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Is it a fast let-down an issue?

Hi. I'm on day 10 of breastfeeding and am having an issue with my right breast. My daughter gets really fussy on that side, especially at night and cries and takes at least 30 minutes to successfully latch. And when she does latch, it is excruciating, and I've noticed a big crack/hole on it. I've tried multiple positions but I can't find one that works....while the other side is going pretty well. The right side also was engorged earlier in the week which I relieved with a hot shower and a tiny bit of pumping but noticed that it continues to get very full often. Is this a "fast let-down" issue? If so, I can I fix this?? And what do I do about this crack in my breast...it is horribly painful. THANK YOU SO MUCH!


McKenzie Jones | Other Provider

McKenzie Jones

I am glad you are reaching out for guidance!  Breastfeeding is certainly not supposed to hurt. There could be a number of things going on with the right side.  It sounds like it would be a good idea to come in for a latch check as well as discuss the engorgement and possible fast let-down.  Without an assessment, it is hard to determine the root cause of the issue and a plan of attack to get you past this hurdle.

I recommend scheduling an outpatient visit as soon as possible.  If you are unable to be seen within 24 - 48 hours, I suggest calling our Methodist Lactation Hotline at 402-815-1528, which is available 24/7.

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