Pregnancy

Breast Mastitis

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Mastitis is an inflammatory disease of the breast tissue. As a rule, it develops in the postpartum period (approximately at the third-fourth week after discharge from the maternity hospital) in mothers who are breastfeeding, especially primiparous. However, there are cases of the disease in women outside the lactation period, as well as in men and children, including newborns.

Symptoms and signs of mastitis.
This inflammatory disease occurs and proceeds very quickly. The first symptoms appear from several hours to two days and are expressed in the appearance of quite noticeable pains in the mammary gland of a nagging nature, while its contours remain, and the skin does not undergo any changes. This disease is also manifested in the form of increased body temperature (above 38 degrees), the occurrence of headaches, weakness, discomfort and increasing pain when breastfeeding a baby, chills, an increase and redness of the chest, loss of appetite, sleep disturbance. In addition, in the axillary region, due to the increase in size, lymph nodes begin to be palpable in the form of small, dense, painful lesions. It should be noted that untreated mastitis at an early stage is fraught with the development of a more serious form of the disease - purulent.

In this embodiment, it is not recommended to engage in self-treatment, because all the means and methods used in this case do not eliminate the source of the inflammatory process, but only eliminate its manifestation (symptoms), as a result of which the process progresses. Against the background of the development of the disease, a softening appears in the place of consolidation in the mammary gland, indicating the appearance of an abscess. The only solution in this situation will be an emergency operation, the delay may cause serious complications. To prevent such consequences, early diagnosis and treatment of the disease are important.

Causes of mastitis.
The main cause of the occurrence and development of mastitis are bacteria (mainly staphylococcus), penetrating into the breast tissue. A bacterial infection can get into the tissue through nipple cracks or through blood in the presence of foci of infection in the body (pyelonephritis, chronic tonsillitis, etc.).

The appearance of cracks or minor defects in the nipple area is a gateway for infection. Usually, if bacteria penetrate the mammary gland, our defense system can cope with them. But since the female body is greatly weakened in the postpartum period, in most cases it cannot cope with infections on its own. As a rule, immediately after the appearance of cracks in the nipples (as happens in most women after discharge from the maternity hospital, especially in nulliparies), there is a pain in the mammary gland, which also swells, thickens, becomes taut, and the skin reddens. All this state is accompanied by an increase in temperature. There are many reasons for the appearance of cracks in the nipples, but the most common is the failure of the nursing mom to follow the basic rules of hygiene before and after feeding the baby.

Another reason for the development of mastitis may be the so-called lactostasis, which represents the stagnation of milk in the ducts of the mammary glands against the background of incomplete or insufficient expression of milk or insufficient feedings. The presence of milk in the ducts of the mammary gland is considered a favorable breeding ground for bacteria, because it contains a large amount of nutrients. Lactostasis is expressed in painful sensations in the breast, the appearance of focal seals (nodules) in it. Usually, with this phenomenon, the body temperature does not rise. However, not eliminated lactostasis, for a couple of days inevitably flows into mastitis, accompanied, first of all, by an increase in temperature. Flat or inverted nipples are one of the causes of lactostasis, because the baby is very difficult to suck the breasts, as a result of which it is not sufficiently emptied.

To avoid the development of lactostasis at the first signs of stagnant milk or engorgement of the mammary gland, it is recommended to express the milk more often and apply cold to the mammary gland, it will facilitate its discharge. Also recommended daily self-massage of the breast. It is necessary to do it according to the following scheme: lower the right hand with the palm down onto the head, while the left hand should be massaged from the outskirts to the nipple, while the nipple area itself should not be massaged.

Two types of mastitis can be observed: lactation (in nursing mothers) or postpartum and non-lactation, which occurs outside the lactation period. The latter type is quite rare, as a rule, arises and develops against the background of injury to the mammary gland, its squeezing and due to disturbances in the female body of a hormonal nature. On the background of transitional age or hormonal imbalance, mastitis often occurs in women of reproductive age from 14 to 18, from 19 to 24, and from 30 to 45 years. Cystic and fibrous mastitis are nothing more than cystic-fibrous mastopathy.

Stages of mastitis.
Mastitis develops in three stages: serous, infiltrative and purulent. The serous stage characterizes the earliest stage in the development of the disease, which occurs two to four days after infection and manifests itself as a rise in temperature, an increase and a slight compaction of the mammary gland, its soreness, which increases during breastfeeding or pumping, and there is no relief after that. Complete blood count shows signs of inflammation. Improper treatment or lack of it inevitably leads to the fact that the early stage of the disease flows in two or three days into the infiltrative stage.

