I would try 2 things. First I would try to search everything on Raynaud's phenomenon. I would do all the non-medical things as well as the medicine, like wool breast pads and warmth. Perhaps she is colder in the mornings, does not have all her daily clothes on? and/or baby is clamping more due to a fuller breast. Next, I would consider culturing the nipple and doing a round of antibiotics, as sometimes a bacterial infection presents as ongoing nipple/breast pain. Can she recall any trauma around that time? Teething/bite? I might even do the antibiotics first. Laurie Wheeler RN MN IBCLC Mississippi USA *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome