Mastitis: Enemy of the Boob

I practically should have expected it. There were plenty of reasons for it to happen. There was a bleb, or milk blister, on Lefty's nipple (= susceptible to bacteria) ; I started battling a cold late last week (= depressed immunity); then M and I went out of town for a wedding last weekend, which involved lots of fun, late nights, and partying a little hard (= "run down"). Conditions - according to what I've read and been told since then - were pretty much ripe for what happened Tuesday of this week.

I went to bed feeling fine and normal Monday night, and woke up at 5:00 in the morning with excruciating pain in Lefty (a note to readers who haven't picked up on this before, but Lefty is by far the more successful sister as far as milk production). At first, I thought it was just engorgement, easily fixed by pumping since Fiona wasn't awake yet. Very quickly I realized there was a big problem. It was so painful to pump I was immediately nauseous. But I could feel the wedge-shaped clog on the top of the breast, and knew that not working it out could mean bad things. So I continued, not wanting to chance that things could get worse. Too late: they were already worse. The pain got so intense I started to feel faint, and I started to cry. Really, really hard.

I stopped, and heated up my little flax-pack, which I'd been using for the past several days before nursing to ease the pain of the bleb. It wasn't helping that morning, but I knew I had no choice. So I took it to the next level and got into a hot shower, bringing my trusty little manual pump with me, and kept trying. But it was an exercise in futility. Hardly anything was coming out, and I wanted to die the pain was so awful. Let's put it this way: I didn't cry out in pain while pushing out my nearly-9-pound daughter... but I couldn't stop crying during this.

By now, it was 6:00 and Fiona was awake. Having had a clog once before, I knew that she was the best person for the job of getting me unclogged. I figured it would be uncomfortable for sure. But I was determined to deal with this thing and get on with my day, and figured I was so used to her that maybe it would be better than the pump. I was horribly mistaken. Pain shot through me like a bullet and I wailed like a siren. This, naturally, scared the hell out of Fiona, and she, too, began to cry/nurse/cry/nurse. M says it sounded "like a torture chamber", Fiona and me both screaming and crying. She did work out the bulk of the clog, thankfully. But the pain persisted, and my plans for the day (namely, going to work) were were scrapped. There was no way I would be able to function in normal society like that.

My mother-in-law, who cares for Fiona when I'm at work anyway, was generous enough to come over as usual and allow me to be sick without having to take care of a baby at the same time. By this point, I was pretty sure the issue wasn't just a clog, but likely the more serious - and dreaded - mastitis. On my mother-in-law's (much appreciated) insistence, I called my OB's office to talk to a nurse. I didn't even make it past the receptionist: when she asked why I was calling, I said "extreme breast pain" and she said, "Well! You need to see a doctor. Come in at 1:45." Fastest appointment I ever made.

I pumped again, only because I absolutely had to, and then went to bed in the interim, miserable as hell. MIL woke me at 1:00, gave me some soup, and sent me off to the doctor. Predictably, mastitis was confirmed, and the doctor wrote me a script for antibiotics. My temperature there was only 99.2, but certainly explained why I was feeling woozy. I left the doctor's office, called my mom, and headed straight for the pharmacy to pick up the drugs. I was sitting in the parking lot, just saying goodbye to her when I heard the rushing wind and felt that all-over tingling you get right before you pass out. Before I could do that, though, I got the 15-second warning indicating that barf was imminent. So I did that instead, right out the side of my car door. Good times. I think the pharmacist must have known I was in a bad way because she gave me the briefest, most sympathetic look as she said, "Do you want to wait for it?" And I did.

The rest of the afternoon dissolves into a haze of fever, pain, and general misery. I woke up at one point with a temperature of 102 degrees, took some Tylenol, and went back to bed only to be awakened a few hours later sweating myself silly the way you do when a fever breaks. That cycle repeated itself twice more throughout the night and into the next morning.

I still felt pretty banged up by Wednesday morning, but my temperature was mostly back to normal, and I just wanted to start feeling normal again. So I went to work and sort of glazed my way through the day. By the end of the day, though, I was feeling considerably better, in spite of the fact that pumping was still pretty painful (and producing very disappointing amounts of milk). Since then, I've improved leaps and bounds, and was even able to nurse Fiona by Thursday morning. Not comfortably, but I did it. I think she's the only thing that will bring my dwindling supply back to its former glory. Lefty's nipple is still pretty touchy, but it's getting better all the time.

There are women out there who have gone through far worse episodes of mastitis than the bout I just experienced - and who have gone through it many times. I have to bow to these women, because to endure this kind of torture is nothing short of miraculous. I myself hope to never, EVER go through it again, but I know that having had it once makes me more susceptible to having it again. Still, I know what to watch for now, and with luck it won't kick my ass quite so hard if it does ever recur. Yeah, right.