Mastitis vs Clogged Duct!

One of the more common issues to run into when breastfeeding are clogged ducts. The clog may be easily seem (a milk bleb, which appears as a tiny blister on the nipple. It is usually a bit of skin that has grown over a duct and is blocking milk from coming out) or a clog further into the duct that isn't visible. Sometimes the only sign you have a clog is pain in the breast and redness. If you pump you will notice a decrease in output from that side. A clogged duct can occur for many reasons, and some women are more prone to clogs than others. Some things that will increase the chances of getting a clog are missing feedings, not removing milk efficiently (either via pumping or nursing) and applying lots of pressure to the duct (for example by stomach sleeping). 

The good news is that you can work to clear a clogged duct fairly easily. Lots of extra nursing, warm compresses, as well as breast compression while nursing can help. Also ensure to nurse in different positions. If you get recurrent clogged ducts you may want to have your babies latch evaluated to make sure there are no issues with transfer or nipple issues that are causing the reoccurring clogs. taking lecithin has also been shown to help.

Why is it so important to clear a clogged duct? A clog can lead to a breast infection called mastitis. Mastisis is when you have the symptoms of a clogged duct along with the sudden onset of flu like symptoms: chills, body aches, and a fever. If the symptoms you are feeling are very mild then you can still use the techniques for clearing a clogged duct, however if the symptoms have lasted more than 12 hours then it is time to seek medical help. Antibiotics may be prescribed to help cure the infection. During this time it is crucial to keep nursing as much as you can to help clear the clog and thus help clear the infection. If you are taking antibiotics you may also want to consider taking a probiotic to help prevent yeast infections or thrush.

Many woman are quick to rush to the doctor for antibiotics at the first sign of a clogged duct. If there is no fever or other flu like symptoms or the symptoms are mild and have been present for less than 12 hours there is no need to call the doctor. If your baby is under 2 weeks old, you have an obvious open sore on your nipple, or the symptoms are sudden and severe then a trip to the doctor is a must. Keep nursing as much as you can, rest, and drink fluids! 

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