Clogged ducts are painful, make pumping unpleasant, and can lead to mastitis if they aren’t cleared quickly. Here is everything you need to know about them.
What is a clogged duct?
A clogged (or plugged) duct occurs when the milk flow out of your breast has been obstructed in a certain place.
A lot of the time, this can happen when milk isn’t removed quickly enough from the breast for whatever reason, such as if a feeding or pumping session is missed. They can also occur if your breast tissue is irritated for other reasons – if your bra is too tight, if you are sleeping on your breast, if your diaper bag is rubbing against your chest, etc. Sometimes, they seem to occur for no obvious reason.
How can I tell if I have one?
When you have a clogged duct, you generally can feel a hard, painful lump in your breast. The area around the lump might be red, warm to the touch, and tender. The breast may be more tender before feeding, with some relief after a feeding. Usually, only one breast is affected.
Additionally, the flow of milk out of the affected breast can be slower because the pressure from the duct with the clog may collapse the other ducts around it.
If you have other symptoms in addition to a painful lump, such as a fever, chills, flu-like aching, and malaise, you may also have mastitis. It’s really important to start treating a clog as soon as you notice it, before you develop mastitis. Mastitis is like having the a terrible flu but with a baby to care for 24/7; if you’re exclusively pumping, it’s even worse because you still have to be functional enough to pump instead of just lying down and nursing your baby a lot while you have it.
How do I treat a clogged duct?
To treat a clog, empty the affected breast as often and as completely as possible. That means pump (at least the affected side) as often as you can. A warm compress (such as a warm washcloth or a heating pad) on your breast before you pump can help with emptying – just make sure that it’s not so hot that you hurt yourself.
Sometimes it can be painful to pump on the side that has a clog, and it can be worst at the beginning of a pumping session, before and during letdown. One thing that you can do about this is hook yourself up to pump only on your “good,” unaffected side. You can either just have a breast pad covering the side with the clog, or you can hook everything up on that side except the breast pump – put the breast shield and pump parts in place to collect any milk that comes out when you letdown, and then attach the pump to the pump parts on the affected side once letdown has occurred from pumping on the other side.
Once your milk lets down and you hook yourself up, empty the affected breast as much as possible.
While you pump, do breast compressions on the affected side. You can also try and massage the affected duct towards the nipple. Some women have recommended using a comb on top of the area where there plugged duct is while pumping in order to work the clog out.
Finally, take ibuprofen! It will both help with the pain and reduce the inflammation in your breast.
This sucks. How can I prevent clogged ducts in the future?
The best way to prevent clogged ducts is to empty your breasts completely and on a schedule. Breast milk production is a system of supply and demand, and clogged ducts often happen when supply suddenly exceeds demand. If you’re prone to clogged ducts, it’s best to not skip pumping sessions unless you have no choice; additionally, you should try to make sure that you empty your breasts as much as you can.
An exception to the “make sure you’re empty” rule would be if you were weaning or trying to decrease your milk supply. In situations like this, you don’t want to empty all the way, but you do want to stick to a schedule and gradually decrease the amount of milk that you remove from your breasts, so that your body has time to catch up.
A few other things to watch out for when it comes to avoiding clogged ducts are making sure that your breast shields are the right size (not too big or too small), that your bra is comfortable and not too tight, and that you aren’t sleeping on the affected breast.
If you are prone to getting plugged ducts, you can also try taking lecithin. It may help in reducing the “stickiness” of milk by increasing the amount of fatty acids in the breast milk; the less sticky milk is better able to flow out of the milk ducts. The recommended dose is 1200mg, taken 4 times per day.