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Overcoming mastitis  

post #1 of 5
Thread Starter 
I'm just starting to overcome a case of mastitis. I've finished off a course of antibiotics and am still taking paracetamol (sp.?) to control the inflammation, and I'm doing warm compresses before feedings. I've been having dd feed disproportionately from the affected breast to empty it out and I've been pumping the other one to keep up its supply. My question is, am I creating oversupply problems by doing this? I now feel like now matter how long she feeds from the affected breast, it's not enough and I worry about shifting her over to the other one. But then, I worry about creating problems in the other breast.

I used to have her feed from just one breast at each feeding and that worked really well for us until about a month ago when she became really distracted and seemed to have more trouble feeding from one breast than the other. She would pop off repeatedly and even get upset and cry until I switched her over to the other one. So after a couple of weeks I had plugged ducts and then mastitis in the neglected breast. I would really like to get back to our old system because I knew both breasts were being emptied. She's been very good about feeding from the affected breast, too, so I think that the worst of her distracted phase is over. (Well, she's still distracted but she doesn't get upset any more, so it's just a matter of making her wait a few minutes and trying again.) Will I ever be able to get back to one breast each feeding?

One thing that really worries me is that all the advice I've read for dealing with mastitis emphasizes getting lots of rest and that is unfortunately the one thing I cannot have. I think the Kellymom website says something like mastitis is your body's way of telling you to slow down. I wish I could but I have a really active dd who needs to be in motion most of the time that she's awake, will only sleep in my arms during the day and has been rather wakeful at night of late.

Sorry if this is a bit rambling or confused, I seem to have lost any ability to present information in clear and concise way
post #2 of 5
I'm not an expert at any of this, but I did have mastitis 3 times (although never from plugged ducts)...

My left breast was most affected and the supply was down for a while. If it were me I would nurse on the affected side first and then go to other side as well if your dd needs it. That should help you get back to the one breast per feeding schedule, but still get up the supply on the affected breast.

I get the worries. It's like "ok, what can I do to make sure I never have this stupid mastitis again...cause it sucks!!"

post #3 of 5
I love your login name, by the way!!! Too funny.

I had mastitis a few times, but my LC believes it was because I had one bacteria that wasn't being wiped out completely by the antbiotic I was on, so if it persists get a culture to see what bacteria it is.

I wasn't able to rest either, at all. I got better... Do whatever you can do to take care of yourself - eat well, take vitamins, warm compresses. I took 2 hot showers a day and massaged my breasts to help with the plugs. I took soy lecithin supplements as well, which did seem to help.

It'll get better, momma! Lots of women have it once and are done with it - hopefully that will be the case for you too.

ETA - Mastitis causes a drop in supply for most women, so the fussiness at the breast may be from that? It bounces back within a week or so.
post #4 of 5
I got mastitis twice and I think it was due to me being run-down. I should've started taking my prenatal again (probably at 2x the regular dose) because stress takes a huge nutritional toll (I'd been doing the stress thing way too long back then).

One thing that helped me was figuring out hot to identify mastitis early and list a few ways to treat it so it didn't get really bad. Which is a real pain right now with the regular Search button not working well (they're re-building the database)--but the Google Custom Search in the top right works (guess who's been over to the Questions/Suggestions area for her first time? ).

I was able to fiddle with how the kids nursed (which side, one/both, like that), so with a bit of practice, you could be very successful with that, and just slowly taper off how much you're pumping so that you re-regulate to how much your baby is drinking each day.

There are things you can try to help your little one sleep easier if you want to--I mean, maybe this is normal for her, but maybe it's not, and you would obviously know better than I. My son, especially, was helped by visits to our chiropractor. It seemed to relieve stress on his body and he slept significantly better. That was the biggest thing, and I'm getting to the rambly point. Sorry.
post #5 of 5
Thread Starter 
Thanks for the advice mamas!

I don't know if the mastitis was just due to the plugged ducts or was in combination with being run down. There was a short lag time between clearing up the plugged ducts and the onset of the mastitis- maybe it was just a coincidence. Either way, I plan to be really careful and pro-active at the first sign of trouble in the future.

Today's the first day that my breast feels almost normal, and guess what?! DD has started refusing it again. I don't think that she started refusing it at first a month ago because of reduced supply because that was quite a long time before the plugged ducts and mastitis happened. It may well be why she's refusing it now, though. This time I'll be more insistent, though. Before I just wanted her to stop fussing and crying because it was so exhausting. I wasn't really thinking long term. I've learned my lesson.

I think I'll try soy lecithin. I've been taking vitamins because, to be honest, I haven't been eating well at all. I rarely have enough time during the day to sit down and eat lunch. Or even prepare it. I'm hopeful that things will get better soon though. DD has just started rolling over and has been trying really hard to sit up and crawl, not having much success with either, but it's really cute and keeps her occupied for a little while, while not having to be held. And that gives me just a little bit of much needed rest.
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