Mastitis/Breast Abscess
What is mastitis?
Mastitis/abscess associated with breastfeeding (lactational)
Mastitis is a breast infection that can occur during breastfeeding, sometimes caused by a cracked nipple or when breasts have been incompletely emptied (i.e. during weaning). Symptoms include redness and tenderness of the breast, fever and general malaise.
How is lactational mastitis treated?
It is very important to continue to empty the affected breast regularly which may relieve the symptoms, however antibiotics are often required. If an ultrasound confirms the presence of an abscess (pus collection), needle drainage is advised in the first instance. Treatment is generally provided in conjunction with a lactation consultant who will be able to help with any potential underlying issue, as continuation of breastfeeding is an integral part of the treatment.
Periductal mastitis
Periductal mastitis refers to an inflammatory condition of the ducts underneath the nipple. It often affects young women, especially women who smoke.
How is periductal mastitis treated?
This condition may require antibiotics and needle drainage of abscesses (pus collections), if present. Stopping smoking is strongly recommended to prevent repeat infections.
Other types of mastitis/abscess
Occasionally, mastitis or a breast abscess can occur in older women. This can be related to other medical conditions, such as smoking or diabetes, or it can occur following breast surgery. Breast imaging will be performed to investigate any potential underlying abnormalities.
