I have suggested evening primrose oil for this sort of pain. When it is
breast pain not nipple pain. It is talked about in Lawrence R (2005) 
Breastfeeding: a Guide for the Medical Professional pg 991 T for
mastalgia. Again it is not that frequent and I have one clear case - a
GP who had it twice ie with each pregnancy and said it started to settle
within a week and was gone in a month. She is happy for me to mention
this. 

Gwen

Gwen Moody
CNC Postnatal Care
Westmead Hospital
PO Box 533 Wentworthville 2145
Phone: 02 9845 6964, 0422212774
Fax: 02 9845 8340
Page: 02 9845 5555 - 01135
email: [log in to unmask]

>>> [log in to unmask] 08/12/2009 10:31 pm >>>
Hi Jessica,
This could be vasospasms.  Ask the mother to describe what her nipples
look
like when she feels the pain.  Are they blanching?  Ask about a history
of
renauds as well.  I have had renauds most of my life and though my
nipples
blanch after a feed or whenever they are cold they never hurt but I
have
experience deep breast pain.  Perhaps her nipples are being pinched
during
the feed and that is causing the vasospasm.  Again, look at her
nipples
after the feed or have her describe them to you.  She may just need to
warm
her nipples after a feed or fix the latch.
All the best,
Chayn Fogelman IBCLC Israel

On Tue, Dec 8, 2009 at 2:50 AM, Jessica Claire <[log in to unmask]>
wrote:

> Permission to post granted.
>
> Mother has 10 week old baby and everything is going fine except she
feels
> deep, shooting pains in her breasts (not both sides at the same time)
after
> some feedings.  Especially in the evening and especially if she feels
her
> breasts have been well drained by the baby.  Putting baby back on
the
> breast
> seems to alleviate the pain.  She doesn't feel sensation of letdown
while
> nursing, but doesn't think this is what it is.  She can feel no lumps
or
> tender spots and nipples feel great.  OB said something about muscle
> soreness (?) but didn't really have time to address the issue.
>
> Any ideas?
>
> Jessica Claire
> LLLL in Los Angeles
>
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