Overcoming the Struggle: Healing from Subacute Mastitis & Breast Dysbiosis

Subacute mastitis also known as breast dysbiosis is a condition that can affect lactating women, leading to discomfort and potential complications. While subacute mastitis refers to inflammation of the breast tissue due to infection, breast dysbiosis involves an imbalance of the microbial community within the breast.

In this article, we will delve into the specifics of these conditions, their symptoms, treatment options, and whether they can be cured.

What is Subacute Mastitis/ Breast Dysbiosis?

Subacute mastitis/breast dysbiosis is a type of mastitis that occurs primarily in lactating women. It is characterized by inflammation of the breast tissue, often due to a bacterial infection. This condition typically develops gradually and may not present with severe symptoms initially.

However, if left untreated, it can worsen and lead to complications. Breast dysbiosis, on the other hand, is an emerging concept that refers to an imbalance in the breast’s microbial community. Just like in the gut, the breast also has its microbiota, and any disruption can contribute to various health issues, including mastitis.

What are the Different Levels of Mastitis?

Mastitis is generally categorized into three levels based on the severity of the condition:

1. Subclinical Mastitis

This is the mildest form of mastitis and may not present with noticeable symptoms. However, there may be an increase in somatic cell count (SCC) in the milk, indicating the presence of infection.

2. Acute Mastitis

This is the most common form and is characterized by sudden onset inflammation, leading to symptoms like breast pain, redness, warmth, swelling, and fever.

3. Subacute Mastitis

Falling between mild subclinical mastitis and severe acute mastitis, subacute mastitis is characterized by a slower development of symptoms, which may not be as intense as acute mastitis but can persist if not treated promptly.

Is Breast Mastitis Curable?

The good news is that subacute mastitis is curable with appropriate and timely treatment. Usually, antibiotics are prescribed to target the bacterial infection causing the inflammation.

In some cases, when the infection is resistant to certain antibiotics, your healthcare provider may adjust the treatment accordingly. Early detection and management are crucial to preventing the progression of the condition and avoiding potential complications.

What are the Symptoms of Subacute Mastitis?

Subacute mastitis shares several symptoms with acute mastitis, although they may not be as severe. Common symptoms include:

1. Breast tenderness or pain.
2. Redness or warmth in the affected area.
3. Swelling or lump in the breast.
4. Fever and chills.
5. Fatigue and body aches.

If you experience any of these symptoms, it is essential to consult a healthcare professional promptly for a proper diagnosis and treatment.

What is the Treatment for Subacute Mastitis?

The treatment for subacute mastitis usually involves a course of antibiotics to eliminate the infection. It is crucial to complete the full course of antibiotics, even if symptoms improve, to ensure the infection is entirely eradicated.

Additionally, warm compresses and gentle massage may help alleviate discomfort and promote milk flow. In some cases, your healthcare provider may recommend continuing to breastfeed or express milk from the affected breast to prevent milk stasis and further complications.

Is Mastitis a Serious Condition?

While subacute mastitis can generally be treated successfully, if left untreated or inadequately managed, it can lead to more severe complications such as breast abscess formation. In such cases, drainage or surgical intervention may be necessary to resolve the issue. Breast dysbiosis, while not as well understood, has the potential to contribute to recurrent mastitis or other breast health problems if not addressed.

Conclusion

Subacute mastitis and breast dysbiosis can cause discomfort and disruption to a breastfeeding mother’s life. Understanding the symptoms and seeking timely medical attention is essential to manage and cure these conditions effectively. With proper treatment and care, most cases of subacute mastitis can be resolved without significant complications, allowing mothers to continue their breastfeeding journey with confidence.

References

• Bergmann H, Rodríguez JM, Salminen S, Szajewska H. Probiotics in human milk and probiotic supplementation in infant nutrition: a workshop report. Br J Nutr. 2014 Oct 14;112(7):1119-28. doi: 10.1017/S0007114514001949. Epub 2014 Aug 27. PMID: 25160058.
• Douglas P. Re-thinking benign inflammation of the lactating breast: Classification, prevention, and management. Womens Health (Lond). 2022 Jan-Dec;18:17455057221091349. doi: 10.1177/17455057221091349. Erratum in: Womens Health (Lond). 2023 Jan-Dec;19:17455057231157916. PMID: 35441543; PMCID: PMC9024158.
• Mitchell KB, Eglash A, Bamberger ET. Mammary Dysbiosis and Nipple Blebs Treated With Intravenous Daptomycin and Dalbavancin. J Hum Lact. 2020 May;36(2):365-368. doi: 10.1177/0890334419862214. Epub 2019 Jul 16. PMID: 31310726.
• Amir LH; Academy of Breastfeeding Medicine Protocol Committee. ABM clinical protocol #4: Mastitis, revised March 2014. Breastfeed Med. 2014 Jun;9(5):239-43. doi: 10.1089/bfm.2014.9984. PMID: 24911394; PMCID: PMC4048576.

Frequently Asked Questions

Can subacute mastitis occur during breastfeeding?

Yes, subacute mastitis primarily affects lactating women due to the presence of milk in the breast ducts, which can become a breeding ground for bacteria.

Can breast dysbiosis be prevented?

While the exact causes of breast dysbiosis are not yet fully understood, maintaining good breast hygiene and overall health may help support a balanced breast microbiota.

Can I breastfeed my baby if I have subacute mastitis?

Yes, in most cases, it is safe to continue breastfeeding while undergoing treatment for subacute mastitis. Breastfeeding or expressing milk can help relieve symptoms and prevent complications. However, always consult your healthcare provider for personalized advice.

NOTE: If you are experiencing any health concerns or symptoms mentioned in this article, it is essential to seek personalized advice from a qualified health professional. Every individual’s medical situation is unique, and a proper diagnosis and treatment plan can only be provided after a thorough evaluation by a healthcare expert. Do not self-diagnose or delay seeking medical attention based on the information presented here. Consultation with a healthcare professional will ensure you receive the best possible care and support for your specific health needs.