I have a pt with a baby who is 4-5 weeks old. The first time I saw  
them the chief complaint was severe nipple pain. Basic latch  
techniques helped immensely, as did breast compression to keep baby  
from pulling off. Mom has a good milk supply. As is often the case,  
it didn't go as well when they went home. Mom took a break for a  
couple days, which helped the soreness, but baby repeatedly pulls off  
and squirms - most, but not all the time. He did the squirming thing  
in my office. I've had success with mom going off dairy with a couple  
other babies that did that, but that has not made a difference in  
this case.

Any ideas? It didn't appear to be overactive MER.

Andrea Tran RN, IBCLC
Erie/Boulder, Colorado

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