Breastfeeding

I need advice from BTDT clogged duct

I have nursed my singleton with no issues and my twins (now 6 months old) also with no problems aside from pumping enough in the NICU for two.

This morning I was thrown for a loop when I woke up with a fever, chills, body aches, nauseated, and a very hot swollen lower portion of my left breast. It burns as they nurse (during let down) and I want to cry when they bump me while feeding. I looked on kellymom and have been draining my breasts after feeds with my pump to try and work it out, heat, massage, frequent nursing. It won't budge. There is a lump about the size of a cherry tomato maybe larger. Can mastitis come on so suddenly? Or is it a clogged duct? My dr can't see me until next week Thursday so should I just keep doing what I'm doing or go get it looked at right away? If I don't get it looked at how long can it take to get out f hand?

Thanks so much everyone!! This is miserable!


Together 6 wonderful years.
TTC #1 18 months 1 loss DX unexplained IF-- BFP July 2009-- ITS A BOY
TTC #2 3 years and 3 losses DX PCOS -- BFP April 2013-- TWIN BOYS!
~DS1-Feb 2010~ 
~DS2&3- Nov 2013  {7 weeks early}~ TTC #4~

Re: I need advice from BTDT clogged duct

  • if i were you, i'd go in today if possible to get antibiotics. and if it's not better by tomorrow, then you definitely should go in tomorrow. yes, it can come on very suddenly.

    dr. jack newman has good advice here: https://www.breastfeedinginc.ca/content.php?pagename=doc-BD-M

    if you have an electric toothbrush you can use that to try to break up the clog. you can also take lecithin supplements. but if you're at the point where you already have redness and chills, you probably will end up needing antibiotics (more on that in the article linked above).

    hope you feel better soon-- mastitis is truly awful!
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  • Sounds like mastitis. I've had it 8 times, and it definitely comes on suddenly! If you aren't feeling any better by now, I would go ahead and call your OB's after hours line. They should call you in an antibiotic. I've called the after hours line at least twice with mastitis. It's not something that needs to wait because you will continue to feel worse and could end up with an abscess.

    The suggestions from PP were good. I take lecithin supplements... 1200 mg, 3 times per day. You can also massage and hand express in a hot shower and also try dangle feeding to get the clog out. Most of the time, my clogged duct always cleared up without too much effort once I started antibiotics. I definitely would go ahead and call your OB. Be sure and take probiotics when you are on antibiotics to prevent thrush.

    I hope you feel better soon! Mastitis is the worst!
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  • Go to urgent care - breast issues can't wait a week to be dealt with. Good luck!
    Natural m/c Oct. 2005

    Dx: balanced translocation and LPD

    TTC since Oct 2011

    BPF 02/19/12, EDD 10/31/12, natural m/c 02/28/12 (4w6d)

    IVF (BCPs starting 10/30/12, ER 11/18/12, 5dt of 1 beautiful, healthy embryo 11/23/12)
    BFP 12/02/12, u/s @ 6w,5d showed 2 HBs! Identical twins!!
    Bed rest from 21w-35w due to short cervix, hospital bed rest from 23w-32w due to PTL
    Our rainbows were born 07/19/13 (36w, 5d)

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  • I found a hot shower with our massaging shower head on the hardest massage I can tolerate to be very helpful. I have never had mastitis - but clogged ducts 3 or 4 times.
    TTC since 10/09 Me-43 DH-44 RE and testing 10/10-11/10, Recommending IVF 1/11 New RE AMA and DOR-DH low motility IVF #1.1 cancelled 3/11 due to poor response IVF #1.2 May 2011, one perfect 8-cell embryo, 3dt-BFN, IVF #2.1 Converted to IUI d/t poor response. New RE 9/2011. IVF 2.2 completed using HGH,EPP,DHEA, Q-10 and accupuncture. Transferred one 8-cell, grade one embryo on 10/19. BFP 10/31/11 Chemical pregancy on 11/2/11. Started stims for IVF #3, our final try, on 12-2-11. ET on 12/18. Transferred 3 Grade A embryos-BFFN Planning DE IVF, late March/early April- Donors ER expected to be 4/2-4/4. PAIF/SAIF welcome
  • I had all those symptoms and had mastitis. I called my doctor and received antibiotics. I would call or go in ASAP. Mastitis makes you feel like you have the flu and it comes on really fast. Good luck. Hope you feel better.

    DD #1 5.4.14  
    EDD #2 5.4.17


     

  • Mastitis hits hard and fast! Go get care now!
  • Agreed with all those above- as soon as you feel chills it is not likely to be just a clogged duct. And it can become an abscess fast if the infection is strong- which is not any fun. I know I am a few hours late, I hope you have already gotten to the doctor. If not, go!

    And if possible, have someone over to help care for the little ones today and tomorrow, it takes a couple hours for the antibiotics to work their magic- and rest is the second best treatment.
  • It sounds like mastitis. I agree with the advice to get antibiotics called in and take probiotics to prevent thrush. I got what I thought was clogged ducts daily. Turns out it was clogged nipple ducts. If you see a little white head, try to squeeze it out- like a pimple. If that's the case, be prepared for the milk to spray out like crazy. I thought my doctor and LC would yell at me for doing that, but they actually told me I was doing the right thing. Also, LC recommended using polysporin after nursing/pumping instead of lanolin, etc. Good luck!
  • Thank you everyone for the advice. I ended up with a fever of 104.9 so I call my DR and get meds called in. Thankfully they worked quickly and I am feeling much better at this point. That is something I really hope never ever happens again because it is the absolute worst! Is there an increased chance of it coming back once you get it? Or anything I can do to prevent it from happening? 


    Together 6 wonderful years.
    TTC #1 18 months 1 loss DX unexplained IF-- BFP July 2009-- ITS A BOY
    TTC #2 3 years and 3 losses DX PCOS -- BFP April 2013-- TWIN BOYS!
    ~DS1-Feb 2010~ 
    ~DS2&3- Nov 2013  {7 weeks early}~ TTC #4~
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