Last night I woke up at 2 am with a very painful breast (left). A small area on the side of the breast is very painful, but not red, and the area is not hard as I've experienced with previous plugs--most of mine are in the right breast, not the left. Also, with most of my plugs I will find a little white spot on the tip of the nipple that I can work out, then the milk releases and I get relief. Not so with this time. I've tried everything: manual expression, then waking LO to nurse, then manual expression, to bed with a hot water bottle, then nursing followed by manual expression and hot water bottle. It still hurt when I woke up, so I massaged, then manually expressed, then pumped. Nothing. The milk seems to flow out the various nipple pores efficiently, so I'm thinking this plug is deeper within the breast.
Now I'm stuck at work with no access to LO who might nurse it out (will try that immediately upon returning home). I was able to manually express into a sink, but it did not help. I have my pump with me today, but I don't think it will help right now. I have to teach 3 hrs of class here in a bit, then drive to day care, then finally home later today around 5. Meanwhile, I've been taken ibuprofen and lecithin capsules.
I'm very frustrated and worried that this could turn into mastitis if I can't get it resolved today. I've had plugged ducts last up to 24 hrs, but can usually unplug them by manual expression or nursing within about 6-8 hrs. I just started back to work full time 2.5 weeks ago. LO is 14.5 months, nurses at bedtime and once overnight. I had been nursing him down for his 2 naps, then switched to 1 in the afternoon in preparation for work, and now I just pump or nurse when I get home to relief a little pressure (if pumping, I get about 1/2 to 1 oz from each breast). I had hoped that by this week I could eliminate the after work pumping session, but if I'm getting plugged ducts again I really need to pump or nurse more. UGH!