These deeper plugs, could they actually be milk filled cysts?  Are they 
lumps that are not moving at all and have been there for some time, but 
only appeared after breastfeeding started?

She may need to have an ultrasound, and aspiration, to check if some of 
these lumps are actually galactoceles. 

Morgan Gallagher



Denise Schuler wrote:
> Hello,
> I hope that you can help me--your advice has been a great help in the past.  
> I am helping a mom (I have her permission to post) that has a baby that is 
> three months old.  She's been fighting plugged ducts from the very beginning.  
> She also says that baby chokes and gags a lot at the breast.  We initially 
> decided both were most likely due to an oversupply of milk and she's been 
> faithfully feeding the baby in an upright position (says it does help), using only 
> one breast for three hours at a time, and pumping only occasionally if she 
> absolutely needs to relieve the breast that is not being used (1/2 oz maybe).  
> She is taking lecithin 1200 mg/3x/day and Omega 3's 1000mg/3x/day to 
> reduce viscosity of the milk.  She says she can usually get the more surface 
> plugs out with heat/massage/ and positioning baby's chin on top of the duct, 
> but really is having trouble with deeper plugs. 

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