00:00Mastitis is an inflammation of the breast. Mastitis is associated with breastfeeding period.
00:07Symptoms usually occur suddenly and characterized, breast tenderness or warmth to the touch, swelling of the breast, pain or a burning sensation in the breast.
00:17Sometimes fever and general soreness. Sometimes shivering and chills also occurs.
00:23Mastitis usually develops in one breast.
00:27Complications can include abscess formation, which represents collection of pus.
00:33About 10% of breastfeeding women has mastitis. It means it's quite a common disease.
00:40Mastitis usually occur within first few weeks after delivery.
00:44Causes
00:46Mastitis typically develops when the milk is not properly removed from the breast.
00:51Milk duct block
00:52Tight-fitting clothing or an over-restrictive bra also risk factors for developing mastitis and infection.
00:59Mastitis may also develop when the baby has infrequent feeds or has problems suckling the milk out of the breast.
01:06Cracks or sores on the nipples increases the likelihood of infection.
01:10So, mastitis may be infective or non-infective inflammation of breast tissue.
01:15Approximately 15% will require antibiotic treatment for infection.
01:20Lactational or puerperal mastitis is the inflammation of the breast in connection with pregnancy or breastfeeding.
01:28In rare cases mastitis may develop non-breastfeeding women.
01:32It is called non-puerperal mastitis. It may can occur even in men.
01:37Inflammatory breast cancer has symptoms very similar to mastitis and must be ruled out.
01:43The diagnosis of mastitis and breast abscess can usually be made based on a physical examination.
01:48If masses presence is in the breast it may be abscess or a tumor.
01:54A breast ultrasound may be performed to ruled out any cancer.
01:58Treatment
02:00In lactation mastitis, frequent emptying of both breasts by breastfeeding is essential.
02:05Also essential is adequate fluid supply for the mother and baby.
02:09For breastfeeding women with light mastitis, massage and application of heat prior to feeding can help as this may aid on blocking the ducts.
02:16However, in more severe cases of mastitis heat or massage could make the symptoms worse and cold compresses are better suited to contain the inflammation.
02:26Non-puerperal mastitis may treated with medications, aspiration or drainage.
02:31Antibiotics are generally to be used in all non-puerperal mastitis cases.
02:36If there is fungal infection then antifungal medication.
02:40Corticosteroids are used for granulomatous mastitis.
02:43Dicloxacillin or cephalexin are recommended antibiotics.
02:48For severe cases, vancomycin is recommended.
02:52The length of antibiotic treatment ranges from 5 to 14 days.
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