Hi to all,
 And  Happy Holiday to all>
I have a mother who is very very uncomfortable with engorgement. This is the 4th
day but the real problem is the hypermastia in the axillary. The mother can not
even put her arms down because of the swelling. There is no supernumerary nipple
in this tissue but she says when she has a let down milk squirts out of this
tissue in her axilla.
What have we tried?, Everything! Ice compresses, cabbage, massage, she is taking
pain medication because it is so very painful.
She called the M.D., he  does not know what to do and said to follow any
instructions that I have given her.
I did go over S/S of mastitis  with her  as I am afraid she may end up with an
infection.

So okay friends, what do you think I ought to tell her to help with this
engorgment? Do you think this tissue will continue to leak and maybe even
continue to squirt milk  with the feedings?
 I told her I would go e-mail and ask 1000 lactation consultants world wide for
help. It is so nice to have all of you out there in cyberspace to help in times
of need.
TIA
Jan Aken RN IBCLC
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