What are the treatments for mastitis suppuration?

If there is adenitis and suppuration has occurred, it means that it is a serious problem. The treatments include surgical treatment and non-surgical treatment. Non-surgical treatment mainly refers to local hot compresses, massage methods, and the use of some antibiotics.

1. Non-surgical treatment

(1) Infants can continue to breastfeed in the early stages of acute mastitis, but the nipple, the baby's mouth and the area around the nipple should be cleaned before and after feeding. This can help clear the milk ducts and prevent milk congestion. If the nipple is cracked or damaged, breastfeeding can be temporarily stopped, and a breast pump should be used to drain the milk. After cleaning the wound, apply anti-inflammatory ointment to promote healing.

(2) Local cold or hot compresses: In the early stages of inflammation, 25% magnesium sulfate can be used for cold compresses to reduce edema. If there is an inflammatory mass in the breast, use hot compresses instead, 20 to 30 minutes each time, 3 to 4 times a day. In addition, Chinese medicine can be applied externally to promote the absorption of inflammation, and physical therapy can be performed if conditions permit.

(3) Antibiotic treatment: Penicillin is the first choice. The dosage can be determined according to the symptoms. 800,000 U is injected intramuscularly 2 to 3 times a day. 8 million U can also be given by intravenous drip. Traditional Chinese medicine also has a good effect in treating mastitis.

(4) Local occlusive treatment with 20 ml of isotonic saline containing 1 million U of penicillin.

2. Surgical treatment

After an abscess is formed, no good antibiotic can replace incision and drainage. There are many methods of drainage, but the purpose is to drain the pus and dissipate the inflammation as soon as possible. The surgical treatment includes laser perforation and abscess incision and drainage.

3. Massage therapy

1. Oscillation method:

Patients with mastitis can use the hypothenar eminence of the right hand to apply force, and push from the breast lump along the base of the breast toward the nipple with high-speed oscillation, repeating 3 to 5 times. The effect is better when a slight warm sensation appears locally.

2. Kneading method:

Experts point out that patients with mastitis can use the hypothenar or thenar eminence of the palm to apply pressure to the affected area, gently kneading the red, swollen and painful areas, and repeatedly kneading and pressing the lumps several times until the lumps become soft.

3. Kneading, pinching and holding methods:

Patients with mastitis can use the five fingers of their right hand to grab the affected breast and apply kneading techniques, grabbing and releasing, and repeat the procedure 10 to 15 times. Use your left hand to gently pull the nipple several times to expand the milk ducts in the nipple.