Thu 7 Feb 2008
Breastfeeding Challenges: Clogged Milk Ducts
Posted by Lisa Mitchell under Breastfeeding136 Comments
Breastfeeding is not without its challenges, issues can arise throughout the time you are breastfeeding your baby. One of the most common challenges women face is clogged milk ducts. Some women will breastfeed multiple babies and never experience this complication, while others will have it happen multiple times. There are many things that can cause clogged milk ducts, and luckily it is pretty simple to self treat if you catch it early and do your best to work through it.
Breastfeeding is one of the most rewarding things you can do as a mother. Your own body is producing milk that provides your baby with everything she needs as she starts her life. Once you get over the challenge of figuring out what you are doing in the beginning it becomes a lot easier and can really help to simplify your life as a new mom. However, it is not without its ups and downs, challenges can continue to arise. Continued breastfeeding is usually the best way to over come any challenges you may face, including clogged milk ducts.
Lucky me, I just got over my first (and hopefully only) experience with a clogged milk duct. It was painful and uncomfortable but through continued breastfeeding and a few extra little tricks I was able to get over it in just a few hours. More on that later.
So what are clogged milk ducts? Clogged milk ducts are just that, milk ducts that have become clogged, they also become inflamed and sore. This happens when milk fails to adequately drain from the duct. You will likely feel a hard spot in your breast, and it will be sore or tender to the touch. Some women experience redness on the skin of their breast as well. I found it was similar to engorgement but only in one isolated spot on the breast.
Milk ducts become clogged when milk fails to drain completely from the duct. There are many causes for this failure to drain including:
- Wearing a nursing bra that does not fit properly, either too constricting or has underwire that is pressing on a milk duct.
- An incomplete or skipped feeding.
- An inadequate breast pump that doesn’t drain the breast properly.
- Any sort of illness, like a cold or the flu.
- Increased stress.
- Sleeping on your stomach (it can put too much pressure on the milk ducts).
- Or it could happen for no apparent reason at all.
Clogged milk ducts can become infected if left untreated so it is important to do what you can to release the clog as soon as you recognize it has occurred. Luckily you can pretty easily self treat a clogged milk duct. For some women though self treatment is not enough and medication is required. Continued breastfeeding is the most important part of tackling the clog so even if it is painful you should continue to breastfeed through this challenge. Here are a few things you can try to help get the milk duct unclogged.
- Frequent breastfeeding.
- Pump after the breastfeeding session to ensure the breast has been completely drained.
- Start each breastfeeding session on the affected breast until the clog has resolved.
- Massage the affected area frequently and firmly.
- Apply a warm compress prior to breastfeeding.
- Vary your nursing position, many women find it helpful to point the baby’s chin towards the spot on the breast where the clogged milk duct is.
- Some women find it helpful to get more vitamin C (drink your orange juice!).
- Rest (I know, not the easiest thing to do with a baby).
The things that I found most helpful were frequent breastfeeding, always starting on the affected breast, pumping after the breastfeeding session to make sure it had been drained, massaging the area, and using a warm compress. I noticed the clogged milk duct when I went to bed one night and was able to get it unclogged by midmorning the next day.
There is a risk of infection with a clogged milk duct so keep an eye on things, if you begin running a fever or have flu-like symptoms call your doctor. If you are unsure if what you are experiencing is a clogged milk duct call you doctor or go see a lactation consultant. You should also call your doctor if you don’t seem to be able to get the duct unclogged with the self treatment techniques, you may have an infection or another issue going on.
Have you ever experienced a clogged milk duct, or any other breastfeeding complications? What worked for you to help get things moving again?
Care to comment
I had a blocked duct that started this morning -I took a hot shower, massaged, etc. and it didn’t help. I nursed frequently and tried pumping, but nothing. (I had a blocked duct months ago on the other side, and once the clot came out, while nursing, milk came squirting out and everything was fine) This evening after nursing I finally noticed a white clot, and took a hot bath, massaging it. I ended squeezing out clumpy milk, a lot of it. It was like popping a zit. I guess I was thinking I’d massage/squeeze out all of the clumps until it flowed like normal milk. I think all of the clumps are gone, but now I’m worried that I damaged my nipple and the duct because it still feels sore.
Kami,
Did you try pumping or nursing after you got the dried milk out, how did that go? Do you still feel like you have the clog? My nipple was sore for several days after my clog. If it doesn’t get better I would recommend talking to a lactation consultant.
I’ve had several clogged ducts this month and they really hurt. Now yesturday i finally unclogged last clogged duct i had and at night that same night i got the chills and my body was hurt really bad and my breast hurt and my nipple are totally chapped.I don’t know if i should call my regular doc? or my ob? please help!
Elena,
You can call either. Your ob will be more specialized in breast infections but either will be able to get you examined and put on antibiotics to help get rid of the infection. I hope you are feeling better soon.
Thank you so much lisa I did go 2 my ob and i do have mastitis.But at least i know now what the symptoms and will take care of it asap but lets just hope it doesn’t happen again. i really love this website you’ve giving me alot of answers 2 my questions again thank you so much lisa.
