Blocked milk duct: Difference between revisions

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'''A blocked milk duct''' (sometimes also called plugged or clogged milk duct) is a blockage of one or more ducts carrying [[milk]] to the [[nipple]] for the purpose of [[breastfeeding]] an [[infant]]. The [[symptom]]s are a tender, localised lump in one [[breast]], with redness in the skin over the lump. The cause of a blocked milk duct is the failure to remove milk from part of the breast. This may be due to infrequent breastfeeding, poor attachment, tight clothing or [[Injury|trauma]] to the breast. Sometimes the duct to one part of the breast is blocked by thickened milk. A blocked milk duct can be managed by improving the removal of milk and correcting the underlying cause.<ref name = ncbi1>{{cite web|url=https://www.ncbi.nlm.nih.gov/books/NBK148955/|title=Management of breast conditions and other breastfeeding difficulties |publisher = National Center for Biotechnology Information US National Library of Medicine|accessdate = 4 August 2017 |date=}}{{PD-notice}}</ref>
'''A blocked milk duct''' (sometimes also called plugged or clogged milk duct) is a blockage of one or more ducts carrying [[milk]] to the [[nipple]] for the purpose of [[breastfeeding]] an [[infant]]. The [[symptom]]s are a tender, localised lump in one [[breast]], with redness in the skin over the lump. The cause of a blocked milk duct is the failure to remove milk from part of the breast. This may be due to infrequent breastfeeding, poor attachment, tight clothing or [[Injury|trauma]] to the breast. Sometimes the duct to one part of the breast is blocked by thickened milk. A blocked milk duct can be managed by improving the removal of milk and correcting the underlying cause.<ref name = ncbi1>{{cite web|url=https://www.ncbi.nlm.nih.gov/books/NBK148955/|title=Management of breast conditions and other breastfeeding difficulties |publisher = National Center for Biotechnology Information US National Library of Medicine|accessdate = 4 August 2017 |date=}}{{PD-notice}}</ref>


=== Treatment ===
The mother can be instructed to feed from the affected breast frequently and gently [[massage]] the breast over the lump while her baby is suckling. Some mothers find it helpful to apply warm compresses, and to vary the position of the baby (across her body or under her arm).
The most effective treatment against blocked milk ducts is to empty the affected breasts by frequent breastfeeding or pumping<ref>{{Cite journal|last=Roberts|first=Kathryn L.|last2=Reiter|first2=Maureen|last3=Schuster|first3=Diane|date=1998-9|title=Effects of Cabbage Leaf Extract on Breast Engorgement|url=http://journals.sagepub.com/doi/10.1177/089033449801400312|journal=Journal of Human Lactation|language=en|volume=14|issue=3|pages=231–236|doi=10.1177/089033449801400312|issn=0890-3344}}</ref>. Other forms of treatment include:
Sometimes after gentle massage over the lump, a string of the thickened milk comes out through the nipple, followed by a stream of milk, and rapid relief of the blocked duct.<ref name = ncbi1/>

* A gentle massage of the affected breast<ref name=":0">{{Citation|last=Mangesi|first=Lindeka|title=Treatments for breast engorgement during lactation|date=2010-09-08|url=http://doi.wiley.com/10.1002/14651858.CD006946.pub2|work=Cochrane Database of Systematic Reviews|editor-last=The Cochrane Collaboration|publisher=John Wiley & Sons, Ltd|language=en|doi=10.1002/14651858.cd006946.pub2|pmc=PMC4161489|pmid=20824853|access-date=2019-03-26|last2=Dowswell|first2=Therese}}</ref> Sometimes after gentle massage over the lump, a string of the thickened milk comes out through the nipple, followed by a stream of milk, and rapid relief of the blocked duct.<ref name="ncbi1" />
* Ensuring a correct positioning and latching of the baby<ref name=":0" />
* Wearing loose clothing items that do not bind the breasts<ref name=":1">{{Cite web|url=https://www.meandqi.com/journal/engorgement-and-mastitis-complete-guide|title=Tackling engorgement and mastitis: an all-in-one guide|website=www.meandqi.com|language=en|access-date=2019-03-26}}</ref>
* Applying warm compresses<ref name=":0" />
* Drinking a specialized herbal tea<ref name=":1" />


A blocked milk duct can result from a [[nipple bleb]]. Both of these can lead to mastitis.<ref>{{cite book | last = Walker | first = Marsha | title = Breastfeeding management for the clinician : using the evidence | publisher = Jones and Bartlett Publishers | location = Sudbury, Mass | year = 2011 | isbn = 9780763766511 | page =s 534–5}}</ref>
A blocked milk duct can result from a [[nipple bleb]]. Both of these can lead to mastitis.<ref>{{cite book | last = Walker | first = Marsha | title = Breastfeeding management for the clinician : using the evidence | publisher = Jones and Bartlett Publishers | location = Sudbury, Mass | year = 2011 | isbn = 9780763766511 | page =s 534–5}}</ref>

Revision as of 22:09, 26 March 2019

A blocked milk duct (sometimes also called plugged or clogged milk duct) is a blockage of one or more ducts carrying milk to the nipple for the purpose of breastfeeding an infant. The symptoms are a tender, localised lump in one breast, with redness in the skin over the lump. The cause of a blocked milk duct is the failure to remove milk from part of the breast. This may be due to infrequent breastfeeding, poor attachment, tight clothing or trauma to the breast. Sometimes the duct to one part of the breast is blocked by thickened milk. A blocked milk duct can be managed by improving the removal of milk and correcting the underlying cause.[1]

Treatment

The most effective treatment against blocked milk ducts is to empty the affected breasts by frequent breastfeeding or pumping[2]. Other forms of treatment include:

  • A gentle massage of the affected breast[3] Sometimes after gentle massage over the lump, a string of the thickened milk comes out through the nipple, followed by a stream of milk, and rapid relief of the blocked duct.[1]
  • Ensuring a correct positioning and latching of the baby[3]
  • Wearing loose clothing items that do not bind the breasts[4]
  • Applying warm compresses[3]
  • Drinking a specialized herbal tea[4]

A blocked milk duct can result from a nipple bleb. Both of these can lead to mastitis.[5]

References

  1. ^ a b "Management of breast conditions and other breastfeeding difficulties". National Center for Biotechnology Information US National Library of Medicine. Retrieved 4 August 2017.Public Domain This article incorporates text from this source, which is in the public domain.
  2. ^ Roberts, Kathryn L.; Reiter, Maureen; Schuster, Diane (1998-9). "Effects of Cabbage Leaf Extract on Breast Engorgement". Journal of Human Lactation. 14 (3): 231–236. doi:10.1177/089033449801400312. ISSN 0890-3344. {{cite journal}}: Check date values in: |date= (help)
  3. ^ a b c Mangesi, Lindeka; Dowswell, Therese (2010-09-08), The Cochrane Collaboration (ed.), "Treatments for breast engorgement during lactation", Cochrane Database of Systematic Reviews, John Wiley & Sons, Ltd, doi:10.1002/14651858.cd006946.pub2, PMC 4161489, PMID 20824853, retrieved 2019-03-26{{citation}}: CS1 maint: PMC format (link)
  4. ^ a b "Tackling engorgement and mastitis: an all-in-one guide". www.meandqi.com. Retrieved 2019-03-26.
  5. ^ Walker, Marsha (2011). Breastfeeding management for the clinician : using the evidence. Sudbury, Mass: Jones and Bartlett Publishers. p. s 534–5. ISBN 9780763766511.