Hi, I need some help on this one. Mum has 4 week-old baby, second child. Normal labour and delivery, no interventions, no pain relief. First breastfeed soon after birth, left side fine, right side painful. This has continued. The pain is in the 6 o'clock position under the right breast midway between the areola and the chest wall. It is a very specific area, Mum can point to it directly. She says the pain is as though the breast has been stitched and the 2 ends of the thread are being pulled taut. At the end of the feed the pain changes to a burning which goes on for 30 minutes. As the day goes on the after pains last longer until she is in constant pain. She gets a little relief if she presses on the area. By the evening it is painful to lift her right arm. I watched the baby feed and the latch is OK, he glugs and gets lots of milk, MER is strong. Nothing to see on the breast, and nothing feels abnormal on palpation. Baby is thriving. She had this with her first child and it spontaneously resolved at 10 weeks. She woke up one morning and the pain had gone. She is at the end of her tether as the baby will only settle with physical contact with someone. She has to constantly carry him in a sling and sleep with him on her chest at night. Dad is no help, but I have suggested that she might negotiate some sleep time for herself and let Dad sleep with baby on him. Can this be thrush, as the pain is confined to such a small area in one breast? If not thrush - what else? Mum may dry up that side and feed on one side only, but will wait to see if anyone else has any ideas! Thanks, -- Carolyn Westcott RN IBCLC Southampton UK mailto:[log in to unmask] *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html