For engorgement I like these interventions, maybe they will work for the
client with gigantomastia:
cold [some use cool cabbage], elevate the breasts [lie on your back],
ibuprofen or other anti-inflammatory available at your location, reverse
pressure softening [see archives on this by Cotterman] before expressing,
measures to relieve edema if present like watermelon, fluids, even a
diuretic.

Laurie Wheeler, RN, MN, IBCLC
Violet Louisiana, s.e. USA

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