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Breast Infections and Inflammations

What is lactational mastitis?

The most common type of breast infection is lactational mastitis. With this condition, which occurs when a woman is breastfeeding, a woman's nipples become cracked and sore, allowing bacteria from the baby's mouth to enter the ducts and rapidly multiply in the milk. Occasionally, infection also arises from a blocked milk duct. In both cases, the breast becomes hard, reddened, hot, and painful.

Treatment for lactational mastitis:

Specific treatment for lactational mastitis will be determined by your physician based on:

• your age, overall health, and medical history
• extent of the condition
• your tolerance for specific medications, procedures, or therapies
• expectations for the course of the condition
• your opinion or preference

Your physician may suggest trying to unblock the duct with warm compresses and massage. He/she may also prescribe antibiotics and an analgesic for pain. In some cases, lactational mastitis progresses and forms an abscess - a more serious condition that may require drainage.

What is nonlactational mastitis?

Nonlactational mastitis is similar to lactational mastitis but occurs in nonlactating women. In some cases, this condition occurs in women who have had lumpectomies followed by radiation therapy, in women with diabetes, or in women whose immune systems are depressed.

While this condition is rare, it is usually accompanied by high fever and headache and treated with antibiotics. Consult your physician for a diagnosis and treatment.

What is chronic subareolar abscess?

Chronic subareolar abscess is the second most common breast infection, although it occurs infrequently. Once believed to be a blocked duct, physicians now believe that the glands that make sebaceous material around the nipple become infected. When this occurs, an abscess can form. If the infection is detected early, before the abscess forms, it can often be treated with antibiotics. More often, it is necessary to make an incision and drain the abscess. Consult your physician for a diagnosis and treatment.

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