Meet Jessica: a dedicated Registered Nurse and proud mother of three boys! Alongside her husband Alex, they share their parenting insights on their blog, alexnjessica.com. Jessica enjoys outdoor activities, gardening, reading, and quality time with her family. Read on to learn how lymphatic drainage massage while breastfeeding helped her overcome the pain of engorged breasts.

From the time I was young, I had dreamed of one day becoming a mom! Prior to fulfilling that dream, I went to school and became an RN right before getting married. My husband was also pursuing a nursing degree in hopes of furthering his education to become a Nurse Anesthesiologist.

Shortly after getting married my husband and I were both hired at the same hospital working night shifts in 2 separate units. I was working postpartum and loved being part of the beginning stages of life for new mothers! It only made me more excited, and yet terrified to become a mother. 

As part of my job, I was to help assist new mothers with breastfeeding. I worked daily with mothers sharing the tips and tricks I was taught, and helped support them in any way possible.  I saw a variety of experiences where some seemed to pick it up as if it was the easiest thing in the world, while others struggled to find coordination or pain tolerance. I began thinking there wasn’t much to it, and besides it would be a breeze for me…I had all the tips, tricks, and professional advice! Boy was I in for a rude awakening!!!

Our first son was born the same night both my husband and I had gone in for our routine shifts at work. From the beginning, breastfeeding seemed to go pretty well until after being discharged and realizing what it was like for my “milk to come in”. Talk about pain! Even with all of my nursing experience I still did not comprehend what it would feel like. Those first few days were an endurance process but I made it. The worst part however was the few months following. On more than a few occasions, I began getting what appeared to be clogged milk ducts, but only in the same breast.

For hours I would be in tremendous pain as my breasts continued to fill and harden. I was so panicky thinking it would turn into mastitis. Through much prayer, tears, and every position and frequency of feeding my son and I could manage, I was able to finally release the clogged ducts and find relief before mastitis set in. It was still a nightmare.

2 years later we got pregnant with our second son and yes I was nervous about breastfeeding. Little did I know there would be one of the greatest storms ahead. 

Our son was born with a congenital heart defect, so very soon after birth he was taken to the NICU and was unable to eat for many hours until an echo was performed and he was cleared that it was safe to eat. It was roughly 8 hours before I could feed him for the first time and I really believe this is what started my tremendous breastfeeding challenges.

My son remained in a cardiac unit at a children’s hospital for 4 days with close monitoring of his heart. It was extremely challenging to keep a good feeding schedule when he was in a different location than me. As my milk came in I began facing the worst pain I have ever experienced in my life… worse than childbirth (and I delivered totally natural with all three kids)! 

I became soooo engorged that each of my breasts competed with the size of my head. No matter what position I was in, I was in excruciating pain! Every time I fed it seemed as if letdown would occur but very little milk would release. Days went by before I finally started feeling relief. That officially was my worst nightmare!

I breastfed my second son until he was approximately a year, and it was a miracle I made it through that time without clogged ducts like my first experience. However, that year I went to great lengths to make each feed a focused event to ensure each breast was drained properly. 

When it came time for our third son to be born I was terrified for what the start of breastfeeding him would bring. I had been so traumatized by my former experience. The benefit this time had was that I was able to nurse my son within minutes of his birth. My hopes were high that this would make all the difference. Thankfully the first few days went relatively well but once again the dreaded stage came, my “milk coming in.” Although this 3rd round wasn’t as brutal as the 2nd, it was still a beast. I was again in tears while trying to maintain some degree of calmness and hope that it would pass. 

I was becoming frustrated as this stage didn’t seem to be an issue to many people I interacted with. Why was it that I was always so engorged postpartum? I began researching and stumbled upon the best understanding of what I was experiencing. 

The first few days after delivering a baby bring a whole slew of changes to a woman’s body, including trying to rid itself of all the excessive fluid buildup during and after delivery. What seemed to be occurring in me was that while milk was trying to flow in one direction out of my breasts, I had increased swelling and fluid throughout my lymphatic system that was trying to drain out the opposite direction through my lymph nodes, causing a major traffic jam. 

No wonder I felt as if milk was really struggling to release! I had so much swelling in my breasts and it was very apparent I needed to help the swelling before I’d see much progress with nursing. This YouTube video was a huge help in learning the best techniques to assist in lymphatic drainage: 

This knowledge came as my engorgement started to turn a corner so unfortunately I couldn’t apply this technique the whole time, but I believe it helped provide relief for the remainder of my engorgement!

I am so relieved knowing this technique as I hope it will create a much better experience with our next child. 

