I know that somewhere in the breastfeeding support thread there is some talk about plugged ducts, but it's become so long that I don't know where to find it. Anyway, I'm on a 3-hour schedule of nursing 10 min per side, then pumping for 15 minutes and feeding that to my LO. On Thursday I woke up feeling engorged, more on my right side than left. So I made sure to pump a little longer to empty it out. Then yesterday, my right side was just hurting in a specific spot--a different pain than engorgement. I started feeling around, and sure enough, I found a hard lump right above my areola. I'm guessing this is a plugged duct. It's really painful. I've tried heating it, then massaging it. I'm taking ibuprofen and putting ice packs on in between feedings. But I don't think it's getting better.
Are there any other tricks out there that you've found have worked? And at what point do I get really concerned about mastitis? I've heard some horror stories, and I'd really like to avoid those if I can.