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Breast engorgement is a condition that occurs when the breasts become overfilled with milk, causing them to become swollen, firm, and painful. This condition is most commonly experienced by breastfeeding mothers within the first few days or weeks after giving birth, as their bodies adjust to the increased demand for milk production.

Breast engorgement can make breastfeeding difficult and uncomfortable for both the mother and the baby. It can also lead to other complications, such as mastitis or blocked milk ducts. However, with proper management and treatment, breast engorgement can be relieved and breastfeeding can continue successfully.

Though breast engorgement can be uncomfortable, with proper attention, you can free your breasts and have an easing breastfeeding journey. Once your baby starts to feed on you, your body stimulates to open up the milk gates and its production. 

What Is Breast Engorgement?


Breast engorgement is a condition that happens when there is an excessive accumulation of milk in the breasts. This results in swelling, discomfort, and a feeling of fullness in the breasts.

Breast engorgement can occur for a variety of reasons, including an oversupply of milk, delayed feedings, skipped feedings, or ineffective milk removal. It can be a temporary condition that resolves on its own, but in some cases, it can lead to more serious problems such as mastitis, or a painful breast infection. Proper management and treatment can help relieve the discomfort associated with breast engorgement and prevent complications.

Engorgement is a state of heavy breasts with extra milk, blood, and other fluids. This over-filled milk can cause painful alterations while breastfeeding and otherwise. Along with pain, you can feel stiffness & hardness in your nipples. 

As we speak of it, engorgement can be undone with a few steps but it can also be a prolonging sign of babies not feeding enough indicating an improper latch. 

Engorgement can hang around anytime your breastfeeding journey. Breast Engorgement can also become a problem when you start to wean off your baby. It can also be caused due to a change in the baby’s breastfeeding or pumping schedule! 

Symptoms Of Breast Engorgement


Easily noticeable, symptoms of engorgement can be visible on the 4th or the 5th day of milk production. Depending on your milk supply, this date can vary. Mothers with extreme milk supply will feel breast engorgement more often. 

Engorgement can appear at any stage of your breastfeeding journey. It can be in the initial days or the middle or the weaning period. Anytime, you pause the natural milk flow, engorgement would be a by-product. 

These certain breast engorgement symptoms can hint you a pause:

  • Swelling and firmness of the breasts
  • Pain or discomfort in the breasts
  • Breast tenderness or warmth
  • Skin that appears shiny and stretched over the breasts
  • Difficulty latching on during breastfeeding
  • Decreased milk flow during breastfeeding
  • Nipple pain or soreness
  • A feeling of heaviness or fullness in the breasts
  • Low-grade fever
  • Flu-like symptoms, in severe cases.
  • Stiff areola/nipples. Hard and painful when touched.
  • Pain in the breasts raised to the armpits.
  • Hardness in the complete breasts. 
  • Nipples flat out making the latch harder for the baby.
  • Can be witnessed in both or a single breast
  • The pain might not be stable and alleviated/decreased at times.
  • Skin stretched and tight, throbbing sensation along with pain. 

Breast engorgement can also be a result of an improper latch. That is, your baby not feeding enough or is unable to latch. If you are having fewer dirty diapers, check for the latch and consult your doctors asap. 

What do engorged breasts feel like?

Engorged breasts feel swollen, firm, and painful or uncomfortable to the touch. They may feel heavy and full, and the skin over the breasts may appear shiny and stretched. Engorgement can also cause the nipples to become flattened or misshapen, which can make it difficult for the baby to latch on during breastfeeding.

The breasts may feel warm to the touch, and the woman may experience a low-grade fever or flu-like symptoms if the engorgement is severe. Engorgement can be uncomfortable and even painful, but it is usually temporary and can be managed with proper breastfeeding techniques and self-care measures. If the engorgement persists or is accompanied by other symptoms, such as redness or fever, it is important to seek medical advice.

What are the main reasons for breast engorgement?

Breast engorgement can be caused by several factors, including:

  1. Oversupply of milk: When a woman produces more milk than her baby needs, the breasts can become engorged.
  2. Delayed feedings: If a woman waits too long to breastfeed, the milk can accumulate in the breasts, leading to engorgement.
  3. Skipped feedings: Missing or skipping breastfeeding sessions can cause milk to build up in the breasts and result in engorgement.
  4. Ineffective milk removal: If the baby is not latching on properly during breastfeeding or is not removing milk effectively, the breasts can become engorged.
  5. Weaning: When a woman stops breastfeeding or reduces the frequency of breastfeeding, it can lead to engorgement.
  6. While Breastfeeding breast hard as a rock.
  7. Blocked milk ducts: If a milk duct becomes blocked, milk can accumulate in the breast, leading to engorgement.
  8. Medications: Certain medications, such as hormonal birth control or medications that suppress lactation, can cause breast engorgement.

It is important to identify the underlying cause of breast engorgement in order to manage the condition effectively.

How To Relieve Breast Engorgement?


