I am looking in the Breastfeeding Answer Book, pages 503 - 505. Some things that come to mind for this mother is to try lecithin (one tablespoon per day, or one tablespoon 3-4 times a day, or one to two capsules three or four times a day ---- these suggestions are listed by the sources they come from). I have known moms that used lecithin and it worked. Also suggested was eliminating saturated fats in mom's diet and taking the lecithin. The BAB lists a bunch of other things like reducing sodium intake in case this is causing fluid retention which can make a woman susceptible to infections of any kind. Too little salt can also contribute to recurring mastitis. I know she said more plugged duct issues but some of these odd things are helpful. If she has had mastitis over and over, she may have something that is resistant and is not clearing up. She may not be finishing all her antibiotics. I have had women without fever and with persistent plugged ducts find relief after going on antibiotics. The BAB suggests mom be checked by her doctor if the lump doesn't respond within several days to the usual treatment for mastitis. Depending on how much she is pumping and with what machine, I would encourage this mom to gradually cut back on the pumping once she is over this situation. So many moms overly pump with the good electric double pumps and I think they cause over supply problems. There is good information in the BAB about using birth control pills, sage, or antihistimines to lower supply. I encourage moms with oversupply to use hand expression or a manual pump and just do it a little bit to comfort. Lastly, I have read that massaging the plugged duct area before nursing or pumping is helpful. I have read massaging in front of the plug where you would imagine it would drain out to the nipple and that seems to make sense to me. Kathy Eng, BSW, IBCLC . *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html Mail all commands to [log in to unmask] To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or [log in to unmask]) To unsubscribe: unsubscribe lactnet or ([log in to unmask]) To reach list owners: [log in to unmask]