Breastfeeding can be a wonderful bonding experience, but sometimes challenges arise that make it difficult. Mastitis—a painful inflammation of the breast—is one such challenge that many nursing mothers face.

Hi, I’m Dr. Priya. Today, I want to share a conversation I had with one of my patients. Meera came to me with a painful lump in her breast. I’ll use this real-life scenario to explain what mastitis is. I will also show you how to treat and prevent it. This information will help you confidently continue your breastfeeding journey.

What Is Mastitis?

Meera’s appointment started with a concerned tone: “Dr. Priya, my breast feels so sore and swollen. I also have a fever and aches. Is something wrong with my milk supply?”

After examining her, I explained, “Meera, it sounds like you have mastitis. This happens when a milk duct becomes blocked, and the milk stagnates, leading to inflammation. Sometimes, bacteria can also get into the breast tissue, making it painful and causing symptoms like fever and fatigue.”

Symptoms of Mastitis

I broke it down for Meera so she could identify her condition clearly:

• A painful lump in the breast that may feel hot or tender.
• Redness, swelling, and hardness around the lump.
• Fever, body aches, and fatigue (similar to flu-like symptoms).

What Are the Risks of Mastitis?

Meera looked alarmed. “Is it serious, Dr. Priya?”

“Mastitis can be serious if not treated properly,” I said. “Most cases improve within 48 hours with the right treatment. However, neglecting it can lead to complications like a breast abscess. A breast abscess may require surgical drainage. Infections like Candida, or thrush, can also occur—especially if antibiotics are involved.”

I reassured her, “The key is early intervention. Let’s talk about how to treat it.”

How Is Mastitis Treated?

1. Keep Breastfeeding

Meera’s first concern was whether it was safe to continue breastfeeding. “Absolutely,” I told her. “In fact, regular feeding helps clear the blockage. Start feeding on the sore side, as it ensures proper drainage.”

2. Use Heat and Massage

“Before feeding, apply warmth to the affected breast. A warm shower can help soften the milk ducts. A warm compress can also make it easier for the milk to flow.”

3. Take Pain Relief

“For the pain and fever, you can take paracetamol or ibuprofen. It’s safe for you and your baby when taken in the recommended doses,” I advised.

4. Drain the Breast Completely

“Ensure your breast is fully emptied during feeds. If your baby doesn’t finish, you can express milk manually or with a pump,” I added.

5. Antibiotics (If Needed)

“If the infection doesn’t improve within 24-48 hours or if the symptoms worsen, antibiotics may be necessary. Let me know if you have allergies to medications, like penicillin, so we can find the right one for you.”

Practical Tips to Relieve Mastitis Symptoms

I also gave Meera some practical tips to feel better faster:

• Cool Compress After Feeding: “Place a cold pack or chilled cabbage leaves on the sore breast after feeding. This will reduce inflammation.”
• Gentle Breast Massage: “Massage the lump gently toward the nipple to encourage milk flow.”
• Hydration and Nutrition: “Stay hydrated and eat a healthy diet to support your recovery.”
• Rest: “It’s crucial to rest as much as possible. Overexertion can slow down your healing process.”

Meera sighed with relief. “I didn’t realize there was so much I could do. Thank you, Dr. Priya.”

How Can Mastitis Be Prevented?

Prevention is always better than cure, so I shared these tips with Meera:

1. Avoid Engorgement:
   Feed your baby regularly and ensure the breast is emptied fully during each feed.
2. Proper Latching:
   “Make sure your baby is latching correctly. Poor latching can lead to milk blockage and cracked nipples, which increase the risk of infection,” I advised.
3. Heat and Drain:
   “The golden rule is ‘heat and drain.’ Use warmth to stimulate milk flow, and ensure the milk ducts are cleared.”
4. Avoid Overpressure:
   “Don’t wear tight bras or sleep face-down, as this puts unnecessary pressure on the breasts.”
5. Take Care of Cracked Nipples:
   “Use lanolin or other safe ointments to heal cracked nipples. They serve as an entry point for bacteria,” I added.

Meera’s Recovery Journey

Two weeks later, Meera returned for a follow-up. She was smiling this time. “Dr. Priya, your advice worked! The warmth, massage, and regular feeding made such a difference. I feel so much better now.”

I couldn’t help but smile back. “I’m so glad to hear that, Meera. You handled this beautifully, and your baby is lucky to have such a dedicated mom.”

Final Thoughts

Mastitis can feel overwhelming, but with the right approach, it’s manageable. You can navigate this challenge by recognizing the symptoms early. Stick to effective treatments. Practice prevention while continuing to breastfeed.

If you’re dealing with mastitis or have any concerns, remember that you’re not alone. Reach out to your doctor or a lactation consultant for help. And as always, trust your instincts and take care of yourself—you’re doing an incredible job!

FAQs About Mastitis and Breastfeeding

1. Can I still breastfeed with mastitis?
   Yes, it’s safe and encouraged. Regular feeding helps clear the milk duct blockage causing mastitis.
2. How long does it take to recover from mastitis?
   Most cases improve within 48 hours with proper treatment, but full recovery may take a few days.
3. Is mastitis contagious to my baby?
   No, mastitis is not contagious. You can continue breastfeeding safely.
4. What if I develop a breast abscess?
   A breast abscess may require surgical drainage. Consult your doctor if you notice severe swelling or pus.
5. Can I prevent mastitis from recurring?
   Yes. Practice regular feeding, ensure proper latching, and avoid tight clothing or prolonged pressure on the breasts.