Does acute mastitis require weaning?

Written by Zhang Chao Jie

Breast Surgery

Updated on October 25, 2024

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In most cases of acute mastitis, it is not necessary to wean. However, weaning is mandatory when acute mastitis is accompanied by high fever, abscess, or nipple ulceration. Other than these conditions, it is often sufficient to temporarily stop breastfeeding from the inflamed breast for a few days. After treatment, breastfeeding can usually continue. During this temporary cessation, the milk from the affected breast should be expressed and discarded. Breastfeeding can continue with the other breast. Therefore, weaning is not easily recommended for acute mastitis.

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Written by Lin Yang

Breast Surgery

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The causes of acute mastitis

The main causes of mastitis are as follows: First, the accumulation of milk is due to improper breastfeeding techniques or incidental contact with the mammary glands by the child, which causes the milk ducts to close and ultimately leads to the accumulation of milk. Milk is an ideal culture medium that facilitates bacterial growth, leading to mastitis. Second, bacterial invasion occurs when there are cracks or abrasions on the nipple, allowing bacteria to travel along the milk ducts to reach and infect the mammary lobules. Lastly, a decrease in the patient's own immune system can also lead to bacterial infection.

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Breast Surgery

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Can acute mastitis be treated with hot compresses?

Acute mastitis can be treated with hot compresses, which can reduce local pain, dilate the milk ducts, and facilitate the expulsion of milk. To completely cure mastitis, it is essential to visit a hospital for examination. Under a doctor's guidance, taking antibacterial drugs for anti-infection treatment is recommended. For women who are breastfeeding, the priority in treating mastitis is to empty the breast milk first; thereafter, taking antibacterial drugs for anti-infection treatment is advisable. For severe cases of mastitis, it may be necessary to perform puncture aspiration or incision and drainage to achieve optimal treatment results. Patients with mastitis should pay attention to their diet and eat lightly in daily life, avoiding particularly greasy foods. It is advisable to eat light meals, vegetables, and fruits.

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Written by Lin Yang

Breast Surgery

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Acute Mastitis Symptoms and Treatment

Patients with mastitis often feel pain in the breast, with localized redness, swelling, and fever. As the inflammation progresses, there can be chills, high fever, and increased pulse rate, often accompanied by swelling and tenderness of the lymph nodes on the affected side. A routine blood test can show a significant increase in white blood cells. For treatment, if there is swelling, it is recommended to stop breastfeeding and apply topical Levofloxacin. Blood tests should be checked, and if white blood cell count exceeds 10,000, intravenous antibiotics are advised. If below 10,000, oral anti-inflammatory drugs can be taken for symptomatic treatment. After three days, recheck the blood routine to decide on further symptomatic treatment.

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Written by Zhang Wei Wei

Integrative Medicine

1min 32sec

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Can acute mastitis continue breastfeeding?

Acute mastitis is an acute suppurative infection, which can be divided into three stages according to its cause and pathological process: acute inflammatory stage, abscess formation stage, and ulceration stage. Corresponding treatments are applied at each stage. During the acute inflammatory phase, antibiotics such as penicillin should be used to control the progression of inflammation. Once an abscess forms, the main measure is to incise and drain pus in a timely manner, while also taking medicine to clear heat and detoxify. In the ulceration stage, proactive dressing changes and wound cleaning are necessary, along with internal use of heat-clearing and detoxifying medications, and decoctions that promote pus drainage. In principle, breastfeeding should be temporarily halted, and a breast pump should be used regularly to extract milk, ensuring smooth milk flow and preventing stasis. Additionally, wearing a supportive bra can help lift the breasts, and moist heat should be applied to the affected area for 20 to 30 minutes, three to four times a day. Afterwards, the nipples should be cleaned with diluted saltwater. (The use of medications should be conducted under the guidance of a doctor.)

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Written by Lin Yang

Breast Surgery

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Early treatment of acute mastitis

In the early stages of mastitis where there is pain but no redness and swelling, applying heat and then having a lactation masseur clear any residual milk can be effective. However, if symptoms like high fever and chills occur, along with localized redness and swelling, it is advised to go to the hospital to have a complete blood count and an ultrasound. If the leukocyte count is under 10,000 and there is localized swelling, topical application of Rifanuo and oral anti-inflammatory medication can be curative, but it is necessary to stop breastfeeding. If the leukocyte count exceeds 10,000, intravenous antibiotics may be required, alongside cessation of breastfeeding. Then, using a breast pump to extract the milk can help in healing. (Please use medications under the guidance of a doctor.)