Q: I just weaned my toddler. How can I manage my painful, engorged breasts and do I need medication?

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Question: I recently weaned my toddler, who is over a year old. My breasts have become very full and painful. What can I do to relieve the engorgement, and are there any medications I should take?

Answer: Good evening! Congratulations on starting this new phase with your baby. Engorged breasts after weaning are common, and here’s how you can manage them:

What You Can Do:

* Relieve Discomfort: * Cold Compress: Apply cold packs or chilled cabbage leaves to your breasts to reduce swelling and pain. * Gentle Massage: If your breasts feel very full, express a small amount of milk by hand to relieve pressure. Avoid full expression, as this may signal your body to continue milk production. * Wear Supportive Bras: * Use a comfortable, well-fitting bra to provide support without being too tight, as this can worsen engorgement. * Stay Hydrated: * Drink plenty of fluids, but avoid excessive stimulation to the breasts. * Pain Relief: * If the discomfort is severe, you can take over-the-counter pain relievers like ibuprofen (if no contraindications) to reduce pain and inflammation.

Medications: In most cases, medication is not necessary. However, if the engorgement persists or is very painful, speak to your doctor. They may prescribe medication to help suppress milk production if needed.

Monitor for Complications: Watch for signs of mastitis, such as redness, warmth, severe pain, or fever. If you notice any of these, consult a doctor promptly.

Tips for a Smooth Transition: Gradual weaning is often less painful, but since you’ve already started, give your body time to adjust. The engorgement should improve within a few days.

You’re doing a great job—hang in there, and let me know if you have more questions

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