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Symptoms of engorgement can include hard, painful, swollen breasts, flattened nipples, and even a low-grade fever. Engorgement typically occurs as your milk comes in when your baby is two to five days old.
Common treatments for engorgement include continuing to feed on demand at least eight to 12 times a day, warm compresses, gentle breast massage, cool compresses or ice packs. Cabbage leaf compresses may also help, but these should not be used in the early days of breastfeeding since they may decrease milk supply.