Pressure on the breast, can hinder the flow of milk and be the cause
of mastitis. This is why it is vital that you wear bras and clothing that
are 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.
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 placed 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 fitting 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.
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.
Eat a healthy diet, with plenty of fluids and get as much rest as possible.
My Breast Is Turning Red
"I'm a first-time mother of a little girl and she is just 12 days old now. I have some knots in my left breast. I've been doing warm water massage for 4 days, also pumping out the milk and breastfeeding my baby from the affected side.
She drinks a minimum of 15 min and max for half an hour every time throughout the day, but even after all this, I'm finding no way to get rid of the knots, in fact, I find sometimes the affected area is turning red!"
"Hi, have you tried breast compression while breastfeeding? It is essentially just massaging the breast while you breastfeed; this should help to drain the breast more efficiently.
Have you checked your nipples to see if you have a blockage? If you see a little white spot or blister, it may be a nipple bleb. Here is a page on that...Milk blisters
Remember to vary your breastfeeding position with each feed.
Taking garlic and Vitamin C supplements can help to boost the immune system and fight off any infection.
A blocked duct needs to be sorted immediately; you do not want to risk it turning into a mastitis infection. Please see a lactation consultant."
Engorged with a Few Plugged Ducts
by Sonia (South Jersey)
"My 4th baby just turned 7 weeks. He slept more than usual yesterday morning and skipped a feeding which resulted in my overproducing breast getting engorged.
It was very painful yesterday and from the look of the breast, it had a few plugged ducts. (There were hard nodules in the breast that wouldn't go down, despite my baby nursing.)
I tried to express as much as possible yesterday & when I woke up today, I took a very warm shower and expressed some more. That seemed to finally drain the breast to the point of almost comfortable. Almost.
I am going to keep expressing a little, feeding him every 2 hours until bedtime when he can go longer and I am going to take Ibuprofen to relieve some of the pain emanating from the breast. I am hoping this will be a distant memory tomorrow."
Re: Update from Sonia
"After one day and a half, my overproducing/engorged breast was back to normal. I promised myself that I would not let my baby go longer than 2 hours without feeding for now."
End of symptoms of mastitis page
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