Q&A with Dr. Kiskila: Mastitis

Question: Dr. Kiskila, what is mastitis?
Dr. Kiskila: Mastitis is an inflammation of the breast tissue that most commonly affects women who are breastfeeding, although it can happen to anyone. It often occurs when a milk duct becomes blocked, or bacteria enter the breast through a cracked or sore nipple, leading to an infection.

Question: What are the symptoms of mastitis?
Dr. Kiskila: The most common symptoms include breast pain, swelling, warmth, redness, and tenderness. Many women also develop flu-like symptoms such as fever, chills, body aches, and fatigue. These symptoms can come on quickly, sometimes within just a few hours.

Question: Should I stop breastfeeding if I have mastitis?
Dr. Kiskila: In most cases, no. Continuing to breastfeed or pump is actually encouraged because it helps empty the breast and can speed up recovery. While it may feel uncomfortable, it’s generally safe for your baby and is often one of the best things you can do while healing.

Question: How is mastitis treated?
Dr. Kiskila: Early treatment includes rest, staying well hydrated, applying warm compresses before feeding, and completely emptying the breast during each feeding or pumping session. If symptoms are severe, you have a fever, or they don’t improve within 24 to 48 hours, antibiotics may be needed to treat the infection.

Question: When should someone seek medical care?
Dr. Kiskila: If you have persistent breast pain, develop a fever, notice increasing redness or swelling, or your symptoms aren’t improving after a day or two of home care, it’s important to be evaluated. Left untreated, mastitis can sometimes lead to a breast abscess that requires additional treatment.

Question: Can mastitis be prevented?
Dr. Kiskila: While it can’t always be prevented, there are steps that can reduce your risk. Make sure your baby has a good latch, avoid skipping feedings, alternate breastfeeding positions, and try to fully empty the breast during each feeding or pumping session. Addressing nipple pain or cracking early can also help prevent bacteria from entering the breast tissue.

Question: What’s your biggest piece of advice for new moms?
Dr. Kiskila: Don’t ignore your symptoms or try to “push through” them. Many moms are focused on caring for their baby and put their own health on the back burner. If something doesn’t feel right, reach out to a healthcare provider early. Prompt treatment can help you recover faster so you can get back to enjoying time with your little one.