Right boob still engorged after 19 weeks arghh

[heathermc]

Hope someone can help me out with this, I have been EBF for 19 weeks now and whilst I am really enjoying it and DS is gaining weight and thriving I am still suffering with an engorged right breast.
DS feeds from both but because the right breast produces about 3 times more milk than the left my HV advised me to use the right as much as needed to drain it and only then use the left. So I have been doing that to avoid mastitis in the right (which I have had twice). I feed from the right first and then use the left if he is still hungry which is prob 4 out of 7 feeds but he does not take that much.
My problem is that now DS sleeps from 11pm to 7am; by the time I get to 5am I have to get up and hand express because my right breast is so engorged and enormous that I cannot sleep with the pain. It is literally 3 times the size of my left which never gets engorged and remains freakishly lopsided all day.
Help!

well, the more you feed the more you make, so feeding mainly from that side will mean you make more

so, i would try cutting down and evening the feeds out a little

You know that sounds so simple and I have tried this but whenever I do the right boob gets even more engorged and sore, I get a blocked duct and then I have to express/feed to get rid of it which makes more....vicious circle.

my dd is more than 5 months now and i am still getting a very engorged and painful left breast if she goes longer than the norm between feeds (she isn't sleeping thru so i guess that is helping me ) but i have found that actually starting off on the OTHER breast (which she will take less from) and then swapping to the bad side every other feed actually means the bad breast doesn't get so bad. Does that make sense?! basically, if i start every feed on the "bad" boob then it just gets worse and worse.. this was against the advice of a bfc but i just tried it for a couple of days and it seemed to work.
I had mastitis at 3 months which was so horrendous i am paranoid about getting it again!
I never had any of these problems with my ds, not sure why feeding with dd has been much more troublesome! Hope you can get balanced out soon

Thanks fairy... so start on the one which is not engorged then swap to the big freak boob straight after - and you do this for every feed??

i usually do it for every other feed, although it freaky boob is getting bad i might do it a two feeds in a row, but make sure she has a good slurp from the bad boob too. its opposite to logic really but seems to have worked for me!

ok i have done this the last couple of days and also been using warm compress before and cold after to stop me getting blocked ducts and you know i think it might be having an effect.
although last night he woke at 2am after having injections yesterday and took a little feed so tonight hopefully he will sleep like normal and i'll be able to tell if its working but i haven't been as sore today, not half as bad as its been.
thanks again for answering my post :0

oh i am so pleased to hear that! after i posted i felt quite worried that it might end up making things WORSE for you.. at least that hasn't happened!
hope things get totally better for you soon