On Thursday, I noticed a small hard painful lump in my left breast. DS is 5 months old and this is the first time with him that I've had a blocked milk gland. I am not running a fever or feeling sick. I think his teething has affected his latch a little bit, causing the problem. He is still nursing on that side and I offer that side first. However, I started trying the whole massage method and warm compresses to break up the blockage and I'm thinking that all I'm doing is making is worse. The area seems bigger now and more painful. There are also some red lines coming from that area to other parts of my breast, but they're not painful.
I'm not sure at what point to seek medical attention. As I mentioned, I'm not running a fever or otherwise sick and most things I read say it will resolve in a few days without aggressive treatment. I would be willing to wait it out, but with my first son, I had the same thing on the other breast, and it ended up abscessing and rupturing and it looked almost the same. But with that case, I started running a fever after a couple days and I was absolutely miserable. I went to the doctor that day, before it ruptured, and she gave me a prescription for antibiotics, but told me to use it only if I truly needed it. Well, I of course did that once it broke open a small amount and pus came out...
I'm trying to avoid the whole fever/pus thing this time around. My partner is encouraging me to take antibiotics now and get it lanced.
How do these normally resolve themselves? Once you break up the blockage, does the material just drain through the nipple? Or is it 'normal' for it to have a small hole where it drains from near the original blockage? Since it's going on 3 days now, can it be expected that without intervention it's just going to get worse? Anyone ever have to have one lanced or is that just crazy talk?