I would still be suspecting vasospasms even if she can't see color changes. They can be subtle and I have had moms tell me that they do not have color changes and when I look I can see them. Why don't you have her try a heating pad and see if it relieves the pain. I would also make sure that she does not have a cold air conditioner blowing on her breasts when she is sleeping. Kathy Lilleskov RN IBCLC *********************************************** 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