Signs of infiltrative and purulent mastitis.
The infiltrative stage of mastitis is characterized by a pronounced inflammatory process and a more severe general condition of the woman. In the process of palpation of the mammary gland, there is a clear inflammatory hardening (infiltration) with reddening of the skin over it, which becomes more and more, and the redness increases. The heat does not subside, there are sudden changes in temperature. There is a fluctuation (in a medical shaking), indicating the presence of fluid in the cavity (pus).

In case of mastitis refluxic form (when an abscess is not delimited by a capsule from healthy tissues), the body temperature is kept at 40, accompanied by chills, weakness. The mammary gland significantly increases in volume, the skin above it takes on a swollen, shiny, reddened look with a bluish tint. There is inflammation of the adjacent lymph nodes.

With gangrenous form of mastitis (tissue necrosis on the background of circulatory disorders), the woman’s general condition is extremely severe: body temperature is 40–41˚C, pulse is 120–130 per minute, the mammary gland is greatly enlarged, the skin above it is swollen, blistered with bloody contents with areas of tissue necrosis. Puffiness affects the surrounding tissues. A blood test shows the presence of severe inflammation.

Chronic suppurative mastitis.
The chronic form of mastitis of the breast is a rather rare phenomenon. It develops against the background of rather long local treatment with penicillin injections, mainly purulent mastitis. In this form of the disease, the condition of the patients is characterized as satisfactory: the body temperature is normal, or does not rise above 37.5-37.8 C. At palpation, some slightly painful induration is felt, not welded to the skin. In the chronic form of the disease, the symptoms are mild. The mammary gland is painful and somewhat enlarged, in rare cases there is inflammation in the nearby lymph nodes with little or less with high fever.

I note once again that the treatment of mastitis in the early stages of development is conservative, that is, antibiotics, anti-inflammatory drugs, etc. are prescribed. Purulent forms of the disease are treated only with the help of surgical intervention.

Diagnosis of mastitis.
At the first signs of mastitis, you should immediately consult a doctor. Diagnosis of mastitis is the detection of existing characteristics, identified by visual inspection and palpation of the breast. To clarify the diagnosis, a complete blood count is performed, showing the presence of inflammation in the body. In order to determine the type of bacteria and their sensitivity to various antibiotics, they conduct bacteriological examination of milk from an inflamed breast. Often, for the diagnosis of mastitis, breast ultrasound is prescribed.

Mastitis and breastfeeding.
Regardless of the stage and form of mastitis, it is impossible to feed a child, because in milk, even from a healthy breast (not to mention a patient) there can be a huge amount of bacteria that are dangerous for a baby. In addition, in the treatment of this disease, antibiotics are prescribed, which, when administered to the mother’s milk, can harm the infant. With the temporary cessation of breastfeeding should not abandon the decanting of milk, it is just necessary, while it should be carried out regularly and with special care. First, the complete emptying of the breast during illness significantly speeds up recovery. Secondly, pumping will help maintain lactation, so that after recovery, mommy can return to breastfeeding.

Complications of mastitis.
This disease is often complicated by inflammation of the lymphatic vessels (lymphangitis) and lymph nodes (lymphadenitis). In rare cases, especially with phlegmonous and gangrenous forms, the disease is complicated by sepsis (blood poisoning). At the opening of the abscess (often spontaneous), milky fistulas (representing channels that connect the abscesses to the surface of the body) are sometimes formed, which are closed independently, but this requires a sufficiently long period of time.

Prevention of mastitis.
The main thing in the prevention of mastitis is the prevention of nipple cracks (the main thing is personal hygiene, full pumping after feeding). If cracks in the nipples appear, immediately consult a doctor and do not self-medicate. In preventing the development of the disease, it is important to promptly treat caries and chronic inflammatory diseases (tonsillitis), since microbes can penetrate through the bloodstream into the breast tissue from inflammatory foci of other areas.

Varieties of mastitis

There are two main types of mastitis:

Lactational mastitis is associated with milk production. It most often develops in nulliparous women, against the background of stagnant milk and / or nipple cracks and is associated with the occurrence of a persistent inflammatory process caused by pathogenic or conditionally pathogenic microorganisms. The pathological process is usually one-sided, often on the right, but there is a tendency to an increase in cases of bilateral inflammation, which accounts for 10% of all lactational mastitis.

