom with persistent plugged ducts that I worked with as LLL leader and after everything else was tried, it finally came out that she was side-lying at night, even when not nursing, and compressing ducts; a switch to sleeping on her back solved the problem. Barbara Latterner, BSN, RN, IBCLC Brewster, NY *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html