Blocked milk duct

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Blocked milk duct
Synonyms Milk duct obstruction, Clogged milk duct
Pronounce N/A
Specialty N/A
Symptoms Breast pain, Breast tenderness, Breast swelling, Breast lump
Complications Mastitis, Breast abscess
Onset During breastfeeding
Duration Typically a few days
Types N/A
Causes Incomplete breast emptying, Breast engorgement, Tight clothing, Stress
Risks Nipple damage, Poor latch, Oversupply of milk
Diagnosis Clinical diagnosis
Differential diagnosis Mastitis, Breast cancer
Prevention Frequent breastfeeding, Proper breastfeeding technique, Avoiding tight clothing
Treatment Warm compress, Breast massage, Frequent breastfeeding, Lecithin
Medication Analgesics, Anti-inflammatory drugs
Prognosis N/A
Frequency Common in breastfeeding women
Deaths N/A


A condition affecting lactating women


Blocked Milk Duct

A blocked milk duct is a common condition that occurs in lactating women when a milk duct in the breast becomes obstructed. This can lead to discomfort, swelling, and potential complications if not addressed promptly.

Causes

Blocked milk ducts can occur due to several reasons:

  • Infrequent breastfeeding or pumping: When milk is not regularly removed from the breast, it can lead to a buildup and blockage.
  • Improper latch: If the baby is not latching properly, it may not effectively empty the breast.
  • Pressure on the breast: Tight clothing or sleeping positions that put pressure on the breast can contribute to blockages.
  • Stress and fatigue: These can affect milk flow and contribute to blockages.

Symptoms

The symptoms of a blocked milk duct include:

  • A tender or painful lump in the breast
  • Swelling and redness around the affected area
  • A feeling of warmth in the breast
  • Decreased milk supply from the affected breast

Diagnosis

Diagnosis of a blocked milk duct is typically based on the symptoms and a physical examination by a healthcare provider. In some cases, an ultrasound may be used to confirm the diagnosis.

Treatment

Treatment for a blocked milk duct focuses on relieving the obstruction and ensuring proper milk flow:

  • Frequent breastfeeding or pumping: Ensuring regular milk removal can help clear the blockage.
  • Warm compresses: Applying warmth to the affected area can help open the duct.
  • Massage: Gently massaging the breast towards the nipple can help move the blockage.
  • Proper positioning: Ensuring the baby is properly latched can improve milk flow.
  • Rest and hydration: Adequate rest and fluid intake are important for recovery.

Complications

If a blocked milk duct is not treated, it can lead to complications such as:

  • Mastitis: An infection of the breast tissue that can cause severe pain, fever, and swelling.
  • Breast abscess: A collection of pus in the breast that may require surgical drainage.

Prevention

Preventive measures include:

  • Breastfeeding or pumping regularly to ensure milk is removed from the breast.
  • Avoiding tight clothing and bras that can put pressure on the breasts.
  • Ensuring proper breastfeeding techniques and positions.

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Contributors: Prab R. Tumpati, MD