Clogged milk ducts are painful and sometimes progress to mastitis if they aren’t resolved. Here is everything you need to know, including how to tell if you have a blocked duct, how to treat it, and how to prevent them in the future.
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What is a clogged duct?
A clogged milk duct is also called a blocked duct or a plugged duct.
It occurs when the flow out of your milk ducts has narrowed or been obstructed in a certain spot. The area may get inflamed, and milk flow out of this area may slow.
What causes blocked ducts?
Inflammation and swelling in the milk ducts may narrow the space the milk has to travel out of your breast. This can be caused by genetics, medical conditions you may have, recent use of antibiotics, or other reasons.
Clogged ducts can also occur if your breast tissue is irritated for other reasons – for example, if your bra is too tight, if you are sleeping on your breast, if your diaper bag is rubbing against your chest, etc.
Another theory is that clogged ducts may occur when milk isn’t removed on a regular basis from the breast, such as if a feeding or pumping session is missed.
Sometimes, blocked ducts seem to occur for no obvious reason.
What are the symptoms of a clogged duct? How can I tell if I have one?
Common symptoms include:
- A small, hard, painful lump in your breast.
- The area around the lump might be red, warm to the touch, and sore.
- The breast may be more tender before pumping or feeding, with some relief afterwards.
- Usually, only one breast is affected.
- The flow of milk out of the affected breast can be slower, because the pressure from the clogged duct may collapse the other ducts around it.
Clogged duct vs mastitis
You may have mastitis if you have any of the following symptoms in addition to the painful lump:
- Fever
- Chills
- Flu-like aching
- Headache
- General malaise (you just don’t feel well)
More on mastitis symptoms and treatment here.
How do I treat a clogged milk duct?
Here are nine strategies to clear plugged ducts with a breast pump (everything from obvious to last resort).
1. Continue pumping on your normal schedule
Sometimes it can be painful to pump on the side that has a clog, and it can be worse at the beginning of a pumping session, before and during letdown.
One way to manage this is to start pumping only on your “good,” unaffected side until your milk lets down. Then, start pumping on the clogged side and empty the affected breast as much as possible.
2. Try vibration/lactation massager
Many people have found that gentle vibration helps break with blocked ducts.
You can try an electric toothbrush, but if you are prone to clogs, a lactation massager that is shaped to help you work out plugged ducts with vibration is a good investment. It’s also waterproof, so you can use it in the shower!
(*The lactation massager I recommend is available on amazon, or you can also get a 10% discount buying directly from LaVie with the promo code EPUMP.)
3. Do gentle breast compressions while you pump
While you pump, do gentle breast compressions on the affected side. You can try and massage the milk in affected duct towards the nipple.
Be careful not to massage too forcefully, as you don’t want to inflame the tissue further.
4. Use a warm compress before pumping, and alternate with ice
A warm compress (such as a warm washcloth or Booby Tubes on your breast prior to pumping may help with pain.
Be careful not to overdo the heat, and alternate with ice after pumping. It may be helpful for reducing the inflammation.
5. Take ibuprofen
It will both help with the pain and reduce the inflammation the clogged duct is causing in your breast.
Ibuprofen is considered safe to take when breastfeeding. The Academy of Breastfeeding Medicine recommends 800mg every eight hours.
Other options for clearing a clogged duct
The Academy of Breastfeeding Medicine recently changed their guidelines on mastitis and ductal narrowing, and the above suggestions reflect that guidance.
Below are some things that had been recommended prior to these changes for women struggling with clogged ducts (and many sources still recommend). I’m going to list them here, and you can make an informed decision on whether you want to consider trying any of these.
6. Put epsom salt in a Haakaa pump
Some women in our Facebook group have seen success with putting 1-2 tablespoons of epsom salt and warm water into a Haakaa pump (a manual breast pump that you can attach to your breast with suction).
To do this, put the epsom salt into the pump, and fill it a little more than halfway with warm water. Your nipple should be submerged when you suction it on. Keep it on for about 10 minutes.
This should be done gently and sparingly in order to avoid inflaming breast tissue further. Additionally, this should not be done if you have any open wounds (such as a cracked nipple).
7. Try dangle pumping
Lots of people will suggest “dangle feeding” (nursing while leaning over your baby, so that gravity can help free the blockage) to help get out a clog, but that’s not helpful when you’re exclusively pumping.
