Hello,

I have a mom on one of my internet groups with one very engorged 
and painful breast.  

She wrote:  "I have a massive rock hard engorged left boob that is 
blocked and nothing I do will unblock it, I've fed him from different 
positions, expressed with a pump and my hand, hot shower and I don't 
know what else to do but it's really hurting so much I am crying.  The 
fact that my baby is cutting a tooth isn't helping.

"I had had an electrical pump on all night, but nothing is coming out.  I 
have also laid him on his back and tried to feed leaning over him to 
use gravity -- and also pumped in this position.  My nipple is in more 
pain than I have every experienced in my life. It started a bit more than 
24 hours ago as though I'd not emptied my breast fully and has 
continually gotten larger. It's tender and really hard but not hot.  I have 
had it in warm water with epsom salts for over an hour, but nothing is 
helping."

She has been to the doctor who has put her onto antibiotics, though 
there is no sign of infection at this stage.  She is not getting any relief.  
Ideas would be greatly appreciated!

Pat Torngren (Cape Town, South Africa)

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