What causes plugged ducts and how can I get rid of them?
There’s not necessarily a plug/clog/block in the milk ducts; instead, breast tissue is inflamed or swollen, which restricts the flow of breast milk. You may feel a hard spot/lump in the breast.
Causes:
- Tight fitting bras/tops.
- Nursing in just one position.
- Skipping/delaying feedings or pumping sessions.
- Baby’s feeding schedule changes (like starting solid foods or during weaning).
- Baby isn’t effectively draining the breast (perhaps from a poor latch).
Solutions:
- Rest
- Nurse/pump on-demand as usual, but don’t overfeed.
- Use ice to decrease swelling.
- Gently massage with fingertips.
- Dangle nurse/pump or try different nursing positions.
- Ask your doctor about taking an over-the-counter anti-inflammatory medication like ibuprofen.
Watch for signs of infection (mastitis), and contact your doctor if they appear. Mastitis usually occurs from unresolved inflammation. Symptoms include breast pain, swelling, warmth, redness, and/or hard spots accompanied by a fever, chills, body aches, and fatigue. If these symptoms last more than 24 hours, contact your doctor as you may need medication. Keep removing milk as usual, get lots of rest, stay well hydrated, and use cool packs to reduce inflammation. It is still safe to feed your baby even if you are diagnosed with mastitis and are receiving treatment!