A lot of feeding challenges are common, and many improve with time and support. Still, pain is a signal to get help. You deserve care, not just endurance. This guide shares a gentle, updated approach to common lactation issues.

Nipple Pain

Some tenderness in the first week is common. But sharp pain, cracked skin, a pinched nipple or dread of feeding during letdown usually signals that something needs adjustment.

What often helps:

• checking latch and positioning
• getting help early from a lactation professional
• keeping feeds calm and unrushed
• recognizing dysphoric milk ejection reflex (D-MER)

Comfort measures can help you cope, but addressing the cause is key.

Clogged Ducts and Mastitis

Based on the updated May 2022 mastitis treatment protocol from the American Academy of Breastfeeding Medicine, when you’re dealing with breast or chest discomfort, a gentle approach can support comfort and healing. 

Many parents find relief by keeping feeding routines steady, using cold packs for comfort, and staying well hydrated and rested. 

Anti-inflammatory medication can be helpful if it’s safe for you. Gentle care is key. Avoid deep massage or forceful squeezing, avoid overstimulating the affected breast, and allow your body to recover at its own pace.

Over-the-counter pain relievers (Ibuprofen and/or Tylenol) can also help. Lymphatic breast massage (with upward strokes) is now recommended over any other massage.

When to Call Your Provider

Check in promptly if you have:

• fever or flu-like symptoms;
• worsening redness or swelling;
• pain that is getting worse, not better;
• symptoms that are not improving after a day or two of supportive care;
• concerns about an abscess or severe tenderness; or
• a feeling of hopelessness or anxiety when you let down (release milk) initially.

Key Takeaways

• Pain is not a requirement of feeding and should not be ignored.
• Gentle support is recommended over vigorous massage.
• Early help can prevent longer, harder problems.
• You deserve support quickly, not after weeks of struggle.

Published: February 24, 2026

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