Instead, you can try dangle pumping. Dangle pumping means pumping while you’re leaning over so that your nipples are pointed towards the floor. (While there’s no evidence that it works, some have seen success this way.)
Here is a great overview of how to do it in different positions.
8. Use a comb in the shower
Kellymom suggests using a comb on top of the area where the plugged duct in order to work the clog out.
Take a wide-toothed comb into the shower with you, draw it through a bar of soap, and gently massage it over the clogged area towards the nipple.
Gentle is the key word here – this shouldn’t hurt or be forceful; you don’t want to inflame your breast tissue.
9. Ask your partner to help you
Some women have success with having their partner provide suction on the affected breast.
(Mine was a hard pass on this, but if you’re desperate and your partner is willing, it might work.)
How long do plugged ducts last?
Blocked ducts usually resolve within 24-48 hours.
If you have a lump that lasts longer than a few days, see your doctor to rule out any other potential issues besides clogged ducts (such as a galactocele).
Clogged ducts may affect your milk supply as well, reducing output in the affected breast. It may also take a little time for your supply to recover after the clog is cleared.
How can I prevent clogged milk ducts in the future?
1. Stick to your schedule
Sometimes women notice that they get a clogged duct when their pumping schedule suddenly changes (for example, if they skip their middle of the night pumping session).
It’s a good idea to be consistent when you can, and to make changes to your schedule gradually.
2. Consider lecithin
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.
(Legendairy Milk reached out and gave me a discount code for their sunflower lecithin. Take 15% off with the code 15EPUMP!)
More information on lecithin and clogged ducts here.
3. Make sure your breast shields are the right size
Another thing to watch out for when it comes to avoiding clogged ducts is making sure that your breast shields are the right size.
Having flanges that are too big or too small can cause irritation and inflame breast tissue.
Need help with exclusive pumping? Use EPUMP30 for 30% off
4. Check to make sure there’s nothing else irritating your breast
The last thing to do is to make sure that your bra is comfortable and not too tight, that you aren’t sleeping on the affected breast, that there isn’t a diaper bag that rubs against your breast, that kind of thing.
Hopefully this helps you clear your clogged duct and prevent them in the future! Let me know in the comments if you have any questions.
References
- Katrina B. Mitchell, Helen M. Johnson, Juan Miguel Rodríguez, Anne Eglash, Charlotte Scherzinger, Kyle Widmer, Pamela Berens, Brooke Miller, and the Academy of Breastfeeding Medicine.Academy of Breastfeeding Medicine Clinical Protocol #36: The Mastitis Spectrum, Revised 2022.Breastfeeding Medicine.May 2022.360-376. http://doi.org/10.1089/bfm.2022.29207.kbm
- Newman, Jack. “Blocked Ducts and Mastitis.” https://www.canadianbreastfeedingfoundation.org/basics/mastitis.shtml
Comments & Chitchat
Jen says
Hi, I’m 3 weeks pp and I have mastitis on one breast, which I’m on antibiotics for, I now have another bout of it on the other site of the same breast. I’ve been pumping the same as the other side breast, tried hand expressing, Epson salts etc and only a drop is coming out. My breast is so enlarged. Nothing im doing is achieving let down on the affected breast.
My question is, will I keep getting blocked milk ducts and then mastitis again untill it’s all cleared up? Is it ok that I’m not achieving let down and that my ducts aren’t blocked?
My mental health is taking a down turn to. I just want this circle to end!
Amanda Glenn, CLC says
Oh no Jen – I’m so sorry to hear this. I am a little concerned that you’re not able to express any milk from the affected side. I would call your provider and ask about this because I’m worried about you getting an abscess.
After this is resolved – are you taking lecithin at all? It may help. It may also just get better as your baby gets older. I’m SO SORRY you’re dealing with this!
Kate says
Hi there! I just wanted to give you the heads up that the mastitis protocol has changed per new research. Emptying the breast completely and massaging the sore spot can increase inflammation and risk of mastitis and abscess. Let me link you an excellent presentation on the topic. Instead, cold compresses and an anti-inflammatory for 24hrs to see if symptoms change. Breastfeed as usual.
https://www.oregonwashingtonlactation.org/past-events/new-academy-of-breastfeeding-medicine-mastitis-spectrum-protocol-2022-with-dr-katrina-b-mitchell
Bethany says
I have a clog in one of my breasts and I tried the HaaKaa with Epsom salts but my nipple wouldn’t submerge into the water. I’ve also tried warm compress, vibrations and pumping and feeding but it hurts so much to do those. I can’t seem to get it out
Amanda Glenn, CLC says
Hi Bethany! If it’s been more than a day or two, I’d see your doctor just to check it out. Good luck!
