How to treat high fever during postpartum mastitis?

Patient's question:

High fever, breast engorgement and pain, fever 12 days postpartum.

Doctor's answer:

Hello, acute mastitis during lactation should first be treated with sensitive antibiotics to actively control the infection. For example, procaine penicillin can be used for local blockage, or cephalosporins and ampicillin can be administered systemically. If necessary, a drug sensitivity test should be conducted, which is quite effective. Symptomatic treatment should also be supplemented, such as using antipyretics or physical cooling for fever, local massage, heat application, or traditional Chinese medicine like pu gong ying (dandelion), lian qiao (forsythia), gua luo (trichosanthes), and chi shao (radix peony) to eliminate abscesses and drain pus, which also yields good results. With these measures, most cases generally improve and recover.
Advice:
Additionally, it is important to maintain breast cleanliness, avoid milk stasis, prevent nipple damage, and moderately increase nutrition and vitamin intake. These measures are beneficial for both the prevention and treatment of the condition. Daily, it is also advisable to moderately increase nutrition and supplement with vitamins.

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