Lump in the Breast While Breastfeeding: Causes and When to Seek Help

Finding a breast lump while breastfeeding can be alarming, but most lumps are linked to normal changes as your body produces milk. They often appear due to blocked ducts or engorgement and usually improve with simple home remedies like a gentle massage or changing feeding positions.

Pregatips
Lump in the Breast While Breastfeeding Causes and When to Seek Help
A breast lump while breastfeeding is something many parents notice, and it can naturally feel worrying. But most lumps that appear during this time are not serious. Breasts are very active while you’re nursing, constantly producing milk and adjusting to your baby’s feeding needs. This activity can sometimes cause lumps, swelling, or tenderness.
Still, it’s normal to feel concerned and wonder if it could be something more serious. Knowing what to look for can help you understand whether a lump is likely harmless or if it requires medical attention.


What Causes a Breast Lump While Breastfeeding?


These are some of the common causes of breastfeeding lumps:
  • Blocked Milk Duct

A blocked duct happens when milk gets stuck in one of the milk channels, forming a lump. It can be anywhere from the size of a pea to as big as a peach. Sometimes it shows up for no obvious reason, but common causes include your baby not latching properly, tight clothing pressing on the breast, or going long stretches between feeds.

You could see a small white blister on the nipple, and the breast feels sensitive. Your little one might get fussy, too, as milk flows more slowly from that side.

  • Engorgement

Engorgement occurs when your breasts fill up with too much milk, making them hard, heavy, and painful. You might even notice a lump near the armpit, since breast tissue extends there.

Here’s how you can manage engorgement in breasts!
  • Mastitis

Sometimes a lump in the breast can be a sign of mastitis, an inflammation of the breast tissue. This can happen due to an infection, a blocked duct, or even an allergic reaction. When this happens, the breast may swell, turn red, and feel tender, with pain or a burning sensation during feeds. You might also notice chills, headaches, flu-like symptoms, or a fever.

  • Abscess

If mastitis or severe engorgement isn’t treated quickly, it can lead to a painful, swollen lump filled with pus, called an abscess. The skin over it becomes red and hot, and you may experience fever or flu-like symptoms.

  • Swollen Lymph Nodes

Tender or enlarged lymph nodes under one or both arms can feel like lumps because breast tissue extends into the armpit. This often happens alongside mastitis or engorgement.


  • Galactocele (Milk-Filled Cyst)

A galactocele is a smooth, round, milk-filled cyst that develops from a blocked duct. It usually isn’t very hard or painful, but it can feel uncomfortable. Most galactoceles disappear on their own once breastfeeding stops.



Which Factors Increase the Risk of a Breast Lump While Breastfeeding?


Certain factors can make breastfeeding lumps more likely to appear:

  • Past breast surgeries, like augmentation or reduction, change tissue and raise the risk of blocked ducts or cysts.
  • A history of breast infections increases the chance of repeat mastitis.
  • A wrong latch or feeding method can prevent full milk removal, leading to engorgement or blocked ducts.
  • Some medicines can affect milk flow or production, such as hormonal treatments or decongestants.
  • Hormone shifts during pregnancy and breastfeeding naturally alter milk and tissue, which may cause engorgement or cysts.


How to Prevent Breast Lumps for Smoother Breastfeeding?


Small habits can make breastfeeding easier and more comfortable:

  • Ensure a proper latch: Position your baby well during feeds so the breast empties fully each time.
  • Maintain breast hygiene: Keep your breasts clean and dry, and gently wash the nipples with cotton dipped in warm water.
  • Feed frequently: Nurse often without skipping sessions to prevent the breasts from becoming overfull.
  • Change positions: Change feeding positions occasionally to help drain milk from all areas of the breast.
  • Stay hydrated and nourished: Drink plenty of fluids and eat balanced meals to support healthy milk production.
  • Wean slowly: Introduce weaning gradually to avoid sudden engorgement.
  • Massage regularly: Gently massage your breasts to prevent milk from building up in one spot.
  • Wear comfortable clothing: Avoid tight clothes or bras that put pressure on your breasts.

When to Seek Medical Help


See a doctor if any of the following happen:

  • The lump doesn’t improve after a few days of trying home remedies.
  • The area around the lump becomes red, swollen, or increases in size.
  • You develop a high fever or flu-like symptoms.
  • You experience extreme pain or discomfort.
  • There’s pus, bleeding, or the skin feels hot to the touch.
  • The lump feels hard, or you notice discharge, changes in the skin, or nipple inversion.
A breast lump while breastfeeding is usually harmless and often caused by factors like clogged ducts, engorgement, or minor infections. Most clear up with simple home remedies and gentle self-care. However, it’s important to pay attention to warning signs.

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FAQs on Lump in the Breast While Breastfeeding: Causes and When to Seek Help

  1. Can a breast lump affect milk supply?
    A breast lump can occasionally reduce milk flow, especially if it’s caused by a blocked duct or cyst.
  2. How long does it take for a breastfeeding lump to disappear?
    A breastfeeding lump caused by a clogged milk duct usually clears within 2 days with home care, while lumps from engorgement may take 2 weeks to fully resolve.
Disclaimer: Medically approved by Dr Neha Khandelwal, Director of the Department of Obstetrics and Gynecology at Cloudnine Group of Hospitals, New Delhi, Kailash Colony