The first time I posted here I was having a latch issue. Since then, and for the past month and a half my little one has really improved his latch. I haven't seen lipstick nipple really since about when I posted! And, as a result, he nurses much quicker. It concerned me for a while, because I was thinking that he couldn't possibly be getting enough. But he seemed happy enough, and appears to be gaining weight. Lots of poopy and wet diapers, so that's always a good sign. And an overall great disposition.
Just as everything was going swimmingly, and we were getting into a good groove with sleep as well, I felt a few lumps in my breast on Sunday night. In the middle of the night on Sunday I woke up in a lot of pain and had to pump before my little guy had woken up (I wanted to enjoy that good sleep he was getting too!). When I woke up in the morning on Monday, the lumps were bigger and I had 100.1 fever. This indicated to me either severe case of plugged ducts or mild mastitis. I've never had an oversupply issue, and my baby's latch is great. The only cause I can think of is probably his sleeping 6 hr stretches a night. In any case, I attacked the problem with advil, hot compress, hot shower, comb trick from kellymom, lots and lots of nursing, and by this morning I felt pretty good. If I still had a fever today I would have gone to doctor to get antibiotics, but I see no need. Haven't had a fever since yesterday morning. I worked the remaining lumps out in the shower this morning. The breast still feels a little firmer than usual, and definitely sore. But the pain is not what it was on Sunday night into Monday morning. And I don't feel lumps.
So, now I'm very very concerned about supply. My usually very cheerful baby has not been so cheerful today. My babe hardly ever cries unless we are trying to put him to sleep. He has been crying while nursing. I've been offering the affected breast first. He'll take it for a few minutes and then pulls off. When I put him back on he'll suck a few times and pull off. This isn't totally new behavior. He used to do this on my other breast sometimes, the one I believed to have a bit of a slower flow. Now he's relatively content on that breast. In any case, his first feed this morning was fine. But all feedings since then he hasn't appeared satisfied. I've been nursing as much as I can, but I also had to supplement with some of the milk I pumped out in the middle of the night. (I'm setting an alarm now to pump so I don't go 6 hours, even if he's sleeping). I can't FORCE him to stay on that boob, because he'll just pop off and cry. I got him to suck on it for a while this afternoon, when we were lying in bed and he was falling asleep. Does that even count in terms of sending a message to my body to produce more?
When I pumped in the middle of the night last night, I only pumped 1.5 oz from the affected breast, when I would normally get around 2-2.5, so I'm pretty sure supply is a bit lower. I realize that my supply will likely be affected for a little while because of this. But I had supply issues at the beginning, so I'm just so bummed to have to be dealing with this again. I finally felt like I was producing the right amount for my little guy, but not with ounces to spare!
Has anyone else dealt with this issue? If so, how long did it take to get supply up to normal? I am doing the things I did early on to get supply up: Nursing followed by pumping, when I can. Oatmeal. More milk plus pills. Water. Rest.
Also, assuming I continue to feel fine and am able to work out these lumps, is there any reason to go on antibiotics?
Thanks in advance for any tips!