Bwatson says
Hi I’m trying to dry up my milk, I haven’t been pumping but my boobs are huge and hard. Do I need to pump a little or not? I don’t want to get mastitis but I don’t want my milk to keep coming in..
Amanda Glenn, CLC says
Hi! I would definitely wean gradually. I’m not sure if you’re exclusively pumping or not but if you are, here’s what I would recommend:
https://exclusivepumping.com/weaning-from-the-pump/
Danielle says
I have been having pain in my right boob, and the nipple is significantly larger on that side than my other. I’ve tried pumping more, ibuprofen, haaka epsom/warm water soaks… but it’s not getting better. This morning I pumped and barely got any milk out of the affected side. It hurts when I nurse my daughter on that side as well! I’m just ready for it to go away and go back to nursing as usual
Amanda Glenn, CLC says
Hi Danielle! Do you think maybe you need a larger flange size on the right side? I’m wondering if that could be contributing to the pain and your difficulty with getting milk out?
Reema says
Hi Amanda- i am 8 weeks post partum and was pumping 6 times a day to feed my baby. This week i tried to drop a session as i will be going back to work soon and won’t be able to pump at work. Since dropping a session over 4 days, i keep getting this area of clogged duct. I got mild fever too but once i managed to get the clog out, the fever went away. But my problem is that i keep getting this clogged duct again and again. I use hand massage but it doesn’t go away. I am so scared that it might lead to mastitis. What should i do?
Amanda Glenn, CLC says
Hi Reema! I might take lecithin to help prevent clogs. If it seems like you’re leaving milk on that side, maybe try hand expressing a bit on that side too? Just a thought. Good luck!
Lauren says
I have a plugged duct under my right breast, and it is a stubborn one. I’ve tried vibrating toothbrush, tons of pumping and massage, and the epsom salt haaka soak. My question is about the haaka soak. I’ve been doing it after I pump (so that I don’t waste the milk), but do I need to be doing it in lieu of pumping such that the milk flows into the rosin salt water? A little still comes out right now, but I’m wondering if it needs to be a “true pump” for it to be effective in unclogging a duct.
Amanda Glenn, CLC says
Hi Lauren! So sorry to hear that. I do not think it needs to be a “true pump.” I hope you are able to get it out soon!
Jessica says
We found a small white dot on the nipple. Once we poked it with a pair of tweezers, the milk started flowing again!
Mallory says
Life saver! This just worked like a charm for me too, when nothing else was working. Thanks!
woman says
Firmly massage the affected area toward the nipple during nursing or pumping, and alternate with compression around the edges of the blockage to break it up.
Jumka says
Hi, I have stopped breastfeeding when my son was only 6 months, I had a clogged duct in my left breast. I have tried everything but nothing worked for me, and it’s been 17 month since I stopped breastfeeding but I still have that lump and it hurts when i press the lump. Do you think it’s still a plugged duct? If yes what should i do ?
Amanda Glenn says
Hi Jumka, Oh no! Usually clogged ducts don’t last that long. I wonder if it is maybe a galactocele? I would see a doctor and see if they can aspirate it. You also want to rule out any other issues. Good luck!
Riddhi says
Hi,
It’s been two weeks since I have a clogged duct in my left breast, there is a hard tennis ball shaped lump which reduced as I pumped and applied ice packs but it keeps coming back as my breasts get fuller. Now the pain has extended till my left elbow, there is also a small lump under my armpit. Is this normal? It really hurts, epically while laying down. I have taken pain killers for two weeks now and I am fed up of taking meds.
I tried massages, hot water baths, continuous pumping!
my little one is 7 months old, he even feeds from my left breast but yet no change to my lump. I have an appointment tomorrow with my doctor, I haven’t taken the antibiotics course yet as it’s not red, nor did I get fever, but any suggestions would be really helpful.
Also does this happen where the pain extends all the way till the elbow?!
Thanks.