Breast engorgement can be uncomfortable and painful, but there are several ways to relieve it. Here are some tips:

  • Breastfeed frequently: The most effective way to relieve engorgement is to breastfeed frequently, ensuring that the breasts are fully drained.
  • Pump If the baby is not able to empty the breasts completely, consider pumping after breastfeeding to remove any remaining milk.
  • Apply heat: Applying a warm compress to the breasts or taking a warm shower can help to increase blood flow and relieve engorgement.
  • Massage: Gently massaging the breasts in a circular motion can help to stimulate milk flow and relieve engorgement.
  • Use cold compresses: Cold compresses can help to reduce swelling and relieve pain. Apply a cold compress for 15-20 minutes at a time, several times a day.
  • Wear a supportive bra: A supportive, well-fitting bra can help to reduce discomfort and support the breasts.
  • Take pain relievers: Over-the-counter pain relievers such as ibuprofen can help to relieve pain and reduce inflammation.

Engorgement treatment is most of the time easy & effective. You must initiate milk flow to release the tension. There are more than ways to initiate the milk flow. 

Since you breastfeed more than half the hours, engorgement can be extra uncomfortable. These in-between reliefs for engorgement can make you feel better while breastfeeding.

While breastfeeding,


  • Cool Compression: Cool another breast while feeding on the next.
  • Hand Expression: Hand-express the milk and hand massage the next one.
  • Massage your breasts in-between breastfeeding sessions. 
  • Breastfeed on one, manual pump, or use Haakaa to express letdown on the other. 
  • Reposition your baby to readjust the lost latch and nipple size.
  • Booby Tubes: This one’s my favorite. You can cool compress your breasts without disturbing your baby from nursing. It would just wrap around your breast ever so delicately and provide you with instant relief for engorgement.

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After/Before Breastfeeding,


You can be more fluent while the treatment for breast engorgement when not nursing. 

  • Warm compression: Warm compression should be done into consideration since it can affect the swelling even further. Few minutes of the warm washer or a warm shower will relieve your breasts from engorgement. You can warm up booby tubes too and use it for engorgement treatment
  • Cool Compression: Cool compression is similar to that of ‘while nursing’. Use booby tubes or cabbage for engorgement. 
  • Hand massage your breasts and the area around them including the chest, armpit, and shoulders to relieve tension.  
  • Pumping: You can either manual pump or use a good quality electric pump. But excessive manual/electric pumping can empty your breasts which can induce your body to produce more milk. Instead, you can use Haakaa, Haakaa just expresses the letdown without emptying your whole breast. 
  • If sore breasts still do not go through these ways, emptying out your breasts might be the best option.

How To Prevent Engorgement?


No engorgement is always better than Engorgement.  Try to not stop the flow of milk. There would be times when your baby will be full and you still would have leftover milk. Don’t let it hang around for long. 

  • Instantly use a Haakaa after nursing to express extra leftover milk. In fact, use Haakaa/manual pump/electric pump every time your breasts fill full. 
  • Massage your breasts often to soften them and increase blood flow in your breasts
  • Don’t schedule breastfeeding/pumping sessions at least in the initial months.
  • Don’t skip breastfeeding or pumping sessions. 
  • Wear a nursing bra that allows airflow in and out. It is comfortable to breastfeed without blocking any of your milk ducts or milk flow. 

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How to hand express milk to relieve engorgement?

Hand-expressing milk can be a quick and effective way to relieve engorgement. Begin by washing your hands and massaging the breasts to stimulate milk flow.

Then, place your thumb and fingers around the areola and gently compress and release the breast to express milk. Aim to express enough milk to relieve discomfort, but not so much that it increases milk production. Hand expression can be done in addition to breastfeeding or pumping and is a useful technique for relieving engorgement.

Does Breast milk get spoiled inside the breast?

No, breast milk does not get spoiled inside the breast. Breast milk is produced continuously and is kept fresh by the body’s natural processes until it is released during breastfeeding or pumping. The composition of breast milk changes over time to meet the changing nutritional needs of the baby, but it does not spoil or become harmful to the baby while inside the breast.

However, it is important to practice proper hygiene when expressing, storing, and feeding breast milk to prevent contamination and ensure its freshness. This includes washing hands before expressing or handling breast milk, properly storing breast milk in a clean container at the correct temperature, and using breast milk within the recommended time frame.

Cabbage For Engorgement?


Engorgement cabbage treatment is very widespread, given its wide-ranged benefits. It’s cheap, is natural, and does relieve breast engorgement.

Studies have conflicting research on engorgement cabbage’s efficiency. But its anti-inflammatory properties speak otherwise. It’s natural and there is no harm in trying.

Though studies suggest drugs have a better effect on breast engorgement. Cabbage for Engorgement is not a completely flawed idea. Some studies have turned positive, too. So give it a try.

It’s not hard to use cabbage for engorgement. Just wash cabbage leaves. It doesn’t have to be cold. Cold or room temperature, their efficiency stays the same. But you can always chill out cabbage if you like the cold effect on your body. Cabbage in a lotion or cream has turned out to be more effective!

All in all, if Engorgement still persists, it’s time you visit your doctors and have the problem mapped out for a solution. Until then,

frequently Asked Questions:

When do sore breasts start in pregnancy forum?

