What should I do if there is a large, painful lump in my accessory breast due to milk engorgement?

Swollen milk and accessory breast with a large painful lump can be treated by identifying the underlying cause. The condition may result from milk stasis, mastitis, or mammary gland hyperplasia, and can be improved through manual massage, medication, or surgery.

1. Milk Stasis

When breastfeeding posture is incorrect or the intervals between feedings are too long, milk in certain mammary lobules may fail to be properly expressed. This leads to milk accumulation within the mammary glands, causing this symptom. Professional manual massage at a hospital can help relieve the discomfort.

2. Mastitis

When the mammary tissue becomes infected by microorganisms, inflammatory reactions may occur, resulting in this condition. Symptoms may include redness, swelling, heat, and pain in the breast skin. Treatment may involve taking medications such as amoxicillin capsules, cephalexin tablets, or penicillin V potassium tablets, as directed by a physician.

3. Accessory Breast Hyperplasia

Mammary gland hyperplasia primarily occurs due to abnormalities in the normal development and regression process of breast tissue. Hormonal changes during lactation in women can easily lead to accessory breasts, and subsequent glandular hyperplasia may cause this symptom. Medications such as Ruxian Xiaozheng Pill, Xiaoyao Pills, or Xiao Jin Pills may be taken under medical guidance to alleviate symptoms. In severe cases, surgical intervention may be required.

For painful lumps caused by milk engorgement and accessory breasts, it is recommended to wear loose, comfortable underwear and avoid spicy or irritating foods.