What should you know about unclogging a blocked milk duct?

A blocked milk duct may cause a localised tender or firm area, breast pain, fullness, or a change in milk flow. The area may feel sore during a feed without the whole breast being affected. Inflammation can progress to mastitis, which may bring spreading redness, warmth, fever, chills, or a flu-like feeling. A persistent lump needs assessment because not every breast lump is caused by milk stasis.

Feed or express according to your baby's usual needs and choose a position that feels comfortable. Check that clothing, a bra, or pressure from a carrier is not compressing the breast. A cool pack wrapped in cloth can ease swelling; rest, fluids, and ordinary pain relief that is suitable for you may help. Avoid deep massage, forceful squeezing, or trying to empty the breast repeatedly, because extra irritation can worsen inflammation. A lactation consultant can check latch, positioning, and milk removal.

Contact a clinician promptly for fever, chills, worsening redness or swelling, increasing pain, pus, or feeling generally unwell. Arrange review if a firm area does not improve, recurs often, or remains after breastfeeding or expressing. Urgent care is appropriate if you feel faint, severely ill, or unable to keep fluids down. Breastfeeding can usually continue unless a clinician advises otherwise.

Ask whether your symptoms suggest inflammation or infection, which pain relief is compatible with breastfeeding, and whether your latch or feeding pattern needs review. Ask when a persistent lump should be examined or imaged.