Elena,
I’m glad you got it looked at and are now on the mend.
Thanks for visiting and I’m so happy that you found what you were looking for.
Hi. I woke up Monday w/ a clogged duct. I stopped BF on 11/25. Had placed heat on it and it made it bigger so i went to my Dr. She told me to just use cabbage leaves to dry up the milk but didnt suggest anything to get rid of the plug. I see everyone keeps saying to nurse or pump but for me im not BF anymore. Ive been massaging/heat and nothing is happening except pain. Its now been 5 days…how long do these take to go away? Any suggestions on what i can try? Happy New Year!
La Shan,
I’m not sure with someone who is not nursing. When you are nursing you can usually get rid of them in a day or two as the sucking from the baby and the pumping helps to release the clog. I would recommend calling a lactation consultant to see if there is anything else you can do to help release the clog besides what your doctor has recommended. I hope you are able to find some relief soon.
This posting of info was very helpful, I have had a clogged duct for about 2months before my baby was even born, though I didn’t know. It got larger and larger and my OB nor the others in the office had known what it was, even my lactation consult didn’t know!!! They all felt that it was a fatty skin deposit and not to worry. I kept stating that it was painful, now nursing fully for the last two weeks, it was so painful and today I was basically crying! I went to the net yet again to find some relief and found this post- definitely what I have going on and in last two hours have excreted it myself and used hot compresses and feel so much better. Looking forward to a far less painful feeding!!! Thanks ladies!
Renee,
So glad you found some relief. It is terrible that the professionals who are supposed to be able to help with this kind of thing failed you. I’m sure you must be feeling much better now that the clog has finally been relieved. Best of luck with your new baby.
I had my first clogged duct yesterday and my baby is over 10 months old! It was very painful. I believe it had been coming on for a couple of days but I ignored it and yesterday half my breast was involved. I was finally able to release the plug, but my breast is still very sore and I am afraid it will happen again. My son sleeps through the night, so I do not empty my breast for 10 hrs or so. I don’t want to pump in the middle of the night because I am afraid that will stimulate more milk production that my baby doesn’t need, which can add to the problem. My question is, after the plug is removed, how long should treatment continue?
Kerri,
It is normal for the breast to remain painful for a couple of days after the clog. When I had my clogged duct I continued to start each feeding on that breast for a couple of days (until the pain subsided). That seemed to work. If you do get another clog or the pain does not go away I would recommend contacting a lactation consultant or your doctor.
I have what I think is a clogged milk duct. I had it while I was breast feeding. I had a huge lump, but I was not experiencing any pain or discomfort. I have not been breast feeding for almost a week now and I still have the lump. There is no pain, but could the lump be something else besides a clogged milk duct?
Lana,
I would recommend getting it check out by a doctor, especially since you aren’t experiencing any pain. Clogged milk ducts are often very painful, so it could be something else.
I think I have a clogged duct. It started hurting yesterday, just with pressure. But then it became VERY painful, especially when nursing. I took a hot bath, nursed, pumped, massaged, etc. I have nursed a few more times, starting with that side, but it still hurts! This morning there was a small red place on my breast (on the skin above the knot). My question is: when he nurses, it seems to empty, at least a little. I do get some relief, so does that mean its not a clogged duct? Or can a duct be partially clogged?
Cathy,
It can still be clogged even if you feel like you are getting some relief while nursing. I would recommend contacting your doctor or a lactation consultant since it has been going on for a few days with no relief. You want to make sure there isn’t something else going on like an infection.
my baby is 9 weeks old and for a few weeks now i continuously have what appear to be blocked milk ducts in both my breasts, i massage them every time my baby feeds and they appear to go, but then as soon as my breasts fill up again i see they’re still there, i also get a sharp uncomfortable tingling sensation in my breasts/nipples but i just assumed this was the let down reflex. i am really concerned that i can’t seem to shift the blockages and i’m going to get mastitis my health visitor wasn’t much help and hasn’t suggested anything.
Kerry,
I would definitely recommend that you meet with a lactation consultant to have a consultation. It could be that your baby isn’t latching on just right or something. She will be able to review how you are breastfeeding, how the baby is latching, etc to determine if there is something causing your continuous clogged duc. The hospital you delivered at should have lactation consultants on staff, they may have sent some contact info home with you, or you can contact your local la lache league (LLLI) to find a good consultant in your area.
I had clogged ducts about two weeks ago. This is my second child and with the first I also got clogs, but they resolved usually within a day. This time the clogs were there for over three days. I tried all the remedies, nursing almost every hour, pumping, heat, massage, alternating positions, even the laying directly over the baby position and nothing helped. The doc here in Sweden gave me oxytocin you spray up your nose and that helped get the clogs out, but now my breast is excruciatingly painful. It’s like I damaged tissue in my breast while I was trying to get the clogs out. I’ve been examined, and they say there is nothing wrong, it will pass soon, but it’s been two weeks and it hurts so much every time I nurse I’m so close to giving up =(. He’s only three months old and I wanted to continue until he was at least a year old though.
