Can You Treat Mastitis Without Antibiotics?

Are antibiotics your only mastitis option?

If you're a breastfeeding mum, chances are you've heard the dreaded "M" word—mastitis. Whether you're dealing with it now or trying to avoid it altogether, the good news is that it doesn't always require antibiotics. Yes, you read that right! Sometimes, a few simple at-home remedies can help you nip mastitis in the bud before it escalates.

But, before we dive in, let’s get one thing straight: always consult your healthcare provider before deciding on any course of treatment. Now, let’s talk about ways to treat mastitis without reaching for antibiotics!

What Exactly is Mastitis?

Mastitis is an inflammation of the breast tissue, often caused by inefficient milk removal (milk stasis) or a blocked milk duct. Symptoms include redness, swelling, heat, pain, and sometimes fever. Sounds fun, right? If left untreated, it can worsen, and that's when antibiotics might come into play. What usually happens in this case is that due to intense inflammation in the breast, the perfect environment for OUR OWN bacteria to multiply occurs. It’s rarely because of bacteria entering the nipple. So in many cases, mastitis can be managed at home with some TLC.

Home Remedies to the Rescue!

Keep Breastfeeding (or Pumping!) Yes, it may be the last thing you feel like doing, but continuing to breastfeed is one of the best things you can do. Emptying the breast helps clear the milk and reduce inflammation. The best position is the most comfortable one for you and bub. No need to change things up now. Think of it as finding the “sweet spot” for both you and your baby! Oh, and keep it to your usual routine, no need to do extra!

Warm Compresses A warm compress before feeding can help soften the swollen area and get the milk flowing. A warm shower works too, and who doesn't love an excuse for a shower? But remember, not too hot—this blog isn't titled "Is heat bad for mastitis" for nothing!
Massage, Gently! Massaging the affected area can help move swelling along. Think of it like helping your body remove any unwanted waste. The hard part about the internet as it can be unclear as to how to do this properly. We teach you how to use your hands in the best way in our online courses Mastitis Rescue.

4. Hydrate and Rest Yes, you've heard this one before, but it’s true! So, kick back, drink some water, and let your body do its thing. Mastitis is a sign that your body is asking for a break—so give it one!

5. Cold Compress Cabbage leave are often touted as a mastitis hack. Seems reasonable right? They’re the perfect boob shape and they’re nice and cold! However, recent guidelines suggest regular cold compress is just as effective. Besides, cabbage leaves to leave you vulnerable to listeria infection, so best to pop that one on the old wives’ tale shelf for now!

When to Seek Medical Help

While home remedies can work wonders, sometimes mastitis needs a little more attention. If your symptoms aren’t improving after 24-48 hours or you’re feeling worse (think high and uncontrollable fever, chills, or intense pain), it’s time to call in the professionals. In these cases, antibiotics may be necessary to clear the infection and get you back to your breastfeeding groove.

The Bottom Line

So, can you treat mastitis without antibiotics? Sometimes, yes! With the right combination of home care and rest, many mums find relief without needing a prescription. But if things don't improve, don’t hesitate to seek medical advice. Your health and your baby’s health come first—always.

Remember, mastitis is common and totally treatable, so don’t panic! You've got this, mama.

Author: Elise Fuller

Osteopath & Your Two Jugs Co-Founder

Elise Fuller & Katie Willy

Osteopaths & Your Two Jugs Co-Founders

Elise & Katie are Melbourne based osteopaths who have been actively treating breastfeeding women in clinic since 2015. During 2020 lockdown they launched Your Two Jugs to educate more mamas about how to treat their own mastitis, blocked ducts and engorgement. Their online video based courses Boobology and Mastitis Rescue is available now with all the techniques we show our mamas in clinic.

Your Two Jugs is passionate about support for mamas from the top. Boob Hero is a comprehensive health care practitioner course to educate manual therapists on their contribution to supporting breastfeeding women with hands on care. Empowerment all starts with education, and the more support available for women, the better.