Jay, Re: your mother with recurrent engorgement. She is probably a
super-producer. The fact that the mastitis moves around does suggest
inflammatory mastitis due to residual milk triggering sx. If all else has
failed to reduce her supply, you might try a week of estrogen containing
oral contraceptives to reduce her quickly. Once the supply stabilizes
downward, the women I've worked with who have this problem generally
resolve.
Barbara Wilson-Clay, BSEd, IBCLC
Austin Lactation Associates
http://www.lactnews.com
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