A clogged milk duct occurs when a milk passage within the breast becomes blocked, preventing milk from flowing freely. This causes pressure buildup and irritation in the surrounding tissue. While often uncomfortable, a clogged milk duct is a manageable issue for breastfeeding individuals.
Recognizing the Signs
A primary indicator of a clogged milk duct is a lump or knot within the breast. This lump can range in size from a pea to a walnut and is often painful to the touch. The affected area may also feel warm, with localized redness or a wedge-shaped area of engorgement on the breast. You might experience a feeling of fullness in the breast even after a feeding. Discomfort can be more noticeable during milk let-down or during feeding, and the lump might feel smaller after nursing or pumping.
Visual cues can signal a clogged duct. Occasionally, a small white dot, known as a milk bleb or milk blister, may appear on the nipple opening, indicating a blocked pore. A temporary decrease in milk supply from the affected breast is also possible. While symptoms of a clogged duct develop gradually, mastitis, a breast infection, presents with rapid onset of widespread symptoms, including fever, chills, and body aches, which are absent with a simple clog.
Finding Relief
Several strategies can help alleviate discomfort and clear a clogged milk duct. Continue to breastfeed or pump frequently from the affected breast, ensuring it is adequately drained. Some individuals find it helpful to start feeding from the affected side first. Gentle massage of the breast can encourage milk flow and reduce inflammation. Instead of vigorous kneading, light, circular strokes towards the nipple or towards the armpit (for lymphatic drainage) are recommended.
Applying warmth to the breast before feeding or pumping, such as warm compresses or a warm shower, can help milk flow and ease discomfort. Trying different feeding positions, such as “dangle feeding” where gravity assists drainage, can also help. Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation; however, consult a healthcare provider before taking any medication. Additionally, avoiding tight bras or restrictive clothing can prevent pressure on the milk ducts.
When to Consult a Healthcare Provider
While many clogged milk ducts resolve with home remedies, know when to seek medical attention. If the lump or discomfort does not improve after 24 to 48 hours of consistent home treatment, contacting a healthcare provider is recommended. Persistent blockages may require further evaluation.
Signs that a clogged duct may have progressed to an infection, such as mastitis, require prompt medical consultation. These include fever (101.3°F or higher), chills, body aches, increased redness or streaking on the breast, or pus. If the pain becomes severe and unmanageable, or if you experience frequent, recurring clogged ducts, a healthcare provider can offer guidance and support. Any general concern or uncertainty about breast changes should also prompt a discussion with a medical professional.