Many mothers experiencing breast pain during breastfeeding find themselves searching late at night, wondering if the pain is serious or if it passes on its own.
Lactational mastitis is often described as “common”, but common doesn’t mean insignificant. While it can begin mildly, mastitis is not just soreness. When left untreated, it can worsen and lead to complications that affect both your health and your breastfeeding journey.
The reassuring news is that mastitis is usually very manageable when addressed early.
Key Pointers
- Lactational mastitis is an inflammation of breast tissue during breastfeeding.
- It often begins with blocked ducts or milk stasis.
- Early symptoms can feel mild and are frequently overlooked.
- If untreated, mastitis can worsen and lead to breast abscess formation.
- Early care helps prevent complications and supports continued breastfeeding.
What Is Lactational Mastitis?
Lactational mastitis is inflammation of the breast tissue that occurs during breastfeeding. It commonly develops when milk is not draining effectively, leading to milk stasis. This environment allows bacteria, often entering through small nipple cracks, to multiply.
Mastitis usually starts with:
- A blocked milk duct
- Engorgement that isn’t relieved
- Incomplete emptying of the breast
At this stage, the breast may feel sore or warm in one area. With timely care, many cases resolve without complication.
What Are the Early Signs Many Mothers Overlook?
Mastitis often begins subtly. Early symptoms include:
- Localised breast pain or warmth
- A red patch on the breast
- Fatigue that feels “more than normal”
- Body aches or chills
- Mild fever
Because new mothers are already tired and sore, these signs are easy to dismiss. Many women assume they are simply part of postpartum recovery.
Can Mastitis Become Dangerous If Left Untreated?
If inflammation continues, mastitis can worsen. Possible outcomes include:
- Spread of infection within the breast
- Development of a breast abscess (a pocket of pus)
- Increased pain and swelling
- Reduced milk supply
- Difficulty continuing breastfeeding
A breast abscess often requires drainage and medical treatment. While still manageable, it is more disruptive than early-stage mastitis.
Prompt care reduces these risks significantly.
Why Some Mothers Delay Getting Help
Common reasons include:
- Belief that symptoms will “pass on their own”
- Concern about taking antibiotics while breastfeeding
- Pressure to keep feeding without rest
- Limited postnatal support
Many mothers also worry about being told to stop breastfeeding. In reality, continued milk flow is often part of recovery.
How Is Lactational Mastitis Treated?
Treatment depends on severity and duration:
- Continued breastfeeding or milk expression to keep ducts clear
- Rest, hydration, and warm compresses
- Gentle massage of affected areas
- Medical assessment to determine whether medication is needed
When symptoms persist or worsen, antibiotics may be prescribed. Many commonly used antibiotics are compatible with breastfeeding.
Medical review ensures that treatment is appropriate and timely.
When Should You See a Doctor?
You should seek medical advice if you experience:
- Fever lasting more than 24 hours
- Worsening pain or redness
- A lump that does not resolve
- Feeling increasingly unwell despite self-care
Early evaluation can prevent complications and support recovery.
FAQs
1. Can mastitis go away on its own?
Mild cases may improve with early self-care, but persistent symptoms should be medically reviewed.
2. Is it safe to breastfeed if I have mastitis?
In most cases, yes. Continuing to empty the breast often aids recovery.
3. Will mastitis always require antibiotics?
Not always. Some early cases resolve with supportive measures alone.
4. How do I know if I have an abscess?
An abscess may feel like a persistent, painful lump and is usually confirmed with ultrasound.
5. When should I see a breast specialist?
If symptoms recur, persist, or worsen despite initial treatment, specialist review is recommended.
Don’t Wait Until It Gets Worse
With Early Care, You Can Protect Your Health and Your Breastfeeding Journey
If you are experiencing ongoing breast pain, redness, or fever while breastfeeding, Dr Radhika Lakshmanan and the team at Radhika Breast General Surgery can help assess and guide you through the next steps.
Book an appointment today to receive timely care and reassurance. Mastitis is common , but it should not be ignored.
