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I had this problem yesterday, and had to resort to the warm cloth before nursing. Maybe your left hyper-produces and gets too engorged, too fast? For me it was stress but it doesn't sound like the case for you.
I also hand-expressed a bit before nursing and that allowed the letdown to happen.
Proud mama of Avery, born March 19, 2012, 6lbs 5 oz, 19 inches