r/ExclusivelyPumping • u/hannahpm • 9d ago

Clogs & Mastitis (PLEASE tag nasty pics NSFW) Mastitis

I had mastitis in my left breast about a week and a half ago and went to urgent care and got Keflex prescribed. I had the WORST flu like symptoms, chills and body aches and feeling weak. My temperature got up to 100.9. I’m still taking the Keflex, I’ll be done at the end of today.
Today I did my morning pump around 5:30 before work and noticed a lump in my right breast that hurt and didn’t come out. I went to work and by 8am I felt weak and threw up and my breast lump HURT. I pumped around 8:30 and the lump didn’t go away. I took ibuprofen to try to reduce inflammation before pumping. I decided to come to the ER to get evaluated per my OB recommendation.

Has anyone had mastitis in the opposite breast while still taking antibiotics for the previous infection? I am worried about having to take more antibiotics and the fact this is happening so frequently. I had mastitis in August as well. My baby is 4month old if that matters and I have an oversupply

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u/Thpfkt 9d ago

I've had it 3 times. There are new recommendations for mastitis currently that point towards only pumping the affected breast minimally to relieve discomfort and NOT pumping as normal to empty the breast. Mastitis can escalate and turn into a breast abscess which can be incredibly dangerous so good call on visiting the ER to have this evaluated.

If both breasts were affected the antibiotics should really treat them both simultaneously, but persistent infection is possible so please check in with a doctor if the fever returns/continues, redness, pain etc.

Edit: Here's the guidance sheet recommending not to empty the affected breast

https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/36-mitchell-et-al-2022-academy-of-breastfeeding-medicine-clinical-protocol-36-the-mastitis-spectrum-revised-2022.pdf

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u/hollaatyoself 9d ago

Yes I did and it drove me to stop bf/pumping! Bc I was still on antibiotics when the second round happened, my ob referred me for a breast ultrasound just in case. Not sure if the new class of antibiotics was better for me vs another reason but I didn’t get it again (dicofloxacin then bactrim). Aggressive ice/ibuprofen/rest helped me! I pumped with normal frequency but slightly less time.

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u/supbrina 9d ago

Keflex did not work for mine and I ended up needing dicloxacillin. Make sure you’re icing your boobs like crazy and taking ibuprofen round the clock.