24/10/2025
Resharing this post after a conversation with a friend this morning.
The mastitis guidelines changed a number of years ago. We now know that mastitis is caused by inflammation, so the old advice of heat packs and massage is the worst thing you can do as it will just increase inflammation!
Remember:
✔️Ibuprofen
✔️Ice
✔️Rest
✔️Fluids
✔️+/- Probiotics (emerging evidence suggest that certain strains of bacteria are helpful in managing or preventing mastitis)
Antibiotics may be needed if inflammatory mastitis turns into bacterial mastitis, however with early icing and ibuprofen, you can potentially avoid infection and the need for antibiotics.
Remember, if no improvement in symtoms within 24hrs, seek urgent medical care!
Mastitis can come on so quickly!
The past two days I have been so busy at work that I only pumped once at lunch time instead of morning and afternoon. Today at lunch time when I was pumping I noticed that the inside of my left breast was quite hard, so used some gentle massage while pumping. Cue my evening shower at 6pm and I noticed I had a really tender area of my breast that was tuning red.
Instantly I knew it was mastitis and started the management at home
✔️ Ibuprofen and panadol
✔️ Ice, Ice, Ice. 20 minutes on 20 minutes off
✔️ Mr 14 months old to feed as usual
✔️ Not to overfeed from that breast (don't want to create an over supply)
✔️ If things get worse in the next 24hrs or I get fevers, I will book an urgent GP appointment
Managing mastitis promptly is so vital because if left untreated, it can turn into a nasty abcess!. Frozen corn is my best friend tonight!
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