Is mastitis safe while breastfeeding?

Mastitis is inflammation in the breast that can cause a tender, warm, swollen area, aching, and flu-like symptoms. Milk from an inflamed breast is generally not harmful to a healthy baby, so stopping suddenly can worsen breast fullness and discomfort. Some episodes involve narrowing and swelling around milk ducts rather than a bacterial infection, while others may need antibiotics. A clinician can distinguish these possibilities from your symptoms and examination. If you feel too unwell to feed directly, gentle expression may help you maintain comfort without trying to empty the breast forcefully.

Feed responsively and use a comfortable position; you do not need to massage deeply or pump repeatedly to empty the breast. Rest, drink to thirst, and use a cool pack wrapped in cloth after feeds to reduce swelling. A supportive bra can be more comfortable than tight clothing. Ask a clinician or pharmacist which pain relief is suitable while breastfeeding, especially if you have another illness or take regular medicines. Check your baby's latch if feeding is painful or the same area keeps becoming inflamed.

Contact a healthcare professional if fever, worsening pain, redness, or a firm area does not start improving, or if you feel increasingly unwell. Prompt assessment is needed for a fluctuant swelling, pus, or a breast that becomes markedly red and painful, because an abscess may need drainage. Seek urgent help if you are confused, faint, severely short of breath, or unable to keep fluids down.

Can I continue feeding from both breasts? Do I need antibiotics or an ultrasound? Which pain medicine is compatible with breastfeeding?