Cases of the development of this pathology in newborn girls against the background of active production of their own sex hormones and / or their ingestion of crumbs through breast milk are described, which causes physiological engorgement of the mammary glands with the formation of an inflammation center that spreads rapidly to the glandular tissue. This is especially dangerous for microtraumas, dermatitis, allergic reactions in the nipple or other parts of the breast. If any, even minimal signs of chest inflammation appear in infants, especially in the first month after birth, you should consult with a specialist (pediatrician or pediatric surgeon).

Non-lactation mastitis makes up about 5% of all cases of this disease, it can develop at any age and not only in women. It is most often caused by injuries or persistent hormonal imbalances. This type of mastitis develops less rapidly, but has a tendency to become chronic.

Risk factors for mastitis

Experts identify the main cause of the development of the disease during lactation - this is the occurrence of lactostasis due to various factors:

  • excessive production of breast milk,
  • improper technique or violation of the feeding regime,
  • nipple anomalies,
  • sluggish sucking baby
  • other factors.

At the same time, an infectious-inflammatory focus is not always formed during the development of lactostasis; this requires the presence of predisposing and provoking factors.

Predisposing factors are conventionally divided into local (anatomical and systemic (functional):

Local:

  • mastopathy,
  • congenital malformations of the breast (lobules, ducts, nipples),
  • cicatricial changes in tissues after previous inflammatory processes, injuries, surgical interventions,
  • the presence of benign or malignant neoplasms,
  • other anatomical changes in the mammary gland.

System:

  • pathological pregnancy (late toxicosis, intrauterine infections),
  • difficult childbirth (trauma of the birth canal, manual separation of the placenta, blood loss),
  • exacerbation of chronic somatic diseases,
  • postpartum depression or psychosis,
  • insomnia.

The factors provoking lactational mastitis include:

  • Change hormonal levels.
  • Reduced immunity.
  • Breast and nipple injuries,
  • Stress.
  • Pustular skin diseases (including in a child (pyoderma, staphylococcal omphalitis).
  • Hidden bacteriocarrier of Staphylococcus aureus (nursing mother, hospital maternity staff, relatives).
  • Failure to comply with sanitary and hygienic standards when feeding and caring for the breast.

Primiparous women are at risk of developing lactational mastitis.

It's related:

  • with weak development of glandular tissue that produces milk,
  • imperfect ducts and nipples,
  • lack of feeding experience (violation of the regime, technology, posture changes),
  • no skills in expressing breast milk properly.

Non-lactation mastitis in most cases develops in the background:

  • Persistent reduction in overall body resistance:
    • transferred severe infectious processes or viral infections,
    • severe acute somatic diseases or exacerbations of chronic diseases,
    • severe general or local hypothermia
    • chronic fatigue syndrome
    • stress,
    • insomnia,
    • depression,
    • nervous or physical exhaustion.
  • Severe hormonal disorders.
  • Breast injuries, nipple microtraumas.
  • Malignant neoplasms, including the mammary gland.

The inflammatory process in mastitis causes mainly Staphylococcus aureus or its association with various pathogenic and conditionally pathogenic bacteria (most often a combination with gram-negative flora).

Infection occurs:

  • contact (through the damaged skin of the breast or nipples):
  • microtraumas
  • pyoderma, breast boils,
  • skin diseases (dermatitis, neurodermatitis or eczema),
  • cracks or ulcers.
  • hematogenous or lymphogenous (with blood or lymph from other foci of infection).

Causes of Mastitis

The occurrence of mastitis occurs by the defeat of bacteria in the chest. It swells, increases in size, painful, increases sensitivity, redness of the skin, increases body temperature. The development of mastitis largely accounts for breastfeeding moms.

It is more common in those women giving birth for the first time or in the last months of pregnancy. If this mastitis is not of a lactation nature, then it is common among girls at a young age, not nursing women and newborns.

The cause of the disease is staphylococcal infection. There are cases that the breast is affected by E. coli. Bacteria enter the chest with blood flow and the milky ducts. Often the development of mastitis is the stagnation of milk in the breast.

If a long period of time does not lead to the outflow of milk, then bacteria are formed. Then the infection that develops there contributes to the inflammatory process, the person is reeling, pus accumulates.

Infection in the mammary gland penetrates as follows:

  • postpartum is the most frequent. Received the name lactational mastitis,
  • the various damage to the mammary gland and the formation of cracks in the nipples make it possible for bacteria to penetrate inside,
  • a rare occurrence is the penetration of infection from distant formations of purulent inflammations.

