How do you treat chronic mastitis?
Treatment for chronic mastitis typically includes a combination of antibiotics, anti-inflammatory medications, and supportive care. Here's an overview of common treatment approaches:
1. Antibiotics:
- Antibiotics are prescribed to combat the bacterial infection causing chronic mastitis.
- The choice of antibiotics depends on the specific bacteria identified through culture and sensitivity tests.
- Common antibiotics used include cephalosporins, penicillins, or erythromycin.
- The duration of antibiotic therapy may vary but typically lasts for 10-14 days.
2. Anti-inflammatory Medications:
- Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can help reduce pain and inflammation in the breast.
3. Breast Care:
- Regularly applying warm compresses to the affected breast can help relieve discomfort and promote drainage.
- Wearing a supportive bra that fits well can provide comfort and reduce breast pain.
- Avoiding activities that put pressure on the breast, such as vigorous exercise, can help minimize discomfort.
4. Breast Drainage:
- In cases where there's excessive milk stasis or a milk fistula, your doctor may recommend breast drainage techniques to clear blocked ducts and promote milk flow. This can involve manual expression or the use of a breast pump.
5. Rest and Hydration:
- Adequate rest is essential for allowing the body to heal and fight off the infection.
- Staying well-hydrated helps maintain milk flow and supports the body's immune response.
6. Weaning:
- In some cases, if chronic mastitis is recurrent or severe, your doctor may recommend weaning from breastfeeding to allow the breast tissue to heal. This decision should be made in consultation with a healthcare professional.
It's crucial to follow the treatment plan prescribed by your doctor and complete the entire course of antibiotics even if symptoms improve to ensure the complete eradication of the infection. If symptoms persist or worsen despite treatment, it's important to follow up with your healthcare provider for further evaluation.