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Why is my breast painful while breastfeeding?

Understanding Breast Pain While Breastfeeding
Breastfeeding is often heralded as a natural and beautiful bonding experience between mother and child. However, many new mothers encounter discomfort or pain during this process, which can be disheartening. Understanding the causes of breast pain while breastfeeding is crucial for addressing the issue effectively.
Common Causes of Breast Pain
1. Engorgement: One of the most common reasons for breast pain is engorgement, which occurs when the breasts become overly full with milk. This typically happens a few days after birth when milk production ramps up. The increased blood flow and milk can lead to swelling, making the breasts feel heavy and hard. Engorgement can recur if feeds are missed or if the baby is not effectively draining the breast.
2. Improper Positioning and Attachment: Pain during breastfeeding is often linked to how the baby is positioned and attached to the breast. Incorrect attachment can lead to nipple pain and discomfort. It’s essential to ensure that the baby is latched on correctly, as this can significantly reduce pain. Adjusting the baby’s position may alleviate discomfort, and consulting with a lactation expert can provide valuable guidance.
3. Mastitis: Another serious cause of breast pain is mastitis, an infection that can occur in breastfeeding women. Symptoms of mastitis include sore breasts, red streaks, hard areas, and sometimes fever and chills. If mastitis is suspected, it’s important to continue breastfeeding or pumping to help drain the milk, but medical advice should be sought promptly.
4. Nipple Soreness: Some degree of nipple soreness is normal, especially in the early days of breastfeeding. New mothers may experience tenderness for a short period after the baby latches on, which typically lasts about 30 to 60 seconds. However, if the pain persists or worsens, it may indicate a problem that needs addressing.
5. Other Factors: Various other factors can contribute to breast pain, including hormonal changes, blocked milk ducts, or even breast infections unrelated to breastfeeding. Each of these conditions may require different approaches for relief and treatment.
When to Seek Help
While some discomfort can be expected, persistent or severe pain is not normal and should be evaluated by a healthcare professional. If you experience symptoms like fever, chills, or significant swelling, it’s crucial to seek medical advice to rule out infections or other complications.
Conclusion
Breast pain while breastfeeding can stem from several causes, ranging from normal physiological changes to more serious conditions like mastitis. Understanding these factors can empower new mothers to seek appropriate help and make necessary adjustments to enhance their breastfeeding experience. If pain persists, consulting with a healthcare provider or lactation consultant can provide tailored solutions to ensure both mother and baby thrive during this important time.

What does a painful letdown feel like?

Letdown is what keeps your milk flowing during breastfeeding. As your breasts begin pushing out milk, you may experience a tingling or pins-and-needles sensation and a feeling of uncomfortable fullness. Some women have painful letdown, with symptoms such as burning nipples and stinging pain in their breasts.

What does a clogged duct feel like vs mastitis?

Symptoms of plugged ducts, mastitis
Plugged duct symptoms progress gradually, and can include pain, a hard lump, a warm and painful localized spot or a wedge-shaped area of engorgement on the breast. Mastitis symptoms appear rapidly and include flu-like symptoms such as fever, chills, fatigue and body aches.

When should I be concerned about breast pain during breastfeeding?

Nipple or breast pain is not a normal part of breastfeeding. Your nipples may be sensitive in the first few days after birth and while breastfeeding, but sore nipples or breasts indicate a problem. If you feel pain, you should seek help immediately.

Should I pump to relieve engorgement?

If your breasts are uncomfortably full, pump or express breast milk by hand just until they are comfortable. Do not empty your breasts all the way. Releasing a lot of milk will cause your body to produce larger amounts of milk. This can make breast engorgement worse.

What does mastitis look like?

They include: a swollen area on your breast that may feel hot and painful to touch – the area may become red but this can be harder to see if you have black or brown skin. a wedge-shaped breast lump or a hard area on your breast. a burning pain in your breast that might be constant or only when you breastfeed.

What are the early warning signs of mastitis?

Symptoms of mastitis
a burning pain in your breast – you may feel this only when breastfeeding or it may be constant. nipple discharge, which may be white or contain streaks of blood. a lump or hard area on your breast. feeling tired, run down and feverish – you may have flu-like symptoms.

Can a good latch still hurt?

If you have tried to improve the positioning and latch but you still feel intense pain, seek help. Some discomfort when latching in the early days is common as you and your baby are learning. Intense pain that does not subside after a few seconds indicates a problem.

How to fix a painful latch?

You’re in pain.
Gently break your baby’s suction to your breast by placing a clean finger in the corner of your baby’s mouth. Then try again to get your baby to latch on. To find out if your baby is sucking only on your nipple, check what your nipple looks like when it comes out of your baby’s mouth.

What does the beginning of mastitis feel like?

What are some symptoms of mastitis? You might have a red, sore area on your breast. Sometimes it feels like getting the flu. You might feel hot and cold with a fever, and have general body aches.

What does a blocked milk duct feel like?

A plugged milk duct feels like a tender, sore lump or knot in the breast. It happens when a milk duct does not drain properly. Pressure builds up behind the plugged duct, and the tissue around it gets irritated. This usually happens in one breast at a time.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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