Symptoms of mastitis

Signs of the disease, their change and progression depends on the form and stage of the disease.

  • increase in size and swelling of the mammary gland (two breasts in a bilateral process),
  • severe discomfort and chest pain,
  • reddening of the skin and local edema over the focus of inflammation, pain during palpation,
  • увеличение и болезненность региональных лимфатических узлов,
  • общая слабость, вялость, недомогание,
  • increase in body temperature from 37, 5 to 40 degrees Celsius (depending on the stage and course of the disease),
  • loss of appetite, nausea, vomiting, headache, dizziness, convulsions, loss of consciousness (in case of intoxication syndrome and the occurrence of infectious-toxic shock).

Serous stage of mastitis

The serous stage of mastitis practically does not differ from lactostasis and develops in 2-4 days of milk stagnation in the absence of the correct tactics of its treatment. At the same time, in the affected gland (a region of persistent lactostasis), the tissue gradually begins to be soaked with serous fluid and an inflammation center is formed without infection by pathogenic microflora. With timely treatment to a specialist and proper treatment, recovery occurs quickly.

Therefore, even with the appearance of the following symptoms, gradually worsening within 1-2 days, experts consider the initial stage of mastitis:

  • engorgement and swelling of the mammary gland with marked discomfort and increased pain,
  • increase in body temperature over 37.5 - 38 degrees Celsius,
  • painful pumping, not bringing relief,
  • painful area of ​​the seal, hot to the touch with possible reddening of the skin over the inflammation,
  • a gradual increase in weakness and loss of appetite.

The absence of relief from lactostasis and the progression of its symptoms is an indication for immediate consultation by a specialist (general practitioner, gynecologist, surgeon, breast specialist). In the absence of treatment, mastitis quickly enters the next stage - infiltrative.

Infiltrative stage

The infiltrative stage of the disease is characterized by the formation of a painful infiltrate and its infection by pathogenic microflora.

The duration of this stage depends on the state of immunological reactivity of the body and the aggressiveness of bacteria (Staphylococcus aureus or its associations with other microorganisms). Possible quick transition to the next stage - purulent mastitis.

Purulent mastitis (abscess)

Purulent mastitis (abscess) in most cases develops 4-5 days after the onset of painful infiltration in the tissues. It is characterized by an increase in all the symptoms of mastitis, both local and general signs.

Signs of a purulent stage of the disease are:

  • the presence of a sharply painful compaction, the fabric resembles a honeycomb or a sponge soaked in pus (a symptom of fluctuation is a feeling of fluid transfusion under the fingers or persistent softening of the tissue),
  • reddening of the skin over the focus of inflammation, expansion of the superficial veins,
  • the increase and pain of regional lymph nodes on the affected side (axillary),
  • there is an increase in body temperature to high numbers (more than 38.5 -39),
  • symptoms of intoxication are growing (persistent loss of appetite, severe weakness, drowsiness, headaches, nausea, less vomiting, dizziness).

Treatment of this stage of the disease is only operative - opening the abscess and drainage of the cavity. If untreated, at this stage of the disease mastitis becomes complicated and destructive forms:

  • phlegmonous, which is characterized by the spread of purulent-inflammatory process on the subcutaneous fatty tissue of the gland and other breast tissue (more than 3 quadrants),
  • gangrenous - a particularly dangerous form of the disease with the involvement in the process of the blood and lymph vessels with the formation of blood clots.

Phlegmonous mastitis

In case of phlegmonous mastitis, total edema is observed, persistent reddening of the skin of the mammary gland with a cyanotic (bluish) tinge, the breast is sharply painful, nipple retraction is often observed. The patient's condition is progressively worsening - febrile temperature, weakness, dizziness, a complete lack of appetite, convulsions, and even loss of consciousness. When these symptoms appear, immediate hospitalization in the surgical department and active treatment of the disease are necessary.

Mastitis complications

Any infectious-inflammatory process caused by Staphylococcus aureus may be complicated by generalization of the infection and the development of septic complications:

  • bacterial endocarditis or pericarditis,
  • meningitis or meningoencephalitis,
  • sepsis (the presence of multiple purulent foci - pneumonia, meningitis, osteomyelitis, endocarditis),
  • infectious toxic shock,
  • DIC - syndrome.

Diagnostics

If there are signs of mastitis and suspected development of inflammation of the mammary gland, an urgent need to consult a specialist (surgeon).

The specification of the diagnosis in most cases is not difficult and is determined on the basis of complaints and examination of the affected breast. If necessary, additional examinations are appointed:

  • general blood and urine analysis
  • bacteriological sowing of breast milk or nipple discharge,
  • cytological examination
  • Breast ultrasound (in case of suspected development of destructive forms),
  • puncture of infiltrate (with abscess or phlegmonous form) with bacteriological examination of pus,
  • mammography (when differentiating with anomalies of the ducts or lobules and malignant neoplasms).

Mastitis feeding

It is impossible to feed a sick baby with a confirmed mastitis.

Therefore, when any signs of mastitis appear, you should immediately consult a specialist.
If one-sided mastitis is confirmed at the serous or early infiltrative stage, lactation can be maintained, provided that all the recommendations of the specialist are fulfilled.

It is important to remember that milk from a sick breast cannot be fed to a child not only because of the risk of infection by pathogenic staphylococcus, but also due to pronounced biochemical changes in the composition of milk, which disrupts digestion and causes permanent malfunctions of its work. Experts recommend decanting milk every 3 hours - first from a healthy breast (after pasteurization, it can be given to the crumbs, but it cannot be stored for a long time), and then from a diseased breast.

Indications for complete cessation of lactation are:

  • Bilateral mastitis,
  • Destructive forms
  • The presence of septic complications,
  • Relapsing course of the disease,
  • Other reasons and the desire of the patient (refusal of breastfeeding).

Mastitis treatment

Conservative treatment of mastitis is prescribed in the serous and infiltrative stages:

  • with a generally relatively satisfactory condition of the patient, if the duration of the disease is not more than 3 days,
  • there are no local symptoms of purulent inflammation,
  • body temperature not higher than 37.5 degrees Celsius,
  • with moderate pain in the infiltrate area, which is no larger than one quadrant of the gland,
  • no change in blood counts.

If conservative therapy is ineffective for two days - this is an indication for surgery.

In destructive forms, treatment is only surgical, in a hospital, under general anesthesia. A complete cleansing of the opened abscess is necessary, excision of non-viable tissues and drainage of the cavity. The volume of surgical intervention depends on the size and course of the abscess. After surgery, a course of antibiotics, vitamin therapy, absorbable and fortifying medicines are prescribed.

It is important to remember that self-treatment (the use of warming compresses and ointments) leads to the spread of inflammation and purulent process, the progression of destructive forms of mastitis.

Prevention of Masitis

Preventive measures for mastitis include the prevention of:

  • milk stagnation
  • cracked nipples,
  • observance of sanitary and hygienic standards in feeding and caring for the mammary glands,
  • pyoderma and pustular processes in children,
  • strengthening the immune system
  • correction of hormonal imbalance,
  • injuries and postoperative complications (with plastic surgery),
  • stress,
  • timely treatment of somatic diseases and exacerbations of chronic pathologies,
  • rehabilitation of foci of chronic infection,
  • wearing a bra from natural fabrics and the right choice of the size of the linen,
  • good nutrition and healthy sleep,
  • preventive examinations at the mammologist every year after 40 years and timely expert advice
  • with signs of inflammation of the breast.

Mastitis is a serious pathology, which, if it is not timely addressed to a specialist, can be transformed into a chronic form or cause complications that are dangerous to life and health.

Types of mastitis

Acute mastitis is usually divided into several different forms. With serum mastitis the woman's overall well-being significantly worsens, her body temperature rises, and milk is delayed in the breast.

With infiltrative mastitis an infiltrate appears in the mammary gland of a sick woman, the skin over which is visibly reddening. This education may later turn into an abscess. For purulent mastitis characteristic purulent inflammatory process. At the same time, body temperature rises to particularly high elevations - up to forty degrees or more. If a woman develops abscess mastitisthen appears in the chest abscess, which is limited purulent focus. With phlegmonous mastitis purulent inflammatory process spreads through the breast tissue, and when gangrenous mastitis in the chest arise necrosis.

Mastitis prevention

In order to avoid the occurrence of mastitis, a woman must necessarily prepare her nipples for breastfeeding. If a young mother notices the appearance of cracks in the nipples, then they need to be treated immediately. It is equally important to implement prevention methods aimed at preventing the stagnation of milk in the mammary glands. For this purpose, the constant expression of milk residues is practiced after the feeding has been completed.

Also important preventive measures in this case is the observance of all the rules of hygiene when feeding the baby: the mother must wash her hands and nipples, be sure to make sure that the baby is applied to the breast correctly. In this case, it is important that the baby completely captures the nipple and the space around the nipple during feeding.

Women who are breastfeeding, experts advise to wear a special bra for nursing mothers, which optimally supports the breast.

What is mastitis?

If you feel chest pain, local fever and chills, then it may be a matter of mastitis. What it is? This is an inflammation of the mammary gland that is in the breast of a woman. It is more common in women during lactation (breastfeeding). However, it sometimes occurs in newborns and even men. Often affects only one mammary gland, although bilateral lesions are not excluded.

  1. According to the forms:
    • Acute,
    • Chronic.
  2. The stages of development are divided into types:
    • The initial stage - serous mastitis - the penetration and reproduction of bacteria in the breast,
    • The second stage - infiltrative mastitis - inflammatory foci merge, there is a general swelling of the breast,
    • The third stage - purulent mastitis - purulent contents of the infiltrate. It in turn is divided into types:
  • Abscess - limited purulent focus (abscess),
  • Phlegmonous - spread of pus throughout the tissue,
  • Gangrenous - massive appearance of necrosis. Often treated by removing the breast.
    • Another distinguish pathological lactostasis (or latent, lactational mastitis), which manifests itself in nursing women with stagnant milk in the breast.
  1. Idiopathic plasmacytic type (granulomatous) - the causes are not known, it is assumed late development of mastitis after long-term birth and lactation.
  2. Plasma-cell - develops in multiparous women after the lactation period.
  3. Mastitis of newborns.
  4. Periductal - develops in women aged 20-30 years with inflammation or crackling of the nipples, as well as piercing, smoking women.
  5. Fibrocystic - appears in women and men. Causes: climate change, injuries, hormonal disruptions, diabetes.
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Symptoms and signs

Common symptoms and signs of mastitis are:

  • Deterioration: fever, chills, weakness, pain in the head,
  • Breast pain and enlargement
  • Breast skin redness,
  • Feelable compaction of the tissue in the area of ​​the breast.

Signs of latent mastitis:

    1. Slight temperature rise to 37.5ºС,
    2. Sore feeling when pressed
    3. Breast compaction.

Signs of serous mastitis:

  1. Chills,
  2. Raising the temperature to 38.5 ºС,
  3. Pulling pain, worse when breastfeeding,
  4. Weakness,
  5. Headache,
  6. Redness of the chest,
  7. Decreased appetite
  8. Sensible breast seal.

Symptoms of infiltrative mastitis:

  1. Heat,
  2. Sedentary breast seal,
  3. Severe chest pain,
  4. An enlarged lymph node in the armpit with the corresponding symptoms, as in lymphadenitis, on the side of the affected breast.

With purulent mastitis, the symptoms are worse:

  1. Fever up to 39,5ºС,
  2. Breast skin is red and hot,
  3. Chills,
  4. Changes in the shape and shape of the breast, swelling,
  5. Intense throbbing pains
  6. Axillary lymphadenitis pronounced.

In a non-nursing woman, the same symptoms and stages of mastitis develop as in a nursing woman, only there is no latent stage.

When an abscess is formed (abscess-induced mastitis) symptoms appear:

  1. Not passing painful swelling,
  2. Purulent discharge from the nipple,
  3. Not falling temperature, despite all the antipyretic drugs taken and measures to eliminate the disease.
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Mastitis in children

Despite the fact that most of the mastitis affects lactating women, it can also be observed in newborns. The reason for this is the penetration of infections through the mother. In this case, the baby may temporarily swell the chest, regardless of whether it is a boy or a girl. Usually, physiological swelling disappears by itself. However, it is better to go through consultations with a pediatrician who, if necessary, prescribes antibiotics, anti-inflammatory drugs, which will quickly eliminate the pathology.

Life forecast

Mastitis is an infectious disease, but it does not impair the prognosis of a woman’s life. If treatment is started promptly, then any negative consequences can be avoided. How many women live with mastitis? It all depends on the complications, when it comes to the fact that the patient is not treated:

  • The destruction of breast tissue.
  • Breast deformity.
  • The loss of the mammary gland's ability to produce milk, which leads to the inability to breastfeed.
  • The spread of infection to neighboring tissues, for example, provoking lymphadenitis.
  • Sepsis - penetration of pus and infection in the blood, which will spread pathogens throughout the body.

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