Day 27 postpartum: localized pain and swelling in the right breast, followed by high fever
Disease description:
Today is the 27th day postpartum. I feel localized swelling and pain in my right breast, along with a high fever. What should I do?
Doctor's answer (1)
Dr. Lv Aiming
Postpartum breast pain and fever may indicate mastitis—a condition characterized by inflammation of the breast tissue, commonly associated with milk stasis and bacterial infection. The onset of these symptoms on day 27 postpartum warrants consideration of the following possibilities:
- Impaired milk ejection: leading to milk accumulation and creating an environment conducive to bacterial growth;
- Bacterial infection: such as *Staphylococcus aureus* or *Streptococcus* species;
- Breast duct obstruction: potentially resulting from incorrect breastfeeding positioning or blocked milk ducts.
If breast pain and fever occur postpartum, prompt medical evaluation is essential. Treatment may include antibiotic therapy, nonsteroidal anti-inflammatory drugs (NSAIDs) for pain and inflammation relief, and interventions to improve milk drainage—such as warm compresses, gentle breast massage, and proper breastfeeding techniques.
