Signs and Treatment for Mastitis

Mastitis: What Ontario Parents Need to Know

That painful, achy feeling in your breast while breastfeeding might have you wondering if it's mastitis. Mastitis is a breast infection that causes inflammation, and yes, it's as uncomfortable as it sounds. The good news? It's treatable, and you can feel better soon.

What's going on?

Mastitis happens when bacteria get into your breast tissue, usually through a cracked nipple or when milk gets backed up in your ducts. Think of it like a clogged drain that gets infected. Your body sends white blood cells to fight the infection, which causes all that swelling, redness, and pain.

It's incredibly common, affecting up to 20% of breastfeeding moms, usually in the first few weeks postpartum. You're definitely not alone in this, and it doesn't mean you're doing anything wrong. Sometimes it just happens, especially when you're tired, stressed, or dealing with engorgement.

What you might notice

- Breast pain that feels deep and throbbing

- A red, warm area on your breast that might feel hard

- Fever and chills (often the first sign)

- Feeling like you have the flu, with body aches and fatigue

- The affected area feeling hot to the touch

- Sometimes a burning sensation while breastfeeding

What helps at home

Rest is your best friend right now, even though it feels impossible with a little one. Keep breastfeeding or pumping frequently to help clear the infection. Start feeds on the affected side if you can manage it, and try different positions to help drain all areas of your breast.

Apply warm compresses before feeding and cold packs afterward for comfort. Gentle massage while feeding can help too. Stay hydrated and take ibuprofen for pain and inflammation. Some moms find that soaking in a warm bath or shower helps ease the discomfort.

When to worry

Head to the emergency room if you have a high fever over 38.5°C, red streaks extending from the infected area, or if you feel severely unwell.

See your doctor or text Arlo if your symptoms aren't improving within 12 to 24 hours, or if you're concerned about how you're feeling. Most cases need antibiotics to clear up completely, and there's no need to suffer through this alone.

The takeaway

Mastitis feels awful, but with proper treatment, you'll start feeling better within a day or two. You've got this.

You can always text Arlo and talk to a provider in 5 minutes!

References

- [Breastfeeding Problems](https://caringforkids.cps.ca/handouts/pregnancy-and-babies/breastfeeding_problems)

- [Mastitis](https://www.aboutkidshealth.ca/article?contentid=631&language=english)

- [Breastfeeding: Mastitis](https://www.ontario.ca/page/breastfeeding-mastitis)