Mastitis

Healthwise
By Jan Nissl, RN, BS

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Mastitis is an inflammation of the breast that occurs most commonly in breast-feeding women. It may be caused by breast engorgement, a blocked milk duct, or cracked skin on the woman's nipples that allows bacteria to enter the breast. In women who are not breast-feeding, it is related to changes that occur with aging, such as expanded (dilated) or irregular milk ducts.

Symptoms of mastitis may include:

  • Increased pain, swelling, redness, or warmth in an area of a breast.
  • Red streaks extending from a breast.
  • Drainage of pus from a breast.
  • Swollen lymph nodes in the neck or armpit.
  • Flu-like symptoms, such as fever, chills, and fatigue.

Mastitis will not go away without treatment. Most women can safely continue to breast-feed or pump breast milk while being treated. Treatment usually involves a combination of antibiotics and home treatment to increase the flow of milk through the breast and relieve discomfort while the infection clears up. In some cases, a breast abscess (a pocket of infection) may form. An abscess may need to be drained by a doctor, and the woman may need to stop breast-feeding for a few days while the infection is treated.

Breast infections never lead to cancer, but some breast cancers look like infections.

Credits

Author Jan Nissl, RN, BS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Primary Medical Reviewer Anne C. Poinier, MD - Internal Medicine
Specialist Medical Reviewer Deborah A. Penava, BA, MD, FRCSC, MPH - Obstetrics and Gynecology
Last Updated November 3, 2007
Last Updated: 11/03/2007

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