Cassi,
It is normal to have some tenderness after a clog has resolved, but it shouldn’t last 2 weeks. I would revisit the doctor and if you don’t get the answers you need then get a second opinion. You could also try talking to a lactation consultant, they usually have seen everything there is to see when it comes to breastfeeding and may have some answers for you that your doctor hasn’t even considered. I hope it improves soon and you are able to continue breastfeeding.
I am at my wit’s end… I was diagnosed w/ mastitis on Monday of this week after experiencing a high fever (103.8), extreme chills and shakes, all-over fatigure, and breast soreness (left side only). I am taking an antibiotic and *trying* to rest but can’t seem to conquer this breast infection. I still have hard spots under my left breast just above my implant. I am nursing often, applying heat, and firmly massaging but still no complete relief. Any other suggestions? Should I crank up my pump to the highest suction after a warm soak maybe?? I don’t want to do more harm than good! This BF stuff is hard:-)
Lesley,
I would recommend meeting with a lactation consultant so you can make sure the baby is latching properly and make sure there isn’t anything else you can do to help relieve the clogs.
[...] confusion can lead to other problems as well such as engorgement, clogged milk ducts, an extended nursing strike, sore nipples (from improper latch) and possibly loss of weight by the [...]
I have 10 week old twins, that were 8.5 weeks early…so they are not strong enough to pull their meals yet, so I am pumping everything. Last night I was pumping and I have been in lots of pain, and looked down and saw that my milk was red…I had pumped out 3 blood clots. I called my ob and lactation lady today and they said maybe clogged milk duct that cleared…has this happened to anyone else?
Abby,
Sorry, I”ve never encountered that or heard of it. When I had clogged milk ducts there was no blood involved. I would recommend asking your doctor to check you out just to be safe.
Hi about 3 days ago nursing got very painful on my left breast and it wasnt until today that i found a lump very painful to touch almost behind my nipple.. This is my 3 time breastfeeding but this is the longest I have gone before stopping. Go me 7 months! But anyways i think it might be a clogged duct but I have also being have flu like symptoms and cold sweats and fever so im worried i might be getting mastitis! What should I do? I live on base and its very hard to get in and see the OBGYN and my regular doctor is male and I rather not talk them about this…
Kami,
Congrats on making it 7 months. If you are running a fever and have other flu like symptoms you definitely need to get into a doctor so you can start on antibiotics to fight the infection. Do they have an urgent care type thing on the base, if not I’d definitely try your family doctor if you can’t get into an ob. I hope you’re feeling better soon.
I have a 9 1/2 month old baby who I weaned several months ago. I have had what I assume is a blocked duct (maybe a million of them?) for months now. My right breast is hard as a rock on the top. It’s not really painful to the touch, but after I apply heat and massage it is tender. I have been to the dr. several times and have even had an ultra sound because we were worried about the big C. Everything appeared normal. Not even an abscess. So now what???? I admit, I haven’t been applying heat everyday, nor do I pump because I’ve weaned my baby. Should I get back into pumping several times a day? Has anyone else ever heard of this happening? The docs I saw didn’t ever say anything about it. HELP!!
Ruth,
Wow, several months after weaning, I would think your milk would have dried up a long time ago. Maybe you have a damaged duct or something. I would recommend talking both a lactation consultant and another doctor to get a second opinion.
I would have thought it would have dried up by now too…I did talk to one nurse who said that she sometimes has people calling 6 months after they’ve weaned and said that there milk was still there. Thanks for the advice though. I do think I will give another doctor a call.
Wow, really?! That’s crazy. I think talking to another doctor couldn’t hurt, maybe he or she will know a good fix for it. Let me know how goes.
I have an appointment for Monday. I will let you know!
Please let us know Ruth! I have the same problem and I’m really nervous about it. I weaned my baby off about three months ago and since then have a huge hard mass on the inner top part of my breast. At first I thought it would go away on its own, but that hasn’t happened. It’s not painful at all or tender so it sounds a lot like what you are talking about. I’m going to make an appointment tomorrow but am curious as to what your doctor will say.
I’m really curious to find out what the two of you learn from your doctors. I think it is so helpful when we can share information, share experiences. There is so much we can learn from each other.
Hi there, I just wanted to give encouragement to those of you with plugged ducts. I had this happen for the first time starting yesterday evening, and I have to say it made me feel really scared. It seemed like a third of my right breast was extremely engorged. Hard and painful, but only in that specific area. Someone told me to run hot water into a disposable diaper, wring it out and use it as a hot compress, which I did. It worked well, retained heat longer than a washcloth. I nursed frequently and pumped. It didn’t seem to help at first. Then I tried The heated diaper and immediately used the pump while bending over and “dangling” my breast straight onto the pump shield. At the same time, I massaged/pushed with finger tips the hard area toward my nipple. Pushing gently towards my nipple. I kept repositioning my nipple so that different portions were receiving the most force. Eventually, I worked my way up to the highest setting. It worked for me. The hardness is gone, although it is still tender. I think that the “plug” is gone. Good luck to all of you! Try to keep calm and call your doctor. Rest and fluids were recommended by mine until the plug was gone to try to prevent infection…
Angela,
Thanks for sharing your tips and encouragement.