Hi Beth,
Vasospasm is my bet.  It can occur secondary to nipple trauma -- this 
mom had cracks in nipples early on.  Ask her if she notices anything 
when she goes into the freezer aisle of the grocery store!  The 
spasms often happen shortly after a nursing session and of course 
anytime the nipples are chilled (even slightly).

I would go with the self-care measures for vasospasm and see how she does.

Margaret
Longmont, CO

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