How to Deal with Mastitis

OMG. Did someone say mastitis? Just the word makes our skin crawl. If you are here and are experiencing mastitis, first off, we FEEL FOR YOU. Mastitis sucks. It’s also annoyingly common so we are going to cover what it is, how to know if you have it, and how to deal. You will get through this! Read on, mama…

What is Mastitis?

Mastitis is characterized by swelling, redness, and tenderness in one or both breasts. It occurs when milk ducts become blocked or milk is not fully drained, leading to a buildup of milk in the breast. This can result in localized inflammation and, in some cases, infection.

Signs and Symptoms

The symptoms of mastitis can vary but often include:

  • Swollen, red, or warm areas of the breast

  • Tenderness or pain

  • Fever and chills (a sign of possible infection)

  • Fatigue

  • Flu-like symptoms

  • Decreased milk output from the affected breast

Common Causes

  • Milk stasis: When milk is not completely emptied during feeding or pumping.

  • Blocked milk ducts: A buildup of milk in ducts that leads to localized inflammation.

  • Poor latching: Inefficient latching can prevent proper milk drainage.

  • Cracked nipples: Openings in the skin can allow bacteria to enter and cause infection.

  • Weaning too quickly: Sudden changes in feeding frequency can lead to milk buildup.

Tips for Managing Mastitis

If you suspect mastitis, early intervention is key. Here are steps to help manage the condition:

  1. Continue Breastfeeding or Pumping
    It may be painful, but emptying the breast is crucial to relieve milk buildup. Breastfeed frequently, ensuring a good latch, or pump to fully empty the affected breast.

  2. Apply Warm Compresses
    Use a warm compress or take a warm shower before nursing to help loosen blocked ducts and encourage milk flow.

  3. Massage the Breast
    Gently massage the affected area while feeding or pumping, starting at the blocked duct and working toward the nipple.

  4. Stay Hydrated and Rest
    Your body needs energy and hydration to fight inflammation and infection. Prioritize rest and drink plenty of fluids.

  5. Over-the-Counter Pain Relief
    Ibuprofen or acetaminophen can help reduce pain and inflammation. Always check with a healthcare provider before taking medication, especially when breastfeeding.

  6. Wear Comfortable Clothing
    Tight bras or clothing can exacerbate symptoms. Opt for loose, breathable materials to reduce pressure on the breast.

When to See a Doctor

While mastitis often resolves with self-care, it’s essential to seek medical attention if:

  • Your symptoms worsen or don’t improve within 24–48 hours.

  • You have a high fever (over 101°F or 38.3°C).

  • The redness or swelling spreads.

  • You notice pus or unusual discharge from the nipple.

A doctor may prescribe antibiotics if an infection is present, and continuing to breastfeed or pump is usually safe during treatment.

Preventing Mastitis

Preventive measures can reduce the likelihood of mastitis:

  • Ensure your baby has a good latch to facilitate proper milk drainage.

  • Alternate breastfeeding positions to empty all areas of the breast.

  • Avoid long gaps between feedings, especially during the early months.

  • Address blocked ducts or soreness immediately to prevent escalation.

The Emotional Side of Mastitis

Dealing with mastitis can be physically draining and emotionally challenging. Don’t hesitate to seek support from a lactation consultant (i.e. Fifty-Two B.E.A.M.S. wink wink!), healthcare provider, or support group. We serve the Greater Lafayette/West Lafayette, IN area and beyond. You don’t have to suffer alone. Give us a call today!

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The Ultimate Guide to Weaning