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Mastitis & breast abscess

Mastitis puerperalis · Zánět prsu a absces prsu

What it is

Milk stasis plus bacteria in the ducts, usually in early breastfeeding.

Symptoms & signs

  • Wedge-shaped red painful breast
  • fever and flu-like aches
  • hard lump
  • pus if abscess forms

🚩 Get help if…

  • call 112 / 911 now Fever with fast heartbeat, confusion or feeling faint
  • see a doctor soon A painful swelling that feels full of fluid (abscess)
  • see a doctor soon Not better after 24 hours of emptying the breast, or fever over 38 °C
  • see a doctor soon Red lump that does not go away, or mastitis when not breastfeeding

Where it strikes

Medical treatment

  • Keep feeding or expressing
  • flucloxacillin
  • ultrasound-guided aspiration of abscess
  • analgesia

Natural & lifestyle

  • Effective latch and frequent drainage
  • cold compresses between feeds
  • rest and fluids
  • lactation consultant support

Emerging & experimental

  • Probiotic (L. fermentum) trials
  • updated protocols favouring less aggressive massage

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Cold cabbage leaves — trials show relief similar to cold packs mixed evidence
  • Therapeutic ultrasound for blocked ducts — small studies early / small studies
  • Lecithin for blocked ducts — widely recommended; untested anecdotal / traditional

ICD codes