Thank you all for your replies on vasospasm. Somehow I had forgotten Jack's B6 recommendation. I will try that with my current clients. I had mentioned to a mother warming the nipple well after feeding and avoiding the cooling of evaporation. She called today and said that she kept a soft washcloth on a heating pad nearby and as soon as the baby came off the breast she put the warm cloth onto her nipple and that helped greatly. I will suggest Darillyn's warm diaper idea. A smooth diaper would probably feel better than a terry cloth fabric. The obvious causes of nipple trauma can been resolved but the nipples seem to "remember" for a while. As to the claim that vasospasm is not "real" I wonder where those who make that claim are standing when the nipple turns white and the mother cries out in pain--pain that can last up to half an hour. If others have additional ideas or successful treatments please send them to Lactnet. I am refreshing my files. Patricia Gima, IBCLC Milwaukee, Wisconsin www.walc.net Mailto:[log in to unmask] *********************************************** 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(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html