What are the treatments for acute mastitis?

If you suffer from acute mastitis, you must pay attention to timely treatment. Drug treatment is indispensable. It can be through drug injection or the use of some antibiotics. In severe cases, surgical treatment with incision and drainage is required to reduce the harm.

1. Drug treatment:

1. Rest after early injection, stop breastfeeding on the affected breast, clean the nipple and areola, promote milk secretion (using a breast pump or sucking), and stop breastfeeding if incision and drainage are required.

2. Apply 25% magnesium sulfate hot compress and physical therapy locally.

3. In the early stage, 800,000 to 1,000,000 U of penicillin plus 10 ml of 1% to 2% procaine dissolved in 10 to 20 ml of isotonic saline can be used for closed injection around the tumor.

4. Systemic application of antibiotics. To prevent and treat severe infection and sepsis, antibiotics are selected based on bacterial culture and drug sensitivity, and intravenous antibiotics are given when necessary.

2. Surgical treatment:

Once an abscess is formed, surgery should be performed promptly to incise and drain it. Small superficial abscesses can be treated under local anesthesia, while large and deep abscesses should be treated under intravenous anesthesia. The incision is made in the center of the abscess, where the fluctuation is most obvious, but abscesses deep in the breast or behind the breast may not have obvious fluctuation. The incision should be large enough and radiate from the nipple, or be made in an arc shape along the skin fold under the breast. After entering the abscess cavity, use your fingers to explore and open up all the intervals within the abscess to ensure smooth drainage. If it is a retromammary abscess, you should insert your fingers deep into the retromammary space and gently push it open to allow the pus to flow out smoothly. For dumbbell-shaped abscess, oral drainage can be performed if necessary. Drains should be placed after all abscesses are incised, and dressings should be changed daily. Pus should be routinely cultured and tested for drug sensitivity.

3. Diet therapy for acute mastitis

(1) 1 pig’s trotter, 25g of day lily, stew until cooked and eat without adding any seasoning, once a day. Used for early stage mastitis before pus formation.

(2) 1 baby pigeon, 30 grams of astragalus, and 30 grams of wolfberry. Wash the baby pigeon, wrap the astragalus and wolfberry in gauze and stew them with the baby pigeon. After they are cooked, remove the residue and eat the pigeon meat and drink the soup. Used in the recovery period after mastitis rupture.

(3) 100 grams of polished japonica rice and 50 grams of dandelion. Boil dandelion in water to extract the juice, add rice to cook porridge, and take it in divided doses daily. It is used for mastitis with residual heat after the pus has been cleared.

(4) Use any amount of green onion roots and a little alum. Wash the green onion roots, chop them into small pieces and put them into the alum.