Dear Lactnetters,
    A mom just called my warm line c/o extremely uneven breasts. She 
thought she had an infection in the larger one but denies fever, flu 
symptoms, warmth to touch or redness, just a feeling of engorgement and 
some shooting pain in that breast. Can not raise that arm over  her head. 
Baby is 10 weeks old and exclusively berastfed. As one breast has gotten 
larger and harder the other breast as gotten smaller and producing less 
and less milk. In 15 minutes she can pump 6 ounces from the bigger one 
with no relief of the hardness and only 1 ounce from the other one. She 
has been starting all feeds on the smaller one while baby is most vigorous 
and always pumping after feeds. She describes one as a nearly A and the 
other overflowing a double D.
    Please help. I don't know what to tell her. I suggested motrin for the 
discomfort, told her I would consult the wise ones, and try to pump the 
larger breast until she got some relief from the pain.
Thanks so much,
Ellen Pinker RN IBCLC
Salisbury MD

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