I have had a Mom or two over the years who have had this situation occur. 
All of them had a viral infection of some sort with a fever, lasting 2 -5 
days.  Some took OTC meds some not but all of them were back to work Mom's 
who were pumping 2 -3 times a day and the babies were not waking every 3-4 
hours at night.  The Mom's noticed a significant drop in expressed milk so 
pumped up their water intake and then their milk disappeared. My 
understanding is the excess fluid possibly kicked in the anti-diaretic 
hormone (adrenals).  Most recovered a good amount of their supply by 
decreasing the fluid intake to thirst.  And BF every 3 hours at night and 
adding 1-2 pumpings per day.  Also they took a galactologue if there were 
no contraindications. A few of the Mom's went to bed for the weekend with 
their babes and did the skin to skin, which can be a challenge with an 
older child.

Ann G. Cagigas, RN, MA
GSA Health Unit,  Room 1010
1800 F St., NW
Washington, DC 20405
202-219-1228
202-501-0028 (Fax)

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