Riddhi
Amanda Glenn says
Hi Riddhi, it sounds like it might be a galactocele? Clogged ducts don’t usually get that large. I will link to more info. Let me know if you think it sounds like that might be it.
https://exclusivepumping.com/a-pain-in-the-boob-galactoceles/
Alexa says
Sounds a bit more serious if it’s been that long. However next time that happens keep an eye on the actual nipple — mine was getting clogged and was forming this small small rock like, so I had to squeeze / massage my nipple really hard so it can come out. I tried everything Else nothing worked —— You want to look for any white really small pimple looking thing. —. Good luck and I hope you get well.
Alexa says
Check this out.
CRISTALM SAYS
JANUARY 12, 2019 AT 6:24 PM
Kelsi says is a life saver poked at the white spot in my nipple with tweezers and immediately had a stream and relief!! Amazing! Never knocking anything till I’ve tried it again!!
Reply
Amber Brown says
Try lecithin you can buy these capsules over the counter and they worked for me take 4 a day
AleXa says
This is how I solved my boob job like I like to call it. 😂
1. Took a 20 min epsom salt bath
2. Continue with a hot shower while using a Manual pump and massaging ( I felt comfortable and minimal pain. Plus I got to take a nice bath 🤪. Once milk started jeting out things got better.
3. After I was out of the shower/ bath. Feed the baby
4. And last but not least pumping pumping pumping
5. made a scheduled to pump pump pump —don’t want the boob job again 🤣
Amanda Glenn says
Love the epsom bath idea! Thanks for sharing this!
Ewa says
I just had this problem. I ve solved it within couple of hours. If u catch it quick and act on it you shud be fine. Hot compress, massage and express as often as possible. I was doing it every 30 min and within 2 hrs it went.my days such a relief. Good luck
Maggie says
I tried your method and holy crap did it work! You weren’t kidding about the jet! I practically exploded! Thank you!
Nina says
Thanks to all of your for your helpful advice! I was clogging almost daily but have been clog-free for about a week. I’d like to share a few observations that worked for me in case it could help any of you:
– Wipe the nipple with a wet washcloth or even baby wipe after each pump. My theory is that any milk left causes microcalcifications that can block the duct at the surface of the nipple. I had read to rub the milk residue on the areola to condition it and I think that was the biggest culprit for me.
– Have your partner loosen the clog at the surface as much as suck it out. I think there must be enzymes in saliva that help break up the clog.
Good luck!
Amanda Glenn says
Great suggestions!
CristalM says
Kelsi says is a life saver poked at the white spot in my nipple with tweezers and immediately had a stream and relief!! Amazing! Never knocking anything till I’ve tried it again!!
Anna says
I’ve never had this happen before and tonight when I sat down to pump my “good boob” wasn’t producing any milk after 10 minutes. I put a wet washcloth on my boob with Saran Wrap over it and then my heating pad on top. Sat here for an hour messaging with a vibrator, messaging with my hands, and trying the breast pump. I got a few drops but that’s it. I decided to try the shower and my husband nursing idea I read in the comments.
I took a very hot shower and messaged breast for 15 minutes. Got out and my husband used both his hands wrapped around the boob and squeezed while sucking very hard. It took maybe 4 tries and it unclogged! I was able to hand express a steady stream! Then I pumped to empty the boob completely! Thank you for the help!
Amanda Glenn says
Glad you got it out!!!!! 🙂
Vanessa says
What should I do my baby is six years old and my Brest are not leaking but they are swollen and hard is that normal
Amanda Glenn says
Hi Vanessa – are you still lactating or is this coming out of nowhere?
Kim says
Does the incision leave a bad scar? Also do you guys think trying to dry out my milk help with unclogging? I have tried everything plus antibiotics and nothing seems so change or get better it’s been more than a week now. I’m only getting more frustrated!
Tanya says
The incision I got was very tiny! I cannot see the scar, plus mine was on the areola ? so that helped hide the scar if it’s noticeable. I strongly encourage you to talk to your doctor. That’s not normal. And I’m not sure if drying out milk will help because it may not be milk causing the ball.
Kim says
Thank you for your response! Yes, i have a lump on the side of my breast that doesn’t seem to get smaller and on the top of my breast it feels hard and hot and its also red which doesn’t seem to get better either…
Tanya says
Ay, yes go to Dr. I went again after first batch of antibiotics when my breast began to turn red. I
Nik says
Its been two months since m living with a clogged duct. Now its the size of a tennis ball. m pumping evry 2 to 3 hour.. n have a latch issue with my 3 month old son… i took anti biotics twice but nothing seems to help.ne suggestion how should i proceed with it..
