Plugged, or clogged, ducts occur when milk accumulates in a particular duct and the breast is not properly drained. Most women with plugged ducts complain of soreness in one area of the breast and can typically feel a "knot" or a little ball in the affected area. Many mothers assume they have a breast infection, or mastitis, when this occurs, but if the following remedies work and a high-grade fever is not present, one can assume the plug has been cleared. Although plugs are uncomfortable, they are seemingly easy to remedy with a little persistence.
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How To Treat a Plugged Duct
- Breastfeed frequently from the affected side.
- Apply heat to the affected area and/or take very warm showers, aiming the nozzle right at the plug.
- Massage the area (and the entire breast) frequently, beginning in the armpit (axilla) and combing down toward the nipple.
- Take a long, warm bath and massage the breast.
- Aim the baby's nose (as best you can) toward the plug. The baby's feeding will ensure the best drainage of the breast.
- Avoid underwire bras! Most women find this to be the most daunting idea, but there are some wonderful, supportive bras that lack underwire. Some favorites include Bravado and Medela bras.
It is important to keep in mind that plugged ducts are easily resolved, but a mother may have residual soreness in the affected area for quite a few days after the clog has been released. This is very normal and to be expected in most cases. If a mother has recurrent plugged ducts, she may want to think about taking lecithin supplements, but she should speak with a lactation consultant before doing so.
