hi tammie you covered the overactive letdown/oversupply management very well. one thing i would consider is this: in my experience it is unusual to see this present itself so early (5 day old). not to say it is impossible, but it would not be the first thing i thought of. did this behavior in the baby present at day 5 or from the first day(s) of bf.? the baby could have a swallowing or resp. problem. it concerns me that the baby is choking and the baby acts hungry. she's gassy but is she stooling? so i think a bit more detective work is in order here: a more detailed history, weight loss/gain, jaundice, voids and stools etc. and paramount is to observe the baby doing a feeding. keep us posted. Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA _________________________________________________________________ Add photos to your messages with MSN 8. Get 2 months FREE*. http://join.msn.com/?page=features/featuredemail *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html