With a blocked duct,
a mother has a painful, swollen, firm mass in the breast. Ouch! Unlike
mastitis, a blocked duct is not usually associated with fever, though it can
be. The soreness of a lump in the breast can be painful for a nursing mother. Mastitis
is usually more painful than a blocked duct, but both can be quite painful. Generally,
in the case of a plugged duct or mastitis, there are three steps you can take
to help you recover quickly: apply heat, get plenty of rest, and nurse
frequently. As with almost all breastfeeding problems, a poor latch, and thus,
poor emptying of the breast sets the mother up for blocked ducts and mastitis. Plugged
ducts happen when the milk duct has become inflamed because the milk is unable
to flow through easily.
A blocked duct can be made to resolve more quickly if you continue
breastfeeding on that side and draining the breast better. Feeds the baby in
such a position that the baby’s chin “points” to the blocked duct.
If there is no painful
lump in the breast, it is confusing to call a bleb or blister on the nipple
a blocked duct. A blister is often present without the mother having a blocked
duct.
If you have a blocked duct at the same time as the blister,
this might result in the duct unblocking. Putting the baby to the breast may
also result in the baby unblocking the duct.
If your blocked duct
has not gone by 48 hours, therapeutic ultrasound often works. Lecithin is a
food supplement that seems to help some mothers prevent blocked ducts.
If you start getting symptoms of mastitis, try to get some
rest. Continue breastfeeding on the affected side. Frequent nursing will help
the infection clear up more quickly.
If you find that you frequently suffer from plugged ducts, talking with a La Leche
League Leader may help you pinpoint the source of the problem.
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