Amanda Glenn says
Do you think it might be a galactocele? Just wondering because I haven’t heard of a clogged duct getting that big.
https://exclusivepumping.com/a-pain-in-the-boob-galactoceles/
Tanya says
Something similar happened to me. I got very strong antibiotics I had to pump and dump and that didn’t work! I went back to my Dr and he had to cut open to release the infection. Ball was the size of a regular sized marble.
Kelli says
I have a pea sized clog right now on my right breast. I’m still getting the same amount of milk out at each pumping session as before though. It’s hard and tender and I’ve tried the warm compresses, massaging, vibrating face cleaner thing and pumping that side a lot. It doesn’t feel like it’s getting smaller or moving. Suggestions? I woke up today like that and it’s still that way. What kind of Dr. do you see about this?
Amanda Glenn says
Ugh, I’m so sorry. I would keep doing what you’re doing – you’re doing all of the right things! Maybe try running a comb on it in the shower?
You should be able to go see your OB about it.
J says
I’ve had that a couple of times and it went away eventually. For me it took about a week. Just keep pumping as you do and continue to massage and apply heat compress.
Tanya says
You can see your obgyn. I just had an incision done on my breast for a hard lump the size of a $.50 coin, on the areola. I tried everything and nothing helped dislodge it. Antibiotics were so strong I was pumping and dumping, and eventually stopped taking them bcus I was getting ugly side effects.
See your Dr and they will help you, whether with antibiotics and techniques, or incision. Good luck! I’m so sorry you’re in this situation, it was horrible for me.
Tanya says
I have a blockage on the areola down to my nipple. I’m exclusively pumping, baby bit is only 1 month old. It’s too painful to even try to see if he latches on to help unclog. And the pump flange doesn’t allow me to massage the clog while pumping. Hand expressing is excruciatingly painful. What else can I do to get rid of this clog? Suggestions? I have decided to stop pumping once this clog is gone so I’ve been applying cold packs to both breasts.
Amanda Glenn says
You poor thing. That sounds terrible. If you have decided to wean I would take Sudafed, put cabbage leaves on it constantly, and pump as much as you can with the pain. Take Advil (or another NSAID*) for the pain. Pump the unaffected side normally so that you don’t end up with issues there too. I’m so sorry and hope it gets better soon!
*Note: I’m not a doctor
Tanya says
Sudafed? How does it help? Cabbage leaves are my best friends right now. They provide cushion too allowing me to hold my baby without pain 🙁
Amanda Glenn says
I have no idea how it works! They did a study though and women taking it lost 25% of their supply in a few days.
Jen says
I want to share this with as many moms as possible, so that hopefully it won’t happen you. I got a clogged duct almost 8 weeks ago now. Every time I asked a health care professional or looked online at what to do they all said that unless I have a fever, just keep trying to work it out. So for weeks I applied heat pads, massaged, took as hot baths/showers as I could manage, pumped on all 4s, took lecithin, used a wide tooth comb, pumped every hour for 30+ mins ect…..
I started to feel very tired and had body aches, but still no fever. And the mass in my breast kept growing bigger and bigger, but because there was no fever no one seemed concerned. Eventually I had enough! I went to my doctor and got an ultra sound. Turns out I had a huge abscess. They said this is what happens AFTER mastitis. They think I was so exhausted from being a new mom that I didn’t even notice. And now I’ve had to have a cathedar placed in my breast to drain the abscess. I had a natural childbirth and this is just as painful as that (sometimes more)! I don’t want another mom to go through this. If you can’t work out your plugged duct in 2 days max: go to your doctor! Get on antibiotics and get yourself fixed asap. You do not want to go through this! Trust me. Please share with as many new moms as you can. You don’t need a fever to have mastitis. Plugged/clogged ducts are very serious and should not be ignore!
Katie Pagano says
I was on a good schedule – 5 sessions a day – and then had an insanely busy week that messed it all up. I only did 4 sessions on Thurs and woke up in the middle of the night with a rock hard boob. I pumped it immediately and it felt better, but it hasn’t gone away completely. I pumped 6 times (including that one) and woke up again with a rock hard boob 🙁 I pumped immediately but it’s very tender now – maybe from the massage/compressions. I took Ibuprofen and it’s starting to feel a little better… QUESTION: How often should I pump if I want to get back to my 5 sessions/day schedule???
