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A 29-year-old woman is seen on day four after an uncomplicated vaginal birth. Both breasts are firm, hot and uncomfortable, the skin is shiny, and the areolae are so tense that her baby is struggling to latch. There is no discrete lump and no wedge of redness. Her nipples are intact and she has no burning or shooting pain between feeds. Her temperature is 37.6 degrees Celsius and she otherwise feels well. The baby has had six wet nappies in 24 hours. Which one of the following best explains her breast symptoms?
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