How to Cope with Plugged Ducts and Mastitis
Terressa Patterson RN BSN MS IBCLC
In partnership with Dr. Brown's Company
Plugged ducts occur when milk flow is blocked or slowed, causing a tender lump. Risk factors include skipped feeds, tight bras, stress, poor latch, or tongue/lip/cheek ties. To manage plugged ducts:
- Nurse frequently, ideally starting on the affected side.
- Use warm compresses and gentle massage toward the nipple before nursing or pumping.
- Apply cold compresses after feeding to reduce swelling.
- Feed in different positions to help drain all areas of the breast.
- Ensure baby's latch is deep and effective. If in doubt, have baby evaluated for oral restrictions.
If plugs recur, sunflower lecithin may help. It reduces the stickiness of milk by emulsifying fats. A common dose is 1,200 mg 3 to 4 times per day. Many IBCLCs recommend trying it for recurrent plugged ducts, with evidence from lactation case studies supporting its use.
If pain, redness, fever, or chills develop, this may be mastitis—a breast infection that often starts with a plugged duct. Continue feeding or pumping to keep milk moving. If symptoms persist beyond 24 hours or worsen, seek medical care. Antibiotics are often necessary.
Other Treatments
Therapeutic ultrasound provided by a trained therapist or physical therapist can help break up stubborn plugs.
Some lactation consultants or physical therapists also offer lymphatic massage or vibration therapy to improve milk flow.
It is also helpful to rest, stay hydrated, and reduce stress. Recurring mastitis may signal latch problems, skipped feedings, or underlying inflammation that deserves deeper evaluation.
DISCLAIMER: THIS CONTENT DOES NOT PROVIDE MEDICAL ADVICE
The information contained is for informational purposes only and is NOT intended to be a substitute for professional medical advice, diagnosis, or treatment. You should not rely solely on this information. Always seek the advice of your healthcare provider.