Understand the concern
Attachment problems, engorgement and inflammation can cause pain. Not every painful nipple is a fungal infection; repeated treatment without assessment may miss the cause.
What assessment may involve
A feeding professional can assess positioning, attachment and milk transfer. A hot painful breast, a lump or systemic symptoms may need a clinical examination.
Care options to discuss
With mastitis, avoid forceful massage and expressing more than the baby needs. Feeding can usually continue; get an individual plan if it is too painful. Some cases need antibiotics or further treatment.
These are discussion points, not a prescription. Suitability and availability vary.
A question you may have
Should I suddenly stop breastfeeding for mastitis?
Usually no. Seek advice on comfortable feeding or expression rather than stopping abruptly.
Prepare for your appointment
What to record
Record when pain occurs, breast changes and feeding concerns. Ask for assessment of your baby as well as you.
Questions worth asking
Can you observe a feed and check milk transfer?
What should prompt another review?