Is this a blocked milk duct or mastitis?

The word mastitis frightened us

We asked about bumps, swelling and soreness on different days, and mastitis appeared in every search result. Neither episode became mastitis, but the word was enough to send us into a small panic.

A tender lump can happen when milk is not moving well. Mastitis is inflammation of the breast, and infection can sometimes develop. A hot, swollen or very painful area with fever, shivering or feeling generally unwell needs medical advice.

Gentle was better

We tried pressing much harder than necessary because it felt logical that a blockage needed to be forced out. It mostly made an already sore breast angrier.

Very light touch helped Mama feel more comfortable, but this is not the place for deep, muscle-style massage or trying to force a “knot” out. Continuing normal milk removal, using a cool pack, checking the pump fit and getting feeding support were more useful. If feeding or pumping is painful, ask someone to check the latch, cone and schedule rather than battling through it.

When to ask for help

If Mama feels unwell, the breast is hot or red, or the pain is worsening, get same-day advice. If a lump is not improving, ask for help even without a fever.

This is common and treatable. It is also not a test of toughness. Nobody gets a prize for waiting until it is unbearable.