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Sounds like just a clogged duct. You'll know once you have mastitis because of the fever and chills. Try a little Epsom salt soak each time before you pump. It helps clear the ducts, and I'm usually able to get rid of a clog after a pump or two.

if it is still swollen (i.e. a lump) and painful, you probably still have some clogged duct left. keep nursing/pumping with massage and warm compress. i used a rice sock (rice in a clean sock, microwave), which seemed to hold the heat better than other methods.

if there is no lump, but it feels like a bad bruise...then it might just be an infection (maybe bacteria from LO's mouth entered in through a duct), which could turn into mastitis. for that one, i just used a warm compress all day and no massage (as per my doctor's recommendation, though she was my general physician and i'm not sure if that was right). i have had both happen to me.

@daniellemybelle: I've struggled with clogged ducts and mastitis so much lately. So painful and such a bummer! My boob normally hurts for a day or two after the clogged duct clears, and I only know that it's cleared by the way my son reacts at the breast. If he's no longer frustrated, I can tell that it's mostly cleared.

Clogged ducts can lead to mastitis, but won't necessarily. In addition to doing all the things these lovely ladies have already suggested try to get a ton of rest to stave off a potential infection. I've had great luck with Earth Mama Angel Baby Booby Tubes, and Wishgarden's Happy Ducts tincture whenever I feel a clogged duct coming on.

I hope you feel better soon!!

Ugh, I'm just getting over this. My plugged ducts became mastitis and I ended up with chills and a good fever. I didn't pay enough attention when I had plugged ducts. What works for me is a heating pad, and lots of nursing and pumping, and a nice long hot shower while massaging the boobies. I hope you start feeling better soon.