Yesterday, 09:36 AM
Based on you pump output and developing mastitis, I think you probably had some over production. What is weight gain like?
You may still have a plug, and you may still have mastitis. Mastitis is notorious for mom feeling better and then relapsing.
If you are at work right now, my best suggestion is to go home, stay there as many days as you can, get in bed with your baby, and rest and nurse as much as baby will. I am more worried about the mastitis reoccurring or plugs forming than your milk production, but this idea would help with both. if this is not possible, then up pumping frequency at the very least. But a mother with mastitis is sick and should not be at work. If symptoms recur, I would suggest considering anti-biotics.
Yes with frequent milk removal. but you may never pump 4-5 ounces at a time again, this was on the high side to pump every session. Milk production tends to naturally and normally reduce at this age if not before if mom had overproduction in the early months. Your body wants to make enough milk, not all this extra.
Also please have your pump(s) checked, change membranes, check tubing connections, find a place to test the suction, make sure flanges fit still etc.,
I would also ask why you are pumping over night and in the morning. If it is because you are feeling full at those time, I suggest that is an indication baby is not nursing often enough overnight. This can harm production and also lead to issues of engorgement/ mastitis.