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Subject:
From:
Chris Hafner-Eaton <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 2 Apr 1997 14:26:44 -0800
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Robin:  The research on fibromyalgia (FM) is not extensive--especially with
regard to bf.  In fact, there are still physicians that don't even believe
FM is a "real" diagnosis, but rather a collection of psychosomatic
symptoms.  As an FM mother and one who sees others with this, I have to say
that I absolutely believe it is physiologic.  Now, as to whether the FM
could cause a low supply?  That depends on how the FM is manefesting in
this person (there are lots of possible variations).  If she has symptoms
of tingling in the extremities, and even Reynauds symptoms of loss of blood
and sensation, then it is possible that there is some permanent tissue
damage.  This may affect her breast tissue or not.  Has she had pituitary
and thyroid functions checked?

One possible way to deal with the lower supply is to try various herbs that
enhance lactation (fennugreek, fennel, thyme, etc).  If the mom is on
prescription drugs for the FM, they may be the cause of the low supply.
Typically, FM patients are put on high dose NSAIDs, muscle relaxants and/or
tricyclic antidepressants.  The NSAIDs kill pain and deal with any swelling
(not typically a big problem); whereas the muscle relaxants and tricyclics
allow a deeper sleep and more profound rest.  Part of the FM syndrome is
thought to be caused by chronic exhaustion from never really getting enough
deep sleep (sound familiar to anyone?).  Fatigue can reduce milk supply as
well.  I have found some relief through the use of a TENS unit, nutrition,
exercise, and herbal supplementation.  There are some alternative
treatments which have shown some anect. promise:  Morinda Citrofolia,
glucosamines, high dose B-complex, and DHEA.  None of these have been
through a double blind, RCT for FM, so you're on your own when you
experiment with these.  FM can make holding a baby a miserable experience.
A good baby carrier is essential.  It must distribute the weight
evenly--not just on one side or one part of the torso.  Try to suggest that
she nurse laying down  with lots of pillows and support.  Heat makes it
better, usually, as does lots of massage, good nutrition and exercise.
Unfortunately, this is a life-long chronic condition that
disproportionately affects women and is most often diagnosed starting in
the 30s and 40s.  Good Luck!

: )Chris Hafner-Eaton, PhD, MPH, CHES, IBCLC  email: [log in to unmask]   : )
: )HSR & Health Educational Consultant        voice/fax: 541 753 7340    : )
: )LLLLLLLLLLLLL**CHANGE THE WORLD, NURTURE A CHILD!**LLLLLLLLLLLLLLLLLL : )

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