I got a call this AM from a mom of a patient. The call was about her relative who is visiting in town. This mom has one sided generalized breast pain. She is 31, healthy and successfully nursing her second child who is one month old. She says the pain begins about 45 minutes after a feed and is "inside" the breast, denies surface pain, denies burning. No mastitis S/S. Baby feeds well. The baby usually empties her breast but sometimes she pumps after a feed to completely empty. The pain as said begins about 45 minutes after a feed and is relieved quickly by the baby feeding again. I didn't get the interval between feds, this is all second hand. Mom called a LLLL who was on call who thought this might by muscular or nerve and asked about heavy lifting which mom denies. My thought was the baby isn't completely emptying mom who fills and begins to get engorged. My advice was to feed frequently, watch technique and if the baby doesn't empty her to pump or hand express to empty and try cool cabbage leaves in the bra for about 30 minutes after the feedings. Any other ideas? -Rob Rob Cordes, DO, FAAP, FACOP general pediatrician Wilkes Barre PA 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