Hello! Long story here so please bear with me...
My son is almost two months old. I had mastitis on the right breast just a couple weeks after he was born and that healed within a couple days with antibiotics. A couple of weeks later, I started getting redness in the triangle/wedge shape on the left side. I wasn't sure if it was mastitis or not since I didn't have a fever like the first time and it looked and felt different (wedge instead of streaks like first time, pain going up into armpit during/after feedings). It was hot to the touch when full.. I also never had one obvious hard lump with either case, just small ones occasionally that were easily massaged out. It looked more like stretch marks, but in the wedge shape. Because I wasn't sure I let it go longer than I should have and didn't contact my doctor about it for almost a week. When I did, she (a different doctor than the first one above) prescribed a new round of a different antibiotic.
Ten days later I had my 6 week postpartum appt and my breast looked the same. My doctor who prescribed the second round of antibiotics said it should have cleared up by now and prescribed another different antibiotic. She also said that I need to completely drain the breast at every feeding and told me to pump to emptiness after every feed.
One week after that it still looked the same. I became more concerned so I called into my doctor's office and they had me come in the next day (last Friday) to see the doctor I spoke to with my very first case of mastitis on the right. She comes in, looks at me, and says "your breast looks totally fine right now." I explained that it looked like that at my appointment with the other doctor and she prescribed more antibiotics. This doctor however said that my breast just looked stretched and since I didn't have a fever and it wasn't bright/shiny red and very hot to the touch and there wasn't a big hard lump that the most it could be is a yeast infection (because of the pains in my armpit) and told me to put Lotrimin on it for a week after every feeding.
So, whether or not I had mastitis at all on the left, ever since my doctor told me to pump on the left after every feeding I have been dealing with engorgement and oversupply. It sprays out milk, my son chokes on it occasionally, he has watery and explosive poops (though not every time he poops). He latches really well in spite of it - in fact his latch has been worse on the right lately. My breast fills up very fast and when I offer that breast first he does drain it pretty well but I know there is more in there.
Additionally, my breast does still look basically the same, with the red wedge shape. It isn't quite as red as it was though, and the pain going up into my armpit during/after feeds has gone away since I started the Lotrimin. I am VERY lopsided though (1-1.5 cup sizes larger) and it is really wearing on my self confidence.
Any advice on how I can lower my supply on the left without drying myself up? As well as how to even myself out? The past few days I have tried alternating feedings and only pumping to comfort on the left as well as giving the right first for two feedings in a row and then the left while only pumping to comfort in between. So far I haven't seen any improvement. Also, any thoughts on whether this actually was mastitis or not? It's seeming like not, but the wedge shape is what troubles me since I've read that is very typical of mastitis.. ?
Thank you so much for your help!