If you are dealing with low supply try an herbal supplement called fenugreek. You can get this herb alone or in a blend with other supplements that help milk supply. After getting my supply under control it dipped pretty low. I took Mother's Milk which includes goat's rue, blessed thistle, and other herbs. You can also get similar products in tea and drop form. You should also pump after each feeding to try and boost your supply. Nurse from each side. Until your supply is established make sure you are nursing or pumping frequently. At this point I can sleep seven hours without it effecting my supply. Using heat will also help your milk let down.
Most people wouldn't think having an oversupply could be an issue. It can be. Oversupply can cause fussiness, too much fore milk, gagging, and gas. I had this issue with M. She would clamp down on my nipple to control the flow and then pull away gagging. Her stools were often green from getting too much fore milk. To get your supply under control put down the pump and step away. It will hurt at first and you will be engorged. If it gets to be too uncomfortable hand express a small amount out for some relief. Block feed until your supply settles. This means only nursing one side each feeding. This will also help your baby get hind milk. If your let down is too strong lean back or lay down while nursing. Side nursing is my favorite position now.
You may come across milk blisters, especially if you are dealing with over supply. These a little blisters on your nipple that may appear white, clear, or yellow. Try soaking your nipple in an Epsom salt mix. I would take a bowl of warm water and add 2 teaspoons to a cup and soak. If you can break the skin over the blister. I used my clean hand. Try a wet compress and then nurse. You also need to find out what is the cause of your blisters. Think oversupply or yeast as examples.
For the dirty little 'M' word. I never dealt with mastitis, but I did have a plugged duct which is all I want to know of it. You may feel this as a hard lump in your breast. This could be further into your breast like mine or a block in the pore. I was pumping strings of milk. Yeah, it was sick. You can still nurse your baby on this side to clear the clog. I didn't want to so I just pumped that side until it was clear and the lump was gone. Plugged ducts can happen for several reason. Oversupply, infrequent nursing, ineffective suck or latch to name a few. Mastitis is an infection that occurs in the breast. You may notice red streaks on your breast and a more intense pain accompanying your plugged duct. You may experience flu like symptoms and a rise in temp. Message is your friend. A would laugh at me while I would massage my breast and moan with a big ole' heating pad laid across me. Use heat in the form of a shower, compress or soak. I loved each. Have you or your partner massage the breast. I felt best going in an upward motion if that makes sense. Nurse frequently and try pumping after each feeding. I read a good tip to lean forward or stand above your baby or pump. I would massage my breast while pumping. It took about 24 hours for the duct to clear in my case. If you suspect mastitis you should call your Doctor as soon as you start symptoms. They may want you to start antibiotics. I called, but they didn't suspect I had an infection and they were right.
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