Amongst the pains and struggles the beginning stages have caused me, I am beyond grateful for the opportunity I have had to nurse all three of my boys! Breastfeeding is so bittersweet. It wasn’t easy and has definitely brought its challenges, but the bond and time with my boys has been priceless! 

I hope what I have learned will help in any engorgement you experience.  Know that it will pass!! There is light at the end of the tunnel and the rewards are tremendous!

The post The Nightmare Of Engorgement:  How Lymphatic Drainage Massage While Breastfeeding Helped Me  appeared first on From Bump To Bubble.

Breastfeeding is a beautiful experience for both the mother and her baby. It creates an unbreakable bond and provides essential nutrition for the baby. However, it can also come with challenges, including understanding breast engorgement vs mastitis. These conditions can occur anytime and cause discomfort and pain, making it difficult to continue breastfeeding. In this article, we will discuss the difference between engorgement and mastitis, their causes, symptoms, and treatment options.

How to tell the difference: Engorgement vs mastitis

Here’s what you need to know:

What is engorgement?

Breast engorgement is when there is an overabundance of milk in the breast tissue, causing them to feel swollen, hard, and quite tender. It can happen at any point during your breastfeeding journey, but it’s especially common during the first few weeks after delivery as your body adjusts to your little one’s feeding needs. When your hormones shift, the blood supply to your breasts increases and you make more milk; you’ll feel as if your breasts are fuller. Basically, engorgement arises when milk is not being effectively drained from your breasts, leading to a backlog of milk (known as milk stasis) and some discomfort.

This condition can affect one or both breasts and can happen when there’s a sudden increase in milk supply or if you’re having difficulty with breastfeeding. Most often engorgement happens when it’s been a few hours since the last breastfeeding or pumping session (very common in the morning). When milk ducts become blocked, breast engorgement can become a real pain in the…well, breast. But don’t worry, there are things you can do to ease the discomfort and get back to enjoying your breastfeeding journey.

Causes of breast engorgement

Engorgement can be caused by various factors, including:

• Too much milk: When there is an oversupply of milk, it can cause the breasts to become engorged.

• Infrequent breastfeeding: If the baby does not nurse frequently enough or feeds are supplemented with expressed or formula milk, breast milk can build up in the breasts.

• Difficulty latching: When the baby has difficulty latching onto the nipple, due to tongue tie, for example, it can lead to engorgement.

• Blocked milk ducts: If a milk duct is blocked, it can cause milk to back up in the breast tissue, leading to engorgement.

• Not emptying the breast at each feeding session: Not alternating sides or rushing feeds can mean that both breasts are not fully emptied leading to engorgement.

Symptoms of breast engorgement

Breast engorgement can cause the following symptoms:

• Swollen breasts that feel hard and painful or tender to the touch

• Nipple pain

• Warmth in the affected breast

• Difficulty latching

• Tight clothing can make the pain and discomfort worse

• Blood vessels on an engorged breast may be more visible.

How to relieve engorgement

If your breasts are engorged relieve the symptoms by trying the following:

• Avoid tight clothing

• Drink plenty of fluids

• Frequent breastfeeding: Nursing your baby frequently and allowing them to finish one breast before switching sides can help alleviate engorgement.

• Pumping: If your baby is not nursing effectively, pumping can help drain the breast and reduce swelling.

• Gentle massage: Gently massaging your breasts in a circular motion can help increase milk flow and reduce swelling.

• Warm shower: Taking a warm shower and allowing the water to flow over the breasts can help reduce swelling.

• Warm compress or moist heat: Placing a warm compress or moist heat on the affected breast can help reduce swelling and relieve pain.

• Seek medical advice: Discussing engorged breasts with a lactation consultant is important – there may be latching issues causing sore nipples or another problem with breast feeding causing engorgement.

What is mastitis?

Mastitis is a condition that results from a blocked milk duct, leading to the growth of bacteria in the breast tissue. It’s an infection that can happen in one or both breasts, and it can cause flu-like symptoms such as body aches, fever, and fatigue. For breastfeeding mothers, this condition can be particularly uncomfortable, and they may experience soreness, redness, and pain in the nipple area on the affected side.

In some cases, bacteria (staphylococcus aureus) or a fungus (candida albicans) from your baby’s mouth or throat can enter your breasts via the nipple (especially if there is a nipple fissure or crack) and can cause mastitis.

Mastitis can occur at any time during breastfeeding, but it’s most common during the first few weeks after giving birth. If breast pain is left untreated, mastitis can lead to an abscess, which can require antibiotic treatment. So if you’re experiencing any of these symptoms, it’s essential to seek medical attention as soon as possible.

