Health care providers believe that breast milk is the best for babies. However, breastfeeding may not be possible for all women. For most mothers, their choice is often based on their lifestyle, comfort level and certain health condition that they might have. Problems related with breastfeeding can include mastitis, engorgement, and sore nipples. These problems can cause anxiety which leads many women to stop breastfeeding. However, these difficulties can be treated which allows mothers to continue with the feeding.

Common Breastfeeding Problems
Mastitis
This condition is known as the infection of the breast. It usually shows a tender, firm, red, swollen area of the breast and sometimes accompanied with fever. (More than 101 degrees Fahrenheit or 38.3 degrees Celsius). Symptoms may also include chills, muscle aches and fatigue.

Treatment
• Consult your health care provider to know what to do and to get a drug prescription. In most cases, a medication for pain control and an antibiotic is prescribed.

• An oral antibiotic is usually prescribed that should be taken 10 to 14 days. Mastitis should start to improve within 2 to 5 days of the first antibiotic dose.

• Stopping breastfeeding is not usually advised by health care providers during mastitis treatment; consult your doctor to learn more.

• Take a good rest as much as possible.

Engorgement
This problem is about the inflammation within the breast tissue, which causes pain. In women with this problem, warm to touch, their breasts become tender, and feel as if they are pulsating. In some women, they develop a slight fever.

Treatment
• Do warm compress on your breast or try a warm shower.
• Avoid bras with underwire. You can wear a simple, supportive bra.
• Massage the breast to stimulate milk flow. Use pump or a hand expression to soften the areola just before latch-on. Maintain the feeding schedule based on your baby's demand and do not skip feeding.

Sore Nipples
Sore nipples normally occur for the first 30 to 60 seconds of breastfeeding. It is usually due to nipple injury (such as nipple crack, bruise, or blister) which causes pain throughout the breastfeeding period. Generally, this problem resolves within a week after delivery. If the sore or pain that continues more than the first 7 days, ask your doctor about it.

Treatment
• Establish proper breastfeeding. Let your baby feel your nipples and wait until he opens his mouth. Place your whole nipple in your baby's mouth and let your baby suck your milk while his chin press the milk ducts under your areola.

• Gently squeeze your breast to express some breast milk after feeding to maintain necessary moisture.
• Allow your nipples to air dry.
• Try a different position while feeding and choose a position that establishes a comfortable routine.
• Avoid tight bras with underwire. Wear supportive, clean, comfortable nursing bras.
• Don't use breast creams with an alcohol ingredient. It is unnecessary because the breast glands produce natural oil for protection and lubrication.

• If you are using nursing pads, change it frequently.

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