Amanda Glenn says
Hi Katie! I would pump as often as you can to get the clog that it sounds like you have out, and then just drop back to 5. You can keep the side that’s not hard/tender on a 5 pump a day schedule and just do the affected side more often. Good luck!
Susan says
Hello! I’m an experienced clogged duct getter outer. I’d say I have to have passed the 25 mark sometime this week… I have talked to many people and tried just about everything suggested to prevent the clogged ducts. Never had any mastitis or any issue like that just pain and discomfort and sometimes a little fatigue. I think that it may be caused by an allergy. I have found some information on that recently. I have used advil to treat it and it seems to come out without much effort. I take two once I feel a hard spot that is the clog. I then go on to massage in hot shower and use my vibrating face cleaning device on it. Then I pump to empty and massage the spot/feed the baby. I go to bed and then feed in the night. It clears by then normally or soon the next day. The advil helps with the inflammation! It will relieve you of the pain too…
Ann Kang says
Hi Susan, I have the same problem. I get frequent clogged ducts every few days with both of my babies. For me, sometimes I can get it out with removing a hard tiny sand like calcium deposit from the nipple. Other times, taking 400mg motrin will completely resolve it but then over next few days it will slowly start growing in the same area. Taking lechitin has helped reduced the amount clogged ducts. But if I dont pump every 2hrs in the day and every 3hrs at night I will get a clogged duct. It is exhausting.
Jade says
I have had so much issues with lumps, but turns out it was the Chair I was sitting on.
Initially I was sitting on the sofa while pumping and I kept on getting lumps, and I have tried everything i.e. hot compress, massages by hand / vibrating massage tool, hot showers, hand express, 4 lecithins a day, spent heaps of money on physio ultrasounds, soaking in salt water to clean nipple…. everything I read out there I tried…
Then I moved chair to the dining table chair (discovered this when on holiday using a different chair while pumping) and suddenly no lumps! possibly due to the ergonomics? I dont know, but my life have significantly improved so much without constantly worrying if I would get a lump or not.
Hope this can help !
Caroline says
I went to the doctor yesterday for this problem (my right breast was completely clogged). I had tried a hot shower, manually expressing, hot compressing and painful attempts to pump. I had a TERRIBLE case of mastitis with my last child and wanted to avoid that if at all possible. The midwife told me to soak my breast in a bowl of hot water (as hot as I could stand) for 5-10 minutes and then pump as much as I could stand. It worked like magic…I feel like a new woman!
Kristi says
Oh that I have never heard of. It’s like engorgment and I’m not getting nearly as much milk when I pump as normal. The doctor prescribed the antibiotics for potential mastitis.
Amanda Glenn says
Does this seem like what it might be?
https://exclusivepumping.com/a-pain-in-the-boob-galactoceles/
What made your doctor think you had mastitis? Was it this clog plus a fever or something?
Amanda Glenn says
Does it seem like it could maybe be this?
https://exclusivepumping.com/a-pain-in-the-boob-galactoceles/
Can I ask why your doctor thought you had mastitis? Did you have a fever or something at the same time you had this clog/galactocele/whatever?
Last question: is this an OB or a general doctor? Thanks!
Kristi says
Thank you for writing this. What happens if you can not remove a clog? I’ve been at it for two days now. The hard lump is the size of a baseball. I am on antibiotics but still can not get it to clear.
Amanda Glenn says
Oh geez. Are you sure it’s a clog and not a galactocele? I didn’t know that clogs could get to be the size of a baseball. Was the antibiotic prescribed for the clog?
