Breasts are swollen, firm, and painful. If severely engorged, breasts are very swollen, hard, shiny, warm, and slightly lumpy to the touch.
Your nipple may flatten out and the dark area around the nipple, called the areola, may be very hard.
Your baby may have trouble latching on to a flattened, hard nipple and may not be able to get enough milk out.
If your baby is not able to get enough milk, he or she will suck harder than usual during nursing and want to nurse more often.
Your nipples may become damaged by your baby's efforts to latch on well and get enough milk.
You have a slight fever of around 100.4°F (38°C).
The lymph nodes in your armpits may be slightly swollen and tender.