I was called to see a mom today with pain in her breast.  Her 2 month  old 
baby was admitted with a respiratory problem and she was staying with the  baby 
to feed him.
Suddenly this morning she developed pain in her left breast.  She is  from 
Somalia and does not speak any English.
When I saw her today, her breast are soft but milk production could be  
palpated.  There was a soft mass at 11 o'clock about 2 cm from the nipple  on the 
left breast.  She states that it was painful especially to the  touch.  The 
nipples look fine.  There was no redness or any signs or  symptoms of infection.  
She is able to breastfeed on that side by  positioning the baby away from the 
lump.
I used an interpreter to speak with the mother.  This has never  happened 
before.  She has 5 other children.
I called her OB office and talked to the physician.  They recommended  her to 
come into the office on Monday.  I had told her that this lump had  nothing 
to do with the breastfeeding and to continue to nurse.  She could  try cold or 
warm compresses to the lump for comfort and that if the pain  increased she 
needed to call her doctor.
The mass was 3 cm by 1.5 cm in shape.
Does anyone have any idea what this might be?
Thanks,
Ann Perry, RN IBCLC
Boston, MA

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