A.L. asks from Harrisburg, PA on March 26, 2009
How to unclogged a milk duct while breastfeeding?
So I've had a rough time with breastfeeding my son after breezing through this with my daughter 2 years ago. He's 4 months old and so far I had to cut out dairy due to an intolerance on his part, we both ended up with thrush when I was on an antibiotic and now I think I may have a plugged duct. The side of my breast is SORE and it feels like there is a hard lump, which really hurts when touched. Its almost like that area of my breast is engorged. I've been trying to massage the area well, put a heating pad on it last night, took a nice hot shower this morning while massaging the area and then pumped right after that. My question: Am I on the right track with the plugged duct? (I read about mastitis but I don't think its to that point yet) And, how do I keep this from turning into mastitis? I work out of the home so I'm doing my best to pump at least every 2 hours and to empty my breasts completely. Anything else I can do????
Summary
Different moms have different remedies. The best thing you can do is keep emptying the breast. Try using a warm compress over the area for 5-10 minutes, keep getting the compress very warm, apply it to the area. Then massage the nipple between your thumb and forefinger, in a downward angle, until that clog releases. If symptoms persists, contact your lactation specialist, you might have mastitis.
So What Happened?™
Thanks for all of the great responses to my plugged duct! Some warm compresses, hot showers, lots of massaging and extra pumping got rid of it in a day or two. Hopefully that will be the last of the plugged ducts but if not at least I have enough great ideas to get me through again!
Featured Answers
L.P. answers from Philadelphia on April 02, 2009
I had this problem when I had my son. I was told to soak my breast in hot water (you can do that in the tub) Also, my grand mother told me to use tea bags. It helped me. I hope it helps.
L.
More Answers
N.A. answers from Philadelphia on March 26, 2009
Hi A.,
I am breastfeeding twins. I have had two plugged ducts on the same side and I have been nursing for three months. What worked for me was very warm showers and massaging the area during your shower. Heating pads also help and pumping and nursing as much as you can. I wasn't able to put chin to duct just because I'm nursing two and it is a little hard to manage, but I have heard that really helps. Motrin was a lifesaver as well. I took a dose before bedtime after a warm shower and a pumping and woke up both mornings and the situation had worked itself out. I agree with other statements though that you shouldn't let it go too long. If you start to feel flu-ish definitely call your doctor.
1 mom found this helpful
J.B. answers from Philadelphia on March 27, 2009
breastfeed as much as u can on the affected breast. you can also put on cabbage leaves and change them when they wilt gdd luck and call a lactation consultant for more info. you can call abington memorial hospital and talk to the breastfeeding department to link you to one.
K.S. answers from Philadelphia on March 26, 2009
I experienced the same thing before too. You are doing everything that I know of to treat it. I wouldn't let it go too long though. If what you're trying does not resolve this shortly, I would contact your doctor or lactation consultant.
B.D. answers from Pittsburgh on March 26, 2009
The one other thing that I remember is to have the baby nurse so that their nose is angled toward the lump. I think the baby is a more efficient nurser and I think the angle will help empty that particular duct.
If my memory serves me wrong someone say so...it has been a few years.
Good luck and keep up the good work!
S.G. answers from Pittsburgh on March 27, 2009
Hi A.!
Sorry to hear you're experiencing a plugged duct -- it is very uncomfortable, painful, and just plain annoying!
It looks like you have received a lot of great advice from a lot of other mamas! There was just one thing I thought of that I didn't see -- put cold cabbage leaves on your breast in the area where you feel it is plugged.
Just put the cold cabbage in your bra. Very cold!!! -- but it works! The cabbage is supposed to draw any infection (plugged duct or turning into mastitis) out of the breast.
Massaging with oil in a hot shower also worked for me... I saw that a lot of women mentioned this, as well.
Rest up, and I hope it clears up soon!
S. :)
D.G. answers from Philadelphia on March 27, 2009
Ugh, Plugged ducts can be sooo painful. You are doing all the right things to get the little bugger to unplug. In addition start feeding your baby on the plugged side each feeding, even though it might not be the side your supposed to start with. The suction of your hungry baby is more vigorous and will help to suck out the plug. Also place a hot wet wash cloth on the affected area right before feeding. My plugged ducts usually last about 24 hours or so. If you start to get feverish rest assured you have mastitis. Your ob should call you in an antibiotic and you'll be just fine.
K.L. answers from Harrisburg on March 27, 2009
A.,
I'm sorry this is happening to you, plugged ducts can be very frustrating and painful. It sounds like you are doing the right things and have already gotten a lot of good suggestions. When I was nursing my kids I was a little prone for plugged ducts and have a few more things to add, all of which I learned at La Leche League meetings.
The first is that plugged ducts are often an early warning sign that you are not getting enough rest and taking good enough care of yourself. I think this probably could be said about any mother with two small children, and is probably the hardest thing to fix, but it is something to keep in mind. When I was still nursing I shamelessly used plugged ducts as an excuse to ask for a little help so I could rest. If there was anyway I could arrange it I spent part of a day in bed with the baby, just taking care of the two of us, that usually worked really well for me to clear things up quickly. When I had two little ones that changed to really just doing the absolute bare minimum required to keep us all safe and healthy for that day or even that afternoon. The few times I got mastitis, both with my first child I was of no real use to anyone because it was like having a very bad case of the flu. When I had two little ones depending on me I was more prone to plugged ducts and really scared of getting that sick again. I really think taking that time to rest and take care of myself really saved us all a lot of suffering.
Another suggestion that sounds really weird, but worked really well, was to nurse on all fours with my breasts hanging over the baby or in another position where gravity was really working in my favor. This was very strange and not something I would have ever done at any other time, but sometimes it offered very quick relief. When I had to pump at work leaning over would usually get things flowing much faster, so I suspect it worked the same way with the baby attached. You could try it either way.
One last thing is nurse on the breast with the problem first and often. Your baby is far more effective at removing milk from your breast than any machine!
Good luck and I hope you are feeling better soon.
K. L.
C.G. answers from Pittsburgh on March 27, 2009
Hi! I've been there, and my best advice, along with all the other good things you are trying, is to take LONG hot showers. Everyone mentions the shower thing, but for me, if I stayed in the shower a long time with my sore breast under the stream, all the time massaging the breast, it was the only thing that really did the trick. And I don't just mean massaging, but actually squeezing the breast to get the milk out. Keep massaging and squeezing out the milk for as long as it takes, and eventually that lump will be gone. I always hated wasting all that milk that would disappear down the shower drain, but it would replenish itself in a hurry!
Best wishes!
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