What should you know about horse mastitis?

Mastitis often develops when milk is not draining well during breastfeeding, although inflammation can also occur without breastfeeding. The breast may feel hot, firm, swollen or painful, and the skin can look red. Chills, tiredness or a feverish feeling may occur. A blocked milk duct, pressure on the breast, an oversupply of milk or a shallow latch can contribute. Mastitis is not the same as breast cancer, but a lump that remains after inflammation settles should be assessed.

Continue breastfeeding or expressing milk if you can, beginning on the affected side if comfortable, and avoid forceful massage or suddenly stopping feeds. Rest, drink fluids and use a cool pack wrapped in cloth for discomfort. A well-fitting bra and varied feeding positions may reduce pressure. A lactation consultation can help check latch and milk removal. If symptoms are worsening, contact a clinician promptly because antibiotics or drainage may be needed.

Arrange medical advice promptly for a high fever, shaking chills, rapidly spreading redness, severe pain, marked weakness or pus from the nipple. Seek urgent help if you feel faint, confused or seriously ill. If a painful area does not improve after home measures, or a lump remains, examination is needed to check for an abscess or another cause.

Ask whether the findings fit mastitis, whether you need antibiotics, how to continue feeding safely, and when a persistent lump or collection should be reviewed.