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Discussion Starter · #1 ·
okay this is really weird. ive had plugged ducts before, and i always gotten rid of them with heat and lots of nursing. i had one a few weeks ago, and just when it was going away i got a milk blister on my nipple that was/is really sore and just would not heal. ive been doing heat and hot baths every night, and i even went to the doctor last week. she told me to keep up the heat and come back if it got red or swollen for some antibiotics. so it was getting better this week, and then this morning i was sitting in playgroup with my son and all of a sudden BAM! i get this sharp pain in my breast and i get home and the whole underside of the boob is hard and very very painful. it was not like that this morning, and ive never had a plugged duct come on so suddenly. wth is wrong with my poor boob. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/angry.gif" style="border:0px solid;" title="angry"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/angry.gif" style="border:0px solid;" title="angry"> im sitting here with a heating pad practically crying because it hurts so bad. i dont feel sick and i dont have a temp, it just hurts like heck.<br>
what do i do about plugged duct/s that never end? ouch.<br><br>
im considering going back to the doctor, but im stuck home without a car and she said that if she put me on antibiotics id have to pump and dump. my son is 20 months old and he would not stand for that, there has to be some other way.
 

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There are a few things that you MUST do to get rid of plugged ducts, particularly before you get mastitis. First, you have to REST! Go to bed for the rest of the day, take your baby with you, have dad bring home dinner, do nothing, sleep if possible. Second, is nurse in different positions and frequently on the affected side. Your baby will remove the most milk from the area where his nose or chin is pointing. This might mean putting your baby on a bed and leaning over them to get them in the best position. If you can't get him to nurse (some babies will reject the plugged side temporarily) hand express or pump. Third is massage. You need to massage as often as possible (8+ times?), before, during, after feeding you baby. Use as much pressure as you can stand. Sometimes using a comb or the bottom of an electric toothbrush to massage is helpful. Fourth is heat. A heating pad before breastfeeding or massaging can help to loosen plugs. Hot baths or showers can also help. High doses of vitamin c is found to help (usually 5000-6000 mg) of good quality vitamin c-like EmergenC- until you reach bowel tolerance. If you catch it early you are less likely to get mastitis. It will probably take several days for them to fully go away but you will probably be able to decrease them in the next 24 hours if you do ALL of these things.<br><br>
I can't stress how important the rest is to this. Antibiotics won't do anything for clogged milk ducts and are only needed if mastitis develops and is accompanied with a high fever that lasts more than 24 hours. You really have to do all of these things for it to be affective. Call a La Leche League Leader if you need more help.<br><br>
You DO NOT need to pump and dump for any antibiotics. If you need to find out whether a drug is compatible for BF check with a LLL leader or consult "Medications and Mother's Milk" by Dr. Thomas Hale. He also has a website.
 

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Discussion Starter · #3 ·
thank you, i will try all of these things, including rest. the only problem is that my "baby" is an active toddler who might not let me stay in bed all day! i might try to get him to take a long bath with me. good to know about the antibiotics.<br><br>
he is napping right now, so i broke out the pump (i had retired ol' pumpy around my son's first birthday) and now i have heat on again and i took some advil, and i dont feel like rolling around on the ground screaming OW OW OW anymore. thanks again... i didnt know what to do, ive never had plugs like this.
 

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Do you have someone that can come over for a few hours to help with your DS? I got mastitis when my DS was 2 weeks old and it SUCKED, luckily my husband was still on paternity leave and could help me out a bunch. I did not have to p&d on the abx, rather, I was encouraged to nurse as much as possible.<br><br>
If you do take a bath, try "combing" your breast. Soap up the breast, and take an actual comb (wide toothed is better, but any comb will do) and either wrap it in a soapy washcloth or don't, but run the comb along your breast, from chest to nipple, over the lump. This helped me a whole lot when I had mastitis.<br><br>
If you do get the fever, don't hesitate to get treated, seriously. Mastitis can get really ugly really fast, and there comes a point when oral abx just won't cut it.
 

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I get plugged ducts all the time! At least a couple times a month, it seems. They are so painful, bothersome, etc...When its just a small spot on the breast they usually seem to go away with treatment, but a couple of times, its felt like an entire half of my breast so I know what you mean. Ow.<br><br>
The key for me personally has been the moist heat and massage. I get a washcloth wet with the hottest water I can stand, and then hold a heating pad over it to keep the heat in. I try to do this for 15 min or so before I nurse/pump. Then when DS is nursing on the affected side, I push down on the sore spot until the pain goes away, then increase pressure, wait for pain to go away again, etc. I slowly work my way towards the nipple doing this.<br><br>
Ibuprofen seems to help as well, when the pain is really bad or when I can't take care of it right then (I am a WOHM- the middle of a meeting is not the best time for breast massage <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngtongue.gif" style="border:0px solid;" title="Stick Out Tongue">)<br><br>
Anyway, just thought I'd share my own experiences. Sorry Mama- plugged ducts bite the big one!!
 

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Discussion Starter · #6 ·
thanks so much, everybody. i feel much better today, but im still going to take it easy and probably skip our swimming lessons.<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad">. oddly, my son refused the affected breast all yesterday and last night (its usually his favorite one) but today he is nursing both sides again, though he does occasionally point to it and say "oooooh, mama BUMP!" and gives it a hug and a kiss. sweet little boy.<br><br>
thanks again...
 

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If you're prone to plugged ducts, I'd recommend you get some "Mastitis Remedy" made by Wishgarden herbs - should be available at a health food store. This is an herbal tincture that has stopped Mastitis dead in its tracks 3 times for me already. I use it if the techniques everyone else has mentioned don't seem to be working too well.<br><br>
You can also take lecithin (also available at health food stores) which can help too.<br><br>
I know how painful it can be! You're doing a great job of handling it and still caring for your little one!
 

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Just a quick note to say that if your partner is willing, often an adult can help to clear a plugged duct if the baby doesn't or refuses that side.<br><br>
Did you figure out why it happened? Any new bra? OR a new purse or somethign you were carrying differently? Hopefully you can find the trigger so you can make sure it doesn't happen again!<br><br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> Hope you feel better soon!
 

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Discussion Starter · #9 ·
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<div>Originally Posted by <strong>PatioGardener</strong> <a href="/community/forum/post/10803784"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
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Did you figure out why it happened? Any new bra? OR a new purse or somethign you were carrying differently? Hopefully you can find the trigger so you can make sure it doesn't happen again!<br></div>
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the only thing i can think of is that my son has started skipping naps and has been sleeping longer and more deeply at night, and every few nights he doesnt wake to nurse at all... he also seems to be nursing a "tiny bit" less during the day. but i would think that a gradual, child led decrease in nursing like that would not have such painful effects on the mama, yk? <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad">
 

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I read once that if you point the baby's chin in the direction of the clogged duct/hard spot, that they can suck stronger on the affected area. I don't remember where I read it or if it is really true or not, but in moments of desperation I have tried it!! I actually nursed him lying down with his head toward my feet once to try it and the clog did eventually clear later that day so maybe it worked. I don't know...worth a shot if nothing else!<br><br>
Also, I've submerged my breast in a bowl of really warm water and done the massage thing. Sometimes it helps to be surrounded all by the warmth which you could do in a hot bath too, but I get overheated really easily so I tend to not like baths too much.<br><br>
Whatever you do, I hope it clears quickly. That is the worst and I have had it turn to mastitis...you do not want that! <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/hug2.gif" style="border:0px solid;" title="Hug2">
 
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