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Lactational Mastitis

Inflammation of breast tissue during breastfeeding that resolves rapidly with proper management.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Lactational Mastitis?

Lactational mastitis is an acute breast inflammation that occurs in 10–30% of breastfeeding mothers. It develops when milk ducts become blocked, when bacteria such as Staphylococcus aureus enter through cracked nipples or, less commonly, with other infections.

The clinical picture consists of a painful, red, hot and firm area of the breast together with fever and flu-like symptoms. Antibiotics are added if symptomatic measures are not enough.

Breastfeeding should continue during mastitis; effective drainage of the breast speeds recovery. If treatment is delayed, the condition may progress to a breast abscess.

Symptoms

A painful, red and firm area of the breast
Fever ≥38.5°C with chills
Flu-like muscle aches and weakness
Cracked nipples
Localised increase in breast warmth
Pain during breastfeeding

Risk Factors

Cracked nipples
Blocked milk ducts
Long intervals between feeds
Tight bras
Fatigue and stress
Previous mastitis

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When high fever lasts more than 24 hours
  • When breast pain and redness are spreading
  • When the nipple cracks and there is purulent discharge
  • Severe pain during breastfeeding
  • If a breast abscess is suspected

Treatment Methods

01
Frequent and effective breastfeeding (starting on the affected side)
02
Warm compresses and gentle massage
03
Pain relief (paracetamol, ibuprofen)
04
Dicloxacillin or cephalexin for 10–14 days in resistant cases
05
Clindamycin or trimethoprim-sulfamethoxazole when MRSA is suspected
06
Rest, fluid intake and family support

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.