Painful breast lump during breastfeeding

October 15, 2008

hi i have been breast ffeding my son for 8 weeks now, i have a lump in my right breast which is really sore especially to touch but it also hurts when im feeding, im hoping it is nothing serious, i really dont want to stop feeding my son yet but due to the pain i think i will have to,could this just be something to do with milk glands, can someone help.

THE BREAST DOCTORS SAY:

Painful breast lumps that occur during breast feeding are galactocoeles (a thin-walled collection of milk), blocked ducts, mastitis (inflammation of breast tissue) and abscesses (pus collections). In all of these cases, you do not have to stop breastfeeding. In fact breastfeeding drains the affected breast and provides relief from engorgement and worsening of the pain. Manual drainage with breast massage by a well-trained lactation nurse can help but if left unattended, blocked ducts and progress to mastitits and an abscess over just a few days. I would suggest seeing a doctor if the painful lump does not resolve in 48 hours or if you start developing a fever. An ultrasound of the breast will determine the nature of the lump. You may require aspiration on top of antibiotics if the contents of the lump is liquid e.g. milk or pus for symptom relief as well as to control the infection.

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