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Could I have prenatal mastitis?

by Deb Donovan

question
I am 30 weeks pregnant with my fourth child. Two days ago I woke with deep, shooting pains in my left breast, radiating from the armpit towards the nipple. The pain has changed to a steady, throbbing ache. I do not have any redness, swelling, tenderness or lumps. I had a breast infection in this same area eight years ago when I breastfed my first child. Is it possible to have a breast infection during pregnancy?

answer
Breast infections (non-lactational mastitis) are possible before breastfeeding begins. Do you have a fever or other flu-like symptoms?

A persistent case of thrush, which can be indicated by shooting, deep breast pain, could also be the cause. Often women with thrush (candidiasis) have one or more of the following:

  • a history of vaginal yeast infections
  • use of antibiotics, steroids or birth control pills
  • history of diabetes (including gestational diabetes), anaemia or immune system disorders
  • a diet high in sugar and dairy products.

You need to see your GP to determine the cause of your pain and the appropriate treatment.

Best of luck.

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