Chrissie says
I have a galactocele – it’s hard and is the size of an almond. It’s been confirmed through ultrasound. I’ve also had a huge plug that involved my entire breast at one time. I used cabbage leaves (recc by my nurse at the birth center), heat and an ultrasonic tooth brush and alterning hand massages. Stressing about it makes it worse but I’m sure it’s not easy to be relaxed in that situation.
michelle says
My troubles with clogged ducts all began when I tried to drop a pumping session. I tried to stretch my time between pumping sessions from 5 hrs to 6 hrs in order to pump 4 times a day rather than five. Something about that extra hour caused quite a bit of engorgement and I kept getting clogged ducts on the underside of my right breast (my better producing breast). It took me TWO WEEKS to figure out that with all the engorgement, I needed to now start my pumping session with a larger shield on my right side, and then switch back to my smaller shield halfway through the pumping session (the smaller shield provides more nipple stimulation and better letdown for me). So the shield switching worked pretty effectively, but I would still occasionally get a clogged duct on the topside of my right breast. I would have my husband suck on my nipple like 3 or 4 times and it would start flowing. I finally figured out that all I needed to do when this happens is just gently rub a rag across my nipple to break open the ducts at the end of my nipple. Visually I could see no problems, but I think my ducts would seal over if I went a good amount of time between sessions. In conclusion, I went back to pumping five times a day, but I now feel better equipped to try for four again! I hope I have better luck this time around.
Kelsea says
I have gotten mastitis twice and just now I woke up with a hard breast and knew if I didn’t resolve it I would get it again. All the other times I did notice a white spot on the end of my nipple and I would sterilize a needle and poke it hoping that would open it up but it didn’t. This time I saw a white spot and used tweezers and gently tugged on it and pulled it out! ( It was just a little bit bigger than the size of a splinter) That did the trick! I then manually expressed the milk out of the blocked duct and my breast is no longer hard! So LADIES IF YOU HAVE A WHITE SPOT ON YOUR NIPPLE GENTLY PULL IT OUT WITH TWEEZERS!!!! This will relive the issue faster than anything else! Good luck!
Laurie says
I could kiss you Kelsea! I’ve been trying to relieve this knot in half my breast all day, till I read your comment. I found a white spot on my nipple; it didn’t seem hard enough to grab with tweezers, so I poked it with a needle. Sure enough, milk started flowing out of the white hole easily and I was able to nurse and pump till it was gone. Amazing, thank you!
Samantha says
kelsea, I echo what Laurie has said below… I just followed this advice and you SAVED ME.
Women out there with a clogged duct: I filled a mixing bowl with the hottest water I could stand and dunked my boob in for 5 minutes. I could then squeeze a little out. 5 more minutes in super hot water, some squeezes, and then 5 more again. That’s when I saw the little white “dot” almost like the top of a whitehead pimple? I squeezed around it and then got it with a tweezers and then OMG the duct was unclogged and the milk river was flowing. I’ve never seen anything like it. Good thing I had a mixing bowl handy because I could basically fill it. I called my mom and sis to come watch and they were in awe. It was one of the craziest things I’ve ever seen. Now I have relief 🙂
C from za says
Thanks Kelsea. Here i was thinking the white spot is due to the constant sucking as im trying to nurse af often as possible. The moment i opened the white spot and massaged really really hard milk came streaming out. I used hot towels and even dunked my breast into hot water to help and everytime streams of milk came out. Soon after this i nursed my baby hanging over him and the relieve was amazing. I could literally not feel the clogged ducts anymore. Breast still very tender even 24h after but the warm / pulsing feeling subsided. Thank you.
Michelle says
This SAVED ME!!!!! OMG TYTYTYTY. I took a hot shower, and was able to squeeze out the Hard Rock like thing that was in that little pore of my boob. Instant relief. Milk shot out everywhere.
Kristin says
I had them all the time too, and was ready to give up. Finally someone recommended (in addition to warm compress, shower, etc.) to do both lecithin and ibuprofen. And I was told specifically SUNFLOWER lecithin, NOT soy lecithin. It’s harder to find but doesn’t have the estrogen issues soy does.
It sure seemed to work. The ibuprofen I think kept the inflammation down and the lecithin helped the milk to flow…By that time my supply was so messed up I never got a ton of milk, but was able to almost eliminate the clogged ducts.
Paula says
Thank you for the replies, I have started taking the lecithin and a tea called mothers flow. The mothers flow is supposed to help with the amount of milk I’m producing and of course the lecithin is to help with the clogs. I haven’t really had anymore clogs but my milk supply is still low. Hopefully if I increase the amount I’m pumping, my milk might increase also
Chrissie says
Yes, I get my sunflower lecithin from
Amazon. It’s great!
Paula says
I have clogged ducts and I’m pumping, I try breastfeeding but since the flow of my milk is so slow my baby gets fussy. That’s when I try to pump. How often should I be pumping and breastfeeding? And how do you use a pin to get the clumps out?
