How to relieve breast engorgement after childbirth?

Written by Zhang Lu
Obstetrics
Updated on June 07, 2025
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Many new mothers experience breast swelling and pain after childbirth, primarily due to the poor secretion of breast milk leading to accumulation within the milk ducts, causing discomfort. There are several ways to facilitate milk flow and relieve breast pain: First and foremost, it is important to encourage the newborn to suckle more frequently, as this promotes milk expulsion and alleviates breast pain. Secondly, in addition to encouraging frequent suckling, using a breast pump can also help. Both manual and electric breast pumps are suitable for use. Thirdly, massaging the lumpy areas of the breast can help relieve the sensation of pain. These are some methods to ease breast pain by facilitating milk flow.

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Written by Lin Yang
Breast Surgery
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What is causing breast swelling, pain, and discharge of pus?

Breast pain and hyperplasia are related, while purulent discharge might be caused by inflammation within the ducts. Usually, this can be diagnosed through ductoscopy. If it is inflammation, the lesions can be identified under ductoscopy, and then can be treated through washing with metronidazole and gentamicin, achieving a cure. However, there is a scenario where the issue is due to previously forcefully suppressing milk expulsion, leading to a large amount of milk residue in the ducts, causing purulent discharge. In this case, local heat application followed by massage and milk expulsion performed by a professional lactation masseuse can cure the condition. Regular follow-up with ultrasound and mammography of the breast is needed in the future. (Medications should be used under the guidance of a physician.)

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Written by Lin Yang
Breast Surgery
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Is bilateral breast pain breast cancer?

Bilateral breast pain generally is not considered breast cancer, but rather breast hyperplasia. Diagnosis can be confirmed through breast ultrasound and mammography. The ultrasound of breast hyperplasia typically shows uneven low echo areas; if cysts are present, they appear as anechoic areas. Mammography may display a ground-glass or cotton wool-like shadow. However, it is important to be cautious of the possibility that breast hyperplasia and breast cancer may coexist. On one hand, patients with significant hyperplasia should be closely followed up, advised to return to the hospital every two to three months for follow-up examinations. On the other hand, patients with significant proliferative lumps or unclear boundaries in thickened breast areas are recommended to undergo a biopsy of the suspicious lesions to prevent misdiagnosis.

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Written by Jia Rui
Obstetrics and Gynecology
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What is the cause of breast pain before menstruation?

If breast pain occurs before menstruation, it is likely due to stagnation of liver qi, caused by discomfort of liver qi. Initially, one can use some traditional Chinese medicines that soothe the liver and regulate qi for treatment, which are very helpful in alleviating these symptoms. It is also important to avoid frequent anger, anxiety, and excessive heat, as these can affect menstruation and lead to breast pain during this period. If symptoms of premenstrual breast pain recur, it is also necessary to visit a hospital for a detailed examination, and an ultrasound of the breast can be performed to check for any breast lumps or related symptoms.

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Written by Zhao Li Li
Obstetrics
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What should I do if my breasts are swollen and painful and I can't pump milk out?

If breast pain has already occurred, it is still necessary to actively treat the symptoms. Normally, if the milk cannot be completely extracted after stimulation, it is possible that a blockage in the milk ducts may be occurring. It is generally recommended to apply local heat and massage to the breasts before pumping. These treatments can effectively promote local blood circulation and help the milk ducts to clear, facilitating the complete extraction of milk. If there is continuous non-discharge of milk causing local breast swelling, it's necessary to consider the possibility of mastitis and seek medical advice promptly to receive appropriate treatment.

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Written by Lin Yang
Breast Surgery
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What's going on with breast swelling, pain, and frequent urination?

Breast engorgement and frequent urination may be caused by mammary gland hyperplasia, and we can diagnose it through breast ultrasonography or mammography. Mammary gland hyperplasia is currently believed to be related to endocrine disorders causing increased levels of estrogen. It primarily manifests as cyclical breast pain, often occurring or worsening before menstruation, and diminishing or disappearing after menstruation. Mild cases may not be significant to the patient, but severe cases can affect daily life and work. However, some patients do not show obvious cyclical changes, and symptoms may include one or both sides of the breasts feeling engorged or a tingling itch, possibly extending to the shoulder, upper limbs, or thoracic and back areas. A minority of patients may experience nipple discharge, which can be yellow or brown. The condition can last for a long time, but symptoms will automatically disappear or lessen after menopause.