Help! I have a mom who has experienced sharp shooting pain from nipple into breast. It feels like a knife going in. She had had sore nipples and latch-on problems but those had resolved before the shooting pain started in only one breast. She stopped nursing on that side and was pumping and then got a breast infection. So she's being treated with keflex and the doctor wants her to pump and dump because the infection "may be in her blood stream". The shooting pain has stopped in the one breast but seems to be starting in the other. To complete the list of problems the baby is extremely sleepy and is not gaining. So she is supplementing and since she's dumping milk from one side, she needs to use some formula. Several people including me have told her it's safe to breastfeed. When I saw them today the baby latched well and was fairly vigorous, good swallowing, but not for real long, maybe ten minutes and then fell asleep. It's also been difficult to wake her to feed more than six times a day. She's 2 weeks old and not back to birth weight, but she looks alert and hydrated. Mom is going to do some more regular pumping. I think she is dealing with the weight gain issue. I'm most worried about the shooting pain. I think mom will give up if it gets worse again. Marilee Woodworth IBCLC Private Practise