Mastitis can show up suddenly—a sore breast, red patch, fever, and an overall feeling like you’re coming down with the flu. It’s painful, overwhelming, and often catches us off guard. The good news: with early attention, most cases can be managed at home, and there are practical steps to lower your risk in the first place.
What Is Mastitis?
Mastitis is inflammation of the breast tissue, usually caused by milk stasis (milk not moving well) that leads to swelling and sometimes infection. It can happen any time during lactation but is most common in the first few months.
Early Signs to Watch For
Recognizing these early makes a huge difference in recovery:
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Localized breast pain or tenderness
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A firm or hard area that doesn’t soften after feeds
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Redness or warmth in one spot
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Flu-like symptoms—fever, chills, fatigue
How to Prevent Mastitis
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Feed frequently and effectively: Offer the breast often and check for a deep latch.
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Get very comfortable with using your hands to check your breasts and hand express to comfort
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Vary nursing positions: Different angles help fully drain ducts.
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Avoid long stretches without removal in the early days: If baby sleeps longer, consider hand expression or pumping for relief.
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Don’t wear tight bras or clothing: Pressure from clothing can block milk flow.
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Stay hydrated and rested: Easier said than done, but both protect immune function and milk flow.
What to Do if Mastitis Develops
1. Keep milk moving – Continue feeding or pumping on the affected side.
2. Gentle massage and warmth – Light strokes before and during feeds can help. Use warmth sparingly before feeding to ease flow, then cold compresses after to reduce swelling.
3. Rest and fluids – Your body needs recovery time, just like with any infection.
4. Pain relief – Over-the-counter medications like ibuprofen can reduce discomfort and inflammation (check with your provider first).
6. Ultrasound therapy from a qualified provider can be helpful for stubborn clogged ducts
7.Sunflower Lecithin was extremely helpful for me when I felt a clog coming on (I also took it on a maintenance dose for preventative purposes)
5. Medical care – If fever persists beyond 24 hours, symptoms worsen, or you see pus/blood in milk, call your healthcare provider. Antibiotics may be needed.
FAQ
Can I keep breastfeeding with mastitis?
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Yes—continuing to nurse or pump is safe and often speeds recovery.
Does mastitis always need antibiotics?
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Not always. Many cases resolve with milk removal, rest, and supportive care. But if symptoms don’t improve in a day or two, reach out to your provider.
Will my baby get sick from nursing?
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No—milk is safe to drink, even during mastitis. In fact, it helps prevent further blockage.
The Bottom Line
Mastitis can be managed effectively when caught early. Frequent nursing or pumping, gentle massage, compresses, and rest give your body the best chance to heal quickly. By knowing the early signs and responding right away, you can ease symptoms, protect your milk supply, and keep your breastfeeding journey on track.