HOW TO TREAT MASTITIS?
The following are some tips for modifying your breastfeeding techniques:
Mastitis therapy options include:
• Antibiotics. Antibiotics are often prescribed for a 10-day treatment if you have an infection. To reduce the recurrence risk, taking all of the prescribed medicine is crucial.
• Painkillers. Your doctor may suggest a prescription painkiller such as acetaminophen or ibuprofen.
TIPS TO TREAT MASTITIS AT HOME:
• Prevent long-term milk overfilling of your breasts before breastfeeding.
• Make an effort to ensure that your baby latches on properly; this can be challenging if your breast is engorged. Before breastfeeding, you might find it helpful to express a tiny amount of milk manually.
• Massaging the breast from the afflicted region down toward the nipple during breastfeeding or pumping. Massage the area gently at the edge of the afflicted region and move inward toward the nipple.
• Ensuring that your breasts discharge as you breastfeed. Apply warm, moist heat to the breast before breastfeeding or pumping milk if you have problems emptying a portion of it.
• Feed your baby on the injury site first, when they are hungry and sucking more forcefully.
• Switching up your feeding positions.
• Every few hours, apply warm, wet compresses to the afflicted breast or take a warm shower.
• To maintain milk flow via the milk ducts, breastfeed once every two hours.
• If you can, get some rest and drink lots of water.
• Use over-the-counter NSAIDs to treat inflammation (NSAIDs).
• Wear a bra that supports you but doesn't squash your breasts.
• You can nurse from the unaffected side and add baby formula as necessary.
• Because the microorganisms that caused the illness most likely originated from the baby's mouth in the first place, the infection won't affect the infant.
• When an abscess is present, breastfeeding shouldn't be done on the breast that is infected.
• Ice packs given after feedings may offer some comfort and respite if heat is unsuccessful.
• Ice pack usage should be avoided before nursing since it might reduce milk flow.
• At least 10 glasses of water should be consumed daily. While nursing, increase your daily calorie intake by 500 and eat well-balanced meals. Dehydration and inadequate nourishment might reduce milk production and worsen your symptoms.
Simple mastitis without an abscess is treated with oral antibiotics.
It might be challenging to treat chronic mastitis in non-breastfeeding women.
You might need to be brought to the hospital for IV antibiotics if the infection progresses despite taking oral antibiotics or if you have a severe abscess that needs to be surgically treated.
MASTITIS ORAL ANTIBIOTICS:
• 875 mg of Augmentin (amoxicillin/clavulanate) twice daily
• 500 mg of cephalexin (Keflex) four times each day
• 500 mg of Ciprofloxacin (Cipro) twice daily
• 300 mg of clindamycin (Cleocin) four times per day
• 500 mg of dicloxacillin (Dynapen; no longer available in the US) four times per day
• Trimethoprim/sulfamethoxazole, 160/800 mg twice daily (Bactrim, Septra)
ABSCESS SURGICAL REMOVAL:
It is necessary to drain an abscess if one is present. The doctor may use a tiny incision or aspiration with a needle and syringe to empty an abscess close to the skin's surface after administering a topical anesthetic.
However, surgical draining may be necessary if the abscess is deep within the breast. This treatment is typically performed under a general anesthetic to reduce discomfort and thoroughly drain the abscess. Abscesses can also be treated with heat and antibiotics.
WHY DOES MASTITIS HAPPEN?
Your breasts will be examined by a medical professional. You won't typically require lab testing. But you could need further tests:
• Culture of breastmilk. if severe infection, developed in a hospital or didn't respond to an earlier round of antibiotic therapy. This can be used to direct antibiotic selection.
• Ultrasound. You could require this imaging test if the mastitis is related to breastfeeding and doesn't improve with medication in 48 to 72 hours.
• Cultures of blood. If the breast redness intensifies or your vital signs start to fluctuate, these procedures will be carried out.
HOW TO CURE MASTITIS?
• Treating mastitis involves emptying the breast, administering heat, obtaining lots of rest and liquids, and using painkillers. It is possible to recommend antibiotics.
• It's crucial to often breastfeed or pump to keep the afflicted breast "empty."
• Your infant could find it too uncomfortable to nurse on the diseased breast. Move your infant to the other breast, let the milk flow from your hurting breast into a cloth, and then open both sides of your bra. Additionally, a breast pump can be used to extract milk from the affected breast. If your baby accepts it, you can give them the expressed breast milk.
• Apply gentle massage. Starting at the painful area, circularly massage the nipple with your fingertips.
• Use a warm, damp cloth to provide heat to the region.
• Put on a bra that fits properly and is not too tight. A tight bra can occasionally obstruct milk ducts and lead to issues.
• Request assistance from others so you may get more rest and sleep. Breast infections indicate that you are overexerting yourself and becoming exhausted.
• Consider consulting a licensed lactation consultant if you suspect that a latch issue may have exacerbated your mastitis.
• It's crucial to get enough rest and stay hydrated by consuming plenty of clear liquids.
• If you have a fever or slight discomfort, you can take ibuprofen or acetaminophen.
• Apply moist or dry heat to the afflicted region, and immerse your nipple in simple warm water to eliminate any dried milk secretions.
• Pour warm water into a bowl, lean over, and immerse your breasts. When the region is heated, gently massage it and check to see if your baby will nurse.
• While your infant is feeding, gently massage any hard, lumpy parts of your breasts.
• Gently rub the area above the obstructed duct before hand-expressing behind your nipple.
• Make an effort to feed your infant regularly on the afflicted side, shifting postures so that his chin and nose are alternately oriented toward the clogged duct. Try other positions, such as kneeling on all fours and holding your baby's breast above him as he rests flat on the ground.
• If feasible, take off your bra for a few days or loosen your tight apparel.
• Holding an electric toothbrush against their clogged duct and using the vibrations to clean it is a more novel technique that works for some women.
• After feedings, ensure your breasts are soft and pleasant to prevent additional engorgement, which can result in clogged ducts.
• Examine your attachment (latch) and location to ensure that your breasts drain as efficiently as possible and prevent the issue's recurrence.
• Applying cabbage leaves is frequently advised as a mastitis therapy; however, it is not advised as a treatment for clogged ducts.
• If altering location and attachment (latch) does not relieve your recurring blocked ducts, consider reducing saturated fat in your diet and taking one tablespoon of lecithin daily.
• Additionally, you can consume less sodium (salt) as sodium can cause fluid retention, which makes women prone to infections, including mastitis).
When your baby's "schedule" becomes unpredictable due to sickness or other life circumstances, he may stop emptying your breasts as frequently, resulting in blocked ducts. You could have abnormally large breasts if your infant has lately started sleeping through the night for extended periods or is feeding less due to teething. In this situation, you may assist by ensuring you eat or express a little to prevent more issues.