Sudafed and altoids?

Gail Hertz, MD, IBCLC, FABM 
Author of The Little Green Book of Breastfeeding Management
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> On Jan 8, 2014, at 2:35 AM, Rachel Myr <[log in to unmask]> wrote:
> 
> I'm trying to help a mother who since her second baby was born 3 weeks ago
> has been struggling with oversupply. Full drainage gave immediate relief
> but she was already very sore as baby was tongue-tied and holidays delayed
> getting that fixed. Baby gained well despite ineffective feeding because
> mother was producing buckets from day 3; after frenotomy baby feeds well
> and sores are healed. At one week she had ramoant mastitis, started
> antibiotic treatment as clinically she was very ill. Cultures from sores
> and from milk were positive for S.aureus and Group B strep, but antibiotic
> covered both. During mastitis she drained both breasts at least 8 times/24
> hours. Drinking sage tea, one cup per day divided in three doses, have not
> seen any noticeable effect but we don't know how much she would be
> producing without it.
> 
> Throughout this time, she has had deep burning pain in both breasts,
> worsening immediately after feeds, and peaking an hour or two later, not
> totally subsiding in time for next feed or expression. Heat applied to
> breasts after feeding/expressing gives little relief. The only time she was
> pain-free was the first time she tried full drainage and block feeding,
> when baby was five days old. Normally I don't recommend this method so
> early but her history of extreme oversupply with first baby made us think
> there was little to lose. Now I am not sure.
> 
> The mastitis has been treated, but she still has the pain, and the
> oversupply. We are trying block feeding again, cautiously, but after less
> than 24 hours her breasts are tense, overfilled - and PAINFUL. She is
> exhausted besides. Wants very much to continue breastfeeding but also wants
> this long drawn-out painful stuff to stop.
> 
> I am not sure what to try next. We are open to all suggestions.
> 
> Rachel Myr
> Norway
> 
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