Mastitis in an older woman: what to know

Mastitis in an older woman is breast inflammation that needs clinical assessment, especially when symptoms are new or persistent. Infection can cause warmth, redness, swelling, tenderness, or fever, but similar changes can have other causes. A clinician can examine the breast, review medicines and health conditions, and decide whether imaging or a sample is needed.

Breast inflammation may affect one area or a larger part of the breast. The skin can feel hot and look red, and the breast may become swollen or painful. A nipple discharge, a new nipple change, or a firm area should be reported. Fever, chills, fatigue, and feeling unwell can support an infection picture, while the absence of fever does not rule out a problem. New symptoms after menopause should not be self-diagnosed.

Contact a primary-care clinician or breast service and describe when the symptoms began, whether they are changing, and whether there is discharge or fever. Bring a list of medicines, including creams and hormone treatments. Wear comfortable clothing and avoid pressing or repeatedly checking the tender area. A clinician may recommend treatment for infection, but persistent or unusual inflammation may need further assessment even if symptoms initially improve. Do not use someone else's antibiotics.

Seek same-day medical advice for fever with a red, hot, painful breast, rapidly spreading redness, worsening swelling, or feeling faint or very unwell. Arrange prompt assessment for a new lump, skin thickening, nipple inversion, bloody discharge, or symptoms that do not settle after treatment. Emergency help is appropriate for collapse, severe weakness, confusion, or breathing difficulty.

Ask what findings suggest infection, whether imaging is appropriate, how soon improvement should begin, and what to do if redness or pain remains. Ask whether a discharge or tissue sample is needed and which warning signs should prompt an earlier review.