The main first signs of lactostasis that occur in the initial stage are soreness and discomfort in the mammary gland. When palpating a small, painful patch is examined in the usual mammary gland tissue. The skin above this site becomes hyperemic. First, the development of lactostasis, pain occurs only on contact with the mammary gland, later painful sensations persist. When plugging several ducts, there is swelling of the entire breast tissue, if one duct is damaged, the swelling can be traced locally only over the blockage site. Locally, over the damaged area, the skin temperature rises. Body temperature remains normal and the overall well-being of a nursing woman is usually not disturbed. In the late stage of the disease, when the conditionally pathogenic microflora is involved, the body temperature rises, the mammary gland becomes swollen and painful, the general condition of the patient worsens. There is a chill and weakness.
After detecting the site of the blockage of the breast, you must immediately proceed with its removal. The best thing here is the frequent and correct application of the baby, so that his chin was directed towards the formed lactostasis. Since no apparatus for expressing, no hands can cope better than the baby's mouth. And you need to apply as often as possible, it is better to lie down with a baby for a day in bed, and all the household chores to entrust to the other household members. In this case, the position for feeding should be chosen the most convenient, in which nothing should interfere and possibly relax as much as possible. If there is a prolonged blockage and painfulness or early onset of lactation, it is recommended that warm dry tissue be applied to the affected breast before feeding, and pancreating so that the baby is not saturated with the front milk without reaching the site of the problem. You can also massage the hardened area lightly, but you do not need to apply special forces. The main task of expressing the breast with lactostasis is to release the blocked duct. To do this, you need to place four fingers of the right hand under the breast, and the thumb on the upper surface of the breast. In this case, it is necessary to clearly feel the area of hardening under the fingers. Having grasped the gland in this way, the fingers move forward from the base of the gland to the nipple. These movements will provide a minor soreness, but it will immediately pass after the drainage of the duct. The main thing is not to overdo it with the force of pressure on the gland, as it can damage it and thereby aggravate the situation. If, after doing such a procedure, under the fingers there is a hardening, it is necessary to massage the block of the blockage again and continue to express. After pumping, the baby will be more difficult to suck, but it will definitely empty all the ducts. This procedure is recommended to carry out several feeds in a row. With the disappearance of symptoms, several more feedings should be started from the chest, in which there was lactostasis, and finish with the other breast. In any case, it was possible to cope independently with this problem or not, it is necessary to visit a specialized specialist - mammologist, and in his absence - a surgeon or family doctor. It is the doctor who will put an accurate clinical diagnosis and prescribe the correct treatment, correct the already performed manipulations and advise on the prevention of lactostasis.