Symptoms of mastitis

Mastitis symptoms appear rapidly and can be a combination of the following (usually in just one breast):

• Localised breast discomfort, pain and tenderness, which can be severe

• A swollen, sore breast

• Warmth and redness in the affected breast

• Body aches

• Fever

• Flu-like symptoms

• Hard lump in the breast

• Nipple discharge

How to treat mastitis

If you experience any symptoms of a mastitis infection, it is crucial to seek medical advice promptly. Your doctor will probably prescribe antibiotic therapy to treat the infection and treat mastitis. The following treatments can also help alleviate the symptoms of mastitis:

• Effectively draining the breast by continuing to breastfeed or pump milk: This helps relieve blocked ducts and prevents engorgement.

• Seeking medical advice promptly if symptoms do not improve: Prompt medical attention can prevent complications and ensure proper mastitis treatment.

• Pumping: If the affected breast is too painful to nurse from, pumping can help drain the milk and relieve engorgement. Make sure to use a high-quality breast pump and properly sanitize it before and after each use. This will help to keep milk flowing.

• Warm compresses: Applying warm compresses to the affected breast can help increase milk flow and reduce pain. You can use a warm towel or a warm water bottle.

• Moist heat: Taking a warm shower or bath can also help relieve pain and reduce swelling. Make sure the water is not too hot and avoid using soap or harsh shower gels, as they can dry out the breast tissue.

• Pain medication: Over-the-counter pain relief medication such as ibuprofen or acetaminophen can help relieve pain and reduce inflammation.

• Gently massage the breast: Massaging the affected breast can help reduce swelling and relieve pain. Use gentle pressure and work towards the nipple to help unclog plugged milk ducts.

• Applying ice packs: Using ice packs on the affected breast can also help reduce inflammation and relieve pain.

• Rest: Getting plenty of rest and avoiding tight clothing can help reduce the risk of developing mastitis.

• Remember, the key to preventing mastitis is to effectively drain the breast, and that can be achieved by breastfeeding or pumping regularly. If you experience any symptoms, it’s important to seek medical advice promptly.

  If left untreated, infective mastitis can lead to an abscess, a painful collection of pus within the breast tissue that may require surgical drainage. Therefore, seeking medical advice promptly is essential if you experience any symptoms of mastitis.

Engorgement and mastitis: Risk factors and prevention

Many breastfeeding mothers are at an increased risk for engorgement and mastitis, particularly during the first few weeks after delivery.

Risk factors for engorgement include:

• Oversupply of breast milk

• Difficulty latching

• Infrequent or irregular feedings

Risk factors for mastitis include:

• Cracked nipples – nipple fissures can act as an entry point for infection

• A weakened immune system

• Poor breast hygiene

How to prevent engorgement and mastitis

Moms can prevent engorgement and mastitis by:

• Establish a good breastfeeding routine

• Ensure proper breast hygiene

• Avoid wearing tight clothing

• Let your baby finish feeding from the first breast before offering the other

• Seek medical advice if symptoms occur

• Wean slowly – moms are more likely to experience engorgement if the wean too quickly

• Continue to breastfeed on side with the blocked duct

• Alternate breasts when pumping and breastfeeding

• Reguarly inspect your breasts for hard lumps, red areas and pain

• Take care of nipple fissures by pumping and using nipple creams.

Conclusion

In conclusion, engorgement and mastitis may have similar symptoms, but they are different conditions that require different treatments. It’s important to realize that engorgement will ALWAYS affect the whole breast and not parts whereas mastitis tends to affect sections of one breast. Engorgement is caused by too much milk in the breasts, while mastitis is an infection of the breast tissue. Both conditions can be prevented with good breastfeeding practices and proper breast hygiene. Seeking medical advice is crucial to ensure effective treatment and relief.

Final thoughts

For most women, engorgement is an inevitable part of breastfeeding. Many moms first experience it on day 2 or 3 after birth when their milk comes in – it’s a very strange feeling! Mastitis on the other hand may or may not be experienced by breastfeeding moms.

Your breasts are hardworking life-giving machines so treat them with care and respect. Always seek help from a lactation consultant if you have any concerns about breastfeeding in general or engorgement specifically. This is one of those occasions in life when it is absolutely OK to ask for help as often as you need it. And don’t hesitate to be seen by a doctor if you feel unwell with flu-like symptoms or have a painful breast – mastitis is no joke and needs urgent treatment.

Engorged vs mastitis FAQs

For more breastfeeding advice check out my other posts:

16 Breastfeeding essentials

The best wearable breast pumps

The best nipple cream for breastfeeding

When does breastfeeding get easier?

The 11 best books about breastfeeding

11 common breastfeeding problems

Successful breastfeeding: A comprehensive guide

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