Treatment of mastitis in lactating mothers

Mastitis is inflammation of breast tissue during lactation. One area may become tender, swollen, warm or red, and you may feel feverish, achy or tired. It can follow milk stasis, pressure on the breast, nipple damage or an infection; symptoms alone cannot tell which mechanism is present.

Pain can make feeding difficult, but abrupt weaning may worsen fullness. A lactation professional can check attachment, positioning and milk transfer while also looking for a blocked area or another breast problem.

Continue feeding or expressing in a comfortable way, beginning on the less painful side if needed. Use gentle handling, a supportive bra, rest, fluids and a cool pack for swelling. Avoid forceful massage, excessive pumping or tight pressure over the sore area.

For medicine, ask a clinician or pharmacist which pain reliever is suitable for you and your baby. Antibiotics may be prescribed when bacterial infection is suspected or symptoms do not improve with supportive care. A Lactation Consultation can help correct a feeding technique that is contributing to symptoms.

Seek prompt advice for a high fever, rapidly spreading redness, severe illness, pus, a soft fluid-filled swelling, or symptoms that are worsening or not improving. Urgent assessment is needed if you feel faint, confused or short of breath.

Ask whether this is inflammatory or infectious mastitis, which medicines are compatible with breastfeeding, how to protect milk supply, and when a persistent lump needs review.