From the Research
The best treatment for mastitis typically involves a combination of continued breastfeeding or milk expression, pain management, and antibiotics if necessary, with a 1- to 2-day trial of conservative measures before considering antibiotics. For mild mastitis, start by continuing to breastfeed frequently, beginning with the affected breast to ensure complete emptying, as recommended by the most recent study 1. Apply ice packs to reduce inflammation, and take over-the-counter pain relievers like ibuprofen or acetaminophen to manage pain and inflammation. If symptoms don't improve within 12-24 hours or if you have severe symptoms initially, antibiotics are recommended. Narrow-spectrum antibiotics, such as dicloxacillin or cephalexin, may be prescribed to cover common skin flora, as suggested by 1. Rest, adequate fluid intake, and wearing a supportive but non-restrictive bra can help recovery. Key considerations for treatment include:
- Effective milk removal to prevent further blockage and infection
- Pain management to improve comfort and facilitate continued breastfeeding
- Antibiotic use when necessary, guided by milk culture results if possible
- Monitoring for signs of complications, such as abscess formation, which may require additional intervention. It's essential to note that most cases of mastitis are caused by inflammation rather than a true infection, and a trial of conservative measures is often sufficient, as indicated by 1.