I have been engorged on the left side since my milk came in (my baby is 3 weeks old). Also on that side I've had 2 boughts of mastitis. My main concern is that I have one duct that sprays continuously (also seems to be near where the mastitis occurred...connection??). My baby has trouble latching on on that side, and when he does this one duct sprays so fast and so much that he coughs and has to break away, or he swallows his little heart out. I've tried laying down, having the baby breastfeed so that he's upright, etc. Everything I've read says engorgement should be all but gone by now based on supply and demand, and I can find nothing about overactive letdown in just one breast/duct. My question is, what can I do about this one duct? What can I do to help regulate the supply on that side (I am guessing I have way too much milk since it's always engourged on that side...I occasionally try to pump after the baby feeds to completely empty the breast when it's very engorged to prevent the mastitis or a plug again. But I know that if I do that too much I'll continue to make too much, so mostly it stays full. I'm stuck as to what to do.