Blocked milk duct at the nipple

Picking, piercing or squeezing it can injure the nipple and introduce infection. Gentle breast care and help with feeding mechanics are safer first steps.

Milk reaches the nipple through several duct openings. Local swelling can narrow an opening and create a small pale spot, burning pain during feeds or soreness between feeds. Deeper breast tenderness or a firm area can occur when milk flow is restricted upstream.

Cracks, friction, dermatitis and infection can also cause nipple pain, so appearance alone cannot confirm a blocked opening. A feeding assessment can identify shallow attachment, pump flange friction or pressure that keeps irritating the same place.

Continue breastfeeding or expressing at your baby's usual rhythm if comfortable; trying to empty the breast repeatedly can increase swelling. Use a cool compress after feeding and choose a soft bra that does not press on the tender area.

Do not open the spot with a needle, scrape its surface or apply harsh substances. A lactation clinician can observe attachment, check pump fit and suggest position changes. Ask a pharmacist or clinician before using a pain medicine or medicated nipple product.

Contact a healthcare professional promptly if breast redness is spreading, the breast becomes increasingly hot or swollen, or you develop fever, chills or flu-like illness. These symptoms can accompany mastitis.

Arrange review if the nipple spot persists, repeatedly returns, bleeds, produces pus-like fluid or makes feeding difficult. Seek help sooner if pain is rapidly worsening or your baby cannot feed effectively.

Ask whether the spot looks inflammatory, traumatic or infectious; whether an anti-inflammatory or prescribed topical treatment is suitable; and how to protect milk supply while the nipple heals. Mention recurrent spots and any pumping discomfort.