Symptoms of Mastitis
Breastfeeding and Mastitis
What is mastitis?
A Mastitis problem, is usually caused
by a blocked milk duct or bacterial infection. Mastitis in women, can be
unilateral (in one breast) or bilateral (in both breasts).
Lactational mastitis, is usually seen on the upper part of the breast; this is where most of the breast tissue is. Periductal mastitis, is when the ducts under the nipple are infected and inflamed.
The symptoms of mastitis, (with mastitis help and treatment) usually only last about 5 days. You can Google “mastitis pictures", to see what mastitis looks like.
Lactation Mastitis Causes
• Engorgement that causes a bad latch problem.
• Sucking problems or tongue issues in a baby, that results in a bad latch.
• Nipple pain that causes the mother to breastfeed less frequently.
A change in feeding pattern that would result in a baby feeding less,
- If a baby starts sleeping longer stretches,
If a baby starts
If a baby is given supplements.
- An overly busy day or
- Implementing a feeding schedule.
These can all cause problems.
• Cracked nipples, can allow infection to enter the breast.
Pressure on the breast, can hinder the flow of milk and be the cause
of mastitis. This is why it is important to wear bras and clothing that
is not too tight. Other causes may include: sleeping on your stomach
and/or using breast pumps with flanges that are too small.
Stress, poor diet and lack of sleep can cause your immune system to
crash; making an infection much more likely to occur.
• A history of recurrent mastitis, can mean that a mother is more susceptible to an infection and therefore at higher risk.
• A mother with diabetes, is also at higher risk of infection.
Signs and Symptoms of Mastitis Infection
- There may be a lump in the breast.
- The pain is on the mastitis area of infection or blockage.
There may be pus and/or blood in the breast milk.
- Mastitis symptoms usually include a red, hot and swollen breast.
- There may be red streaks on the skin; from the problem area towards the armpit.
- Signs of mastitis, may include flu-like symptoms such as an aching body.
- Fever is higher than 38.4 ˚C.
Treatment for Mastitis
The mother must continue to breastfeed, if she stops, the infection may get worse. Abrupt weaning increases the risk of acute mastitis in the form of a breast abscess. The mother should breastfeed more often now, at least every 2 hours and during the night too. The milk is safe for a baby to drink, even if it has pus or blood in it. Breastfeeding will also help to free any blocked milk in the milk ducts.
- When a mother has mastitis, care should be taken that she drinks plenty of fluids to stay hydrated.
Mothers can try different breastfeeding positions, to help the milk flow and to get rid of any blockage. A mother can try positioning her baby, so that her baby's chin is positioned in the same direction as the lump.
- When treating mastitis, a warm compress used just before feeding baby, can help the milk flow better.
A good mastitis therapy is breast massage, which can help increase lymphatic drainage. Breast compressions during breastfeeding, can also help get the milk flowing and unblock milk. The mother should breastfeed her baby immediately after massaging the breast.
- The mother should wear loose fitted clothing, and a bra that fits properly, without putting unnecessary pressure on the breasts.
- Treatment of mastitis can include cold compresses, which are used after a breastfeeding session to help for pain relief.
- As part of mastitis treatment, a mother should get plenty of rest, good food and fluids. She should try to sleep when her baby falls asleep; this will help her rest and recover, and will give her baby more time at the breast. If possible, a mother should take off from work for at least a few months, or even a year.
Oral Medication for the Treatment of Mastitis
- Echinacea supplements, can help boost the immune system.
- Extra vitamin C, will also help the body fight the infection.
- Vitamin E supplements, are usually used in the treatment of mastitis.
- Ibuprofen and acetaminophen, can be taken for pain relief / anti-inflammation; they are safe to take while breastfeeding.
- Mom can be given antibiotics for mastitis, that are safe while breastfeeding. This is given only if the infection is a bacterial infection. The mother should finish all her antibiotics and not stop when she is feeling better. If the infection does not disappear after a course of antibiotics, the mother should see a physician to rule out the possibility of inflammatory breast cancer. Chronic mastitis that keeps appearing in the same spot, can indicate a breast tumor as well.
Feed your baby on demand. Do not try to keep your baby on a feeding schedule.
- Avoid unnecessary pressure on your breasts.
- Eat a healthy diet, with plenty of fluids and get as much rest as possible.
Tracy Behr, CBC, CLD (CBI)
Course information on physiology of lactation / breastfeeding problems.
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