Hi Virginia, I would be thinking something the mother is consuming, this could be a food, drink, additive, or tobacco use for example. If overactive letdown was the cause then the baby would not have this symptom after ebm via bottle, I wouldn't think. I've had a couple interesting cases over the years, one where a mother consumed large amounts of "espresso coffee" as I recall, and another where the mother admitted to eating basically only candy all day. The candy in question was "sour gummy candy" or something. She was not eating real food, basically. Laurie Wheeler RN MN IBCLC Mississippi Gulf Coast, USA *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome