Signs That Engorgement Could Lead to Mastitis

Breast engorgement is generally common during breastfeeding, but left untreated, it may sometimes bring along mastitis, a painful condition that requires medical attention. In this informative article, you will be introduced to the early signs that may indicate the onset of mastitis, allowing you to act promptly and prevent complications. The article is presented in a simple and lucid style to enable you to stay informed and confident throughout your lactation.

Pregatips
breast engorgement
When engorgement sets in, the breasts feel full, heavy, and tight while breastfeeding. It is most common when breasts are overly full of milk, especially in the first few weeks after delivery, or when the baby is not feeding well.



One should try to stop engorgement promptly, as the condition alone is painful and, if left untreated, can worsen significantly. Mastitis occurs when milk remains in the breast for an extended period, resulting in inflammation and a potential infection. However, an early awareness of such signs can aid in treatment to prevent further complications.


Why Engorgement Happens

You may feel engorged when:

  • Your baby misses a feed or doesn’t latch properly.
  • The amount of milk your body produces is still being adjusted.
  • You suddenly stop breastfeeding or reduce feeding frequency.
  • Feeding gaps are also influenced by the increased number of hours a baby sleeps.


What Is Mastitis?

Mastitis is inflammation of the breast tissue. It can occur with or without infection, but in either case, it causes pain, swelling, and discomfort. It often starts with untreated or severe engorgement.

Mastitis can make it difficult for you to continue breastfeeding, and if left untreated, it might turn into an abscess, which could require more intense medical treatment.


Key Signs Your Engorgement May Be Turning Into Mastitis

Here are some key symptoms to watch for. If you experience any of these symptoms, take them seriously and consult a healthcare provider.

1. Persistent Breast Pain

A little discomfort during engorgement is common, but sharp, shooting, or throbbing pain that persists could be a warning sign. If touching your breast hurts or the pain gets worse, even after feeding or expressing milk, it might develop into mastitis.

2. Swelling and Redness in a Specific Area

Engorged breasts may feel firm or full, but when one breast is especially hard, red, and hot to touch, it could be more than just fullness. This kind of swelling often indicates inflammation, which is an early symptom of mastitis.

3. Warmth in the Affected Breast

If you notice that one breast feels warmer than the other, especially if it’s accompanied by redness and tenderness, this could be another early sign. The warmth is a result of inflammation, indicating that your body is reacting to a problem in that area.

4. Lump That Doesn't Go Away

Sometimes, you may feel a small lump due to blocked milk ducts. However, a lump that lasts for a day or more and doesn’t reduce even after feeding or pumping may lead to infection. A further contributing factor to mastitis is a plugged duct.

5. Flu-like Symptoms

One of the clearest signs that engorgement may have turned into mastitis is when you begin to feel sick. This can include:
  • Fever (usually over 100.4°F or 38°C)
  • Chills
  • Body aches
  • Fatigue

These symptoms show that your body is fighting inflammation or infection. It’s your cue to seek medical advice.

6. Decreased Milk Supply

Mastitis can affect your milk flow. If you notice that one breast isn’t producing as much milk, or your baby is fussier during feeding on that side, it may be because of swelling or infection blocking milk ducts.

7. Nipple Damage or Cracks

Bacteria can infiltrate your breast tissue through damaged or broken nipples. If you already have engorgement and notice nipple pain, bleeding, or scabbing, your risk of developing mastitis increases.


How to Prevent Engorgement from Becoming Mastitis

Being aware and acting quickly can help you avoid mastitis. Here’s what you can do:

  • Feed your baby regularly: Aim for every 2–3 hours, even at night.
  • Ensure the latch is correct: A healthy latch facilitates the full drainage of milk.
  • Change feeding positions: This helps empty all areas of the breast.
  • Express milk: If your baby misses a feed, use a pump or hand express.
  • Relax the breast before feeding: Apply gentle, warm compresses to the area.
  • Use cold compresses: After feeding, to reduce swelling.
  • Wear comfortable bras: Opt for bras that are not too tight, as they can press on your breasts.
  • Watch for blocked ducts: Gently massage the breast if you feel lumps.

Breastfeeding is a special time in a woman's life, but it can also present challenges along the way. Consider engorgement, for instance; it is common, especially in the initial days, but ignoring it may lead to bigger problems, such as mastitis. Being aware of the signs, which include unrelenting pain, redness, flu-like symptoms, and lumps, will enable you to take action in a timely manner.

By staying alert and mindful of breast care, you can avoid various discomforts and proceed with nursing your child with complete confidence. If you have any concerns that make you feel uncertain, please don't hesitate to consult a healthcare professional.

FAQs on Signs That Engorgement Could Lead to Mastitis


  1. Can I still breastfeed if I have mastitis?
    Mastitis causes the milk ducts to become blocked, so to cure it, the milk ducts must be cleared, which can be facilitated by continuing to feed on the affected breast. The baby must latch well, and it is good to alternate breasts so that both are emptied.
  2. What should I do if I feel a lump in my breast while breastfeeding?
    Massaging the lump gently toward the nipple and feeding the baby regularly on that side may help alleviate the discomfort. If the lump persists for more than one day or if pain develops, consult a physician.
Disclaimer: Medically approved by Dr Vaishali Zamre, Director & Head Breast Cancer Centre, Andromeda Cancer Hospital, Sonipat