45 answers

Shooting Pain in Breasts After Feeding/pumping

I've been breastfeeding for one month now and for the past week and a half, have been having shooting pains in my right breast after feeding or pumping. The pain comes inconsistently - sometimes from several times a day to just once every 2-3 days - and lasts for a few hours. It is shockingly painful, only occurs in one breast and only after feeding. I've talked with 2 lactation nurses and they've ruled out overactive let-down. Anyone else experience this - any ideas or solutions?

What can I do next?

So What Happened?™

Thank you ladies so much for all the kind words and support. This has been a tough week and I still don't have a concrete answer. I saw the lactation nurse at my hospital earlier in the week, who thought that it might be ductal thrush (neither my baby nor I had visible symptoms) and put me on diflucan. It seemed to alleviate the pain for the next few days, just as I was getting hopeful, but then the pain came back again full force after a 7am feeding this morning. I was literally bowled over from pain for the next 3 1/2 hours. I tried the warm compresses and the hot showers, massaging my breast in the shower, and nothing worked - the heat made it worse. I happened to have my 4-wk checkup today and all my doctor could tell me was that everything looks totally healthy and normal (no mastitis/blocked ducts/etc) and that it was probably just the nerves getting pinched from the ducts filling up. I could either tolerate the pain with midol or stop breastfeeding. She even did an ultrasound on my breast to make sure nothing was wrong. I am still stumped and plan to just try to hang in there for another few weeks, when my body is supposed to "regulate". I hope it goes away soon because I'm truly having a tough time hanging in with the breastfeeding - as much as I want to. Thanks again for all your help.

Featured Answers

This can be normal for many women. I had this with baby #1 for months...and then it stopped. It didn't happen at all with baby #2. I promise you it will subside...and it'll be totally worth it.

More Answers

I had this happen in one breast and after a couple of days the pain just persisted. It ended up being a clogged duct and the only thing to cure that (I was told) was to keep breastfeeding through the pain. I also took hot showers and massaged my breast. It eventually went away!

M.,

Yes!! I had this with my second but not my first. It will go away. I was told it was my let down. I know how you feel! Hang in there and once the supply/demand builds up it should be gone. It's been awhile but I want to say it went away when my son was about 11-12 weeks old.

Congrats on your new baby!
M.

I would actually go in to see a lactation consultant with your baby. Have them look at your breasts and the inside of your babies mouth in case you have thrush/yeast. Also have them look at how your baby latches on and your body positioning. They would also be able to determine if it's a plugged duct or mastitis pretty easily.

Most commonly though it is something easy to treat because it is a result of poor latch positioning or thrush. I had poor body positioning, plugged ducts and a little bit of yeast on my breasts (but DD never had thrush). After meeting a few times with a good LC, things got much better.

I also did the Gentian Violet for the yeast. It temporarily stained my nipples and my DD mouth, nose, and parts of her face. But in a few days it fades. Just becareful of your clothes, baby's clothes, etc. I just always kept a warm wash cloth nearby so I could wipe DD's face and my nipples after each feeding and after each application of GV.

S.

I too experienced this pain that you are describing. The pain, for me, started just before I got a blocked duct that turned into a mastitis which is an infection in your breast that causes pain, and flu like symptoms. Over all it is miserable. If the pain persists or you get a fever call your Doctor right away, you may need antibiotics to get rid of the infection. Best of Luck to you and congratulations on your baby.

Thrush could be your problem - it's a yeast infection, and often it shows up on the baby's tongue and mouth looking like patches of white yogurt. But sometimes it doesn't show, it just hurts the mom, in the way you describe. I had thrush while nursing my son and he never had the white patches in his mouth, but my nipples itched like mad and I had those shooting pains. You can try putting antifungal cream (stuff for athletes foot) on your nipples after feeding, eat lots of yogurt and "paint" the inside of your baby's mouth with yogurt, go to your doctor and request a prescription for Nystatin for youself and your baby, or try genetian violet (found OTC in walmart, riteaide, wherever) - this is the messiest solution, but it was the only one that worked for us! Good luck and don't give up nursing - it is the most rewarding relationship I had with my son as an infant and toddler!

I had the same thing and come to find out it was a yeast infection, my son got thrush, because I have too much yeast in my body. talk to your doctor about what is best for you to get rid of it.

I had 'shooting' pain as well, during the first 3 or 4 months of breastfeeding my first baby. Even belonging to La Leche League, NO ONE (even my lactation nurse!)could associate it with my let-down! Everyone said 'let-down isn't painful'. Well, MINE WAS. Finally, a nurse practitioner had the SAME experience with both of her kids, so finally, after thinking I had thrush, (because that's the path the professionals sent me down)or some abnormality, I felt so much better. Now, it's diminished and the 'tingling' sensation during my let-down is what I now feel, the description I was given by other moms. It's true, as well, my pain was inconsistent-before feeding, after, or at least, at that point, I was so new at it, I couldn't quite tell. All I knew is that it hurt. I'd have to grip my breast(s) tightly during that time and just cringe. I didn't do anything but go through it. I knew that breastfeeding was not supposed to be painful the rest of my son's breastfeeding days, so I had to forge ahead. I knew the wonderful benefits for him far outweighed my discomfort, and boy did I go through some major discomfort. I think he was 6 months old by the time I said, "Okay, I've got this down!" He's 9.5 mos. now and I wouldn't trade our time together breastfeeding for anything--I am so glad we kept going and toughed it out. Give it some more time, M., I think you'll find it's worth it. I will pray for you:)

Oops, I forgot! I did do hot compresses and hot showers too--which helped somewhat, but when the pain happened, it wasn't always convenient! I also dealt w/ plugged ducts, and the feeling/pain is quite different than the 'shooting' pain.

It sounds like you might have a yeast infection in the milk ducts of your breast. I had this with my first baby and it felt like glass stabbing my breast during the feedings and after. My OB prescribed diflucan and I treated my baby for thrush (also a fungal infection) to make sure we didn't pass it back and forth. It was a frustrating time and took a few weeks to clear up. It's also advised to limit yeast/sugar in your diet. Lactation consultants are very knowledgeable about this, so see if they think might be a possibility. Good luck!

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