Chrissie says
I have a pumping app called Baby nursing and it reminds me every 4 hours so I try to stick to 4 hours around the clock. I sometimes go about 6 but anything longer is painful. I had a really bad case of mastitis after I went longer than 7 hours twice in one weekend. No plugged duct – just went straight to full blown mastitis.
Zoe says
My baby was premature (born at 33 weeks) so I have spent time exclusively pumping and had many clogged ducts leading to painful lumps and engorged breasts. Every single time it happened I was able to find a small white spot in my nipple. Sometimes these were difficult to find. The blockage was always on the same side as the breast lumps and hand expressing helped find them (revealed parts of the nipple where no milk was coming out). Sounds gross but I used a sterilised pin to gently work the blockage out. It was such a relief and far less painful than massaging/pumping it out, which I found very difficult.
T Joshi says
I got a clogged duct because of holding the breast pump flange too tightly restricting the milk flow while pumping. Taking a shower on the affected breast for 10 minutes and massaging the breast at the same time helped. In the shower, I massaged the breast and also squeezed milk out. I also asked my husband to nurse on that breast after shower which definitely helped in getting the flow started. I then hand expressed for an hour and took shower again for 10 minutes. And nursed the baby immediately after shower. She was then able to drain the breast completely.
Kendra says
Hey ladies. I current have a clogged duct and my husband nursed the affected breast was able to relieve some of the pressure quicker than my baby and the pump. He has done it a few more times and it’s definitely helping. If your husband or partner is willing to do that for you give it a try.
Claudia says
I’m a young mother and this is my first time breastfeeding I’ve had a plug duct for a few days now and I try to feed a lot on that side but it hurst so darn much my boob will shrink but then 10 mins later it’s filled and hard again someone please help I’m desperate ?
Nancy says
Did you resolve your issue? I was told by my doctor to keep constant heat on it. Keep a warm compress in your bra and pump/breastfeed often and keep a warm compress on when you’re pumping. Also, try the lecithin. Using both these strategies have helped me. Good luck!
Tracy says
Hi Courtney and Claudia,
I too have been dealing with some nasty knots and have been from the start, especialy on my right side. I read this article the other day and it has honest to god helped ALOT!!! Its called a pressure massage (which can hurt like hell, but totally worth it). The only difference that i had made was i actually take both hands, ✋✋place one on each side of breast and squeeze together like a vice using the pressure from the bottom of my palms. Every time i do, milk will start either oozing out or shooting across the room, lol. Before doing this, i couldnt even get a drop (especislly on my right side), and when i alternate the position of my hands (ex: bottom of breast in one hand and top in the other), i notice that milk starts to come out of different holes, not just one. Then, i got on all fours and faced my daughters feet towards my head and let her do her thing. I felt a difference the first time and she seemed content and didnt fuss AT ALL. It was very exciting and i only did it once today but i am going to keep it up and see where it take us. Here is the link that i found on the Dr. Sears website : https://www.askdrsears.com/topics/feeding-eating/breastfeeding/common-problems/plugged-milk-ducts
I got this when i googled using these search terms because nothing i found on plugged ducts had been helpful thus far:::
GOOGKE SEARCH::: how to push dislodge force expel force deep in breast tissue plugged milk clogged duct out of nipple pressure massage
I too have been using lecithin, seems to be helping. The liquid lecithin is nasty so yiu might wanna get it in pill form if you choose.
Keep it up, your doing amazing guys and Courntney, if your breasts hurt really badly, try the bottle method::: Here is a link that might be able to help you because it slowly draws your milk out. https://en.hesperian.org/hhg/A_Health_Handbook_for_Women_with_Disabilities:If_you_cannot_breastfeed
Hugs and hang in there
Courtney says
Ugh. These have been the scourge of my existence! I have had my left side plugged up 8 times in 12 weeks. It is definitely from skipping pumping. I take lecithin, and it just keeps happening. LO is three months old and every time I get one, I just want to throw in the towel. Trying very hard to stay motivated. 🙁
Amanda Glenn says
So sorry you’re dealing with this! 🙁
Isha says
Hi Amanda, felt hardness in my right breast a day ago. What can it be? (No fever. No pain, no redness) With emptying with hand express, massage, hot compress it is dissolving . However, I feel the production of both the breasts has reduced (why both). Is this temporary ? Is it normal that the let down and flow gets affected too ?