Anti-mastitis care: what helps and when to seek treatment

Mastitis is inflammation of breast tissue, often during breastfeeding. It can cause a tender, warm or reddened area, swelling and flu-like illness. Inflammation may begin when milk is not moving comfortably, while some cases develop a bacterial infection. The right approach depends on symptoms, feeding history and examination rather than on one product labelled anti-mastitis.

Continue breastfeeding if comfortable, or express enough milk to meet your baby's needs and relieve fullness. Avoid forceful massage, deep pressure and repeated pumping beyond what your baby needs, because these can aggravate swelling. A cool pack after feeds, supportive clothing, fluids and rest may help. A clinician or pharmacist can advise whether a pain reliever is suitable for you, especially if you have allergies, stomach, kidney or other medical conditions.

Arrange prompt assessment if you feel very unwell, have fever or chills, notice spreading redness, pus or blood, or find that symptoms are worsening rather than settling. A persistent or enlarging lump also needs examination because trapped infected fluid may require drainage. Seek urgent help for fainting, confusion, difficulty breathing or an inability to keep fluids down.

Ask whether your findings suggest inflammation alone or bacterial infection, whether an antibiotic is appropriate, and how soon improvement should be noticeable. You can also ask for a feeding assessment to check attachment, pumping technique, nipple damage and pressure from clothing. Mention medicine allergies, recent antibiotics and any breast surgery.