Sore breasts are a common early symptom of pregnancy and typically begin in the first trimester, around 4-6 weeks after conception.

During this time, hormonal changes can cause the breasts to feel tender, swollen, and sensitive to the touch. The soreness may be more pronounced around the nipples and may also be accompanied by other symptoms, such as fatigue, nausea, and mood changes.

While sore breasts during pregnancy can be uncomfortable, they are a normal part of the process and typically improve as the pregnancy progresses.

Why do my boobs hurt when it’s cold?

Experiencing breast pain or discomfort in response to cold temperatures can be due to a condition known as Raynaud’s phenomenon of the nipple. This condition is caused by spasms in the blood vessels in the nipple and can be triggered by exposure to cold temperatures or emotional stress. Symptoms may include sharp pain, burning, or numbness in the nipples or breast tissue.

While Raynaud’s phenomenon of the nipple is generally considered to be a benign condition, it is important to speak with a healthcare provider if you are experiencing breast pain or discomfort to rule out any other underlying causes. Treatment options may include avoiding triggers, wearing warm clothing, or taking medication to improve blood flow.

Why is only one breast leaking colostrum?

It is not uncommon for one breast to produce more colostrum or milk than the other during pregnancy or breastfeeding. This can be due to a variety of factors, including differences in breast size or shape, variations in milk ducts and glandular tissue, or differences in how often the baby nurses on each breast.

In some cases, only one breast may leak colostrum due to a blockage in the milk ducts of the other breast or a previous injury or surgery to that breast. If you are concerned about the amount of colostrum or milk you are producing, it is important to speak with a lactation consultant or healthcare provider for guidance and support.

How to massage engorged breast?

Massage engorged breasts can be a helpful technique to relieve breast engorgement. Here are some steps for massaging engorged breasts:

  • Begin by washing your hands with soap and warm water.
  • Apply a warm compress to the breasts for a few minutes before massaging. This can help to soften the breast tissue and make it easier to massage.
  • Use a gentle circular motion to massage the breasts, starting from the outside and moving towards the nipple. Use the flat part of your hand or your fingertips.
  • Apply gentle pressure and knead the breasts in a circular motion.
  • Use your fingers to apply pressure on any lumps or hard spots in the breast tissue.
  • As you massage, try to express milk from the breast to help relieve engorgement.
  • Switch sides and repeat the massage on the other breast.
  • Repeat the massage several times a day, as needed.

How to prevent engorgement overnight?

Here are some tips for preventing breast engorgement overnight:

  • Breastfeed or pump regularly throughout the day and evening to ensure that the breasts are well-drained before bedtime.
  • Consider feeding your baby right before bed to reduce the amount of milk in the breasts.
  • Use a breastfeeding pillow or other support to help position the baby correctly during breastfeeding.
  • Try different breastfeeding positions to ensure that the breasts are fully drained.
  • Avoid tight-fitting bras or clothing that can put pressure on the breasts.
  • Use cold compresses on the breasts after breastfeeding to help reduce swelling.
  • Consider using breast pads to absorb excess milk during the night.

How to sleep comfortably with engorged breasts?

Sleeping with engorged breasts can be uncomfortable, but there are a few things you can do to help make it more comfortable:

  • Wear a comfortable, supportive bra to bed to help reduce discomfort and support the breasts.
  • Try sleeping on your back or in a semi-reclined position to help reduce pressure on the breasts.
  • Place a pillow under your upper back and head to help elevate your chest and reduce pressure on the breasts.
  • Use a warm compress or take a warm shower before bed to help relieve engorgement and soften the breast tissue.
  • Avoid sleeping on your stomach or side, as this can put pressure on the breasts and cause discomfort.

What is Engorged breast day 3 condition?

Breast engorgement can occur as early as day 1 and continue with engorged breast day 3. During this time, the breasts can become swollen, firm, and painful as the milk supply increases and the breast tissue becomes congested. The engorgement can make it difficult for the baby to latch properly and can cause discomfort for the mother.

To relieve engorged breast day 3, it is important to breastfeed frequently and ensure that the breasts are well-drained after each feeding. Using warm compresses and gentle massage can also help to stimulate milk flow and relieve engorgement. Wearing a supportive bra and avoiding tight-fitting clothing can also help to reduce discomfort.

It is important to monitor for any signs of complications, such as fever or redness, and seek medical advice if symptoms persist or worsen. With proper management and support, engorgement typically subsides within a few days as the milk supply adjusts to the baby’s needs.

End Note

Breast engorgement is a common condition that can occur during pregnancy, postpartum, or while breastfeeding. It is characterized by swollen, firm, and painful breasts and can make it difficult for the baby to latch properly.

Treatment options for breast engorgement may include breastfeeding frequently, hand expression or pumping, warm compresses, massage, and supportive clothing. In some cases, medication may be necessary to relieve severe or persistent engorgement.

Seeking support and guidance from a lactation consultant or healthcare provider can help to manage symptoms and promote successful breastfeeding.

 
 
 

 

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