Physiological engorgement: cold or heat application?

Patient's question:

I am 31 years old this year, and I haven't been breastfeeding for long after giving birth. However, I haven't paid much attention to it during breastfeeding. Now, I have experienced engorgement. Please ask, for physiological engorgement, should I use cold or hot compress?

Doctor's answer:

Physiological engorgement, if the mother's breast does not have a lump, no pain, then it can be expanded by heat application to the milk ducts and stimulate lactation. During this period, the mother should also promptly express milk. If the mother feels a lump in her breast, she can only take cold compress measures. Because this can avoid milk duct blockage, cold compress can eliminate edema, reduce pain, and effectively control inflammation. Generally speaking, many people choose cold compress, and there are many methods for cold compress.

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