Managing Breast Lumps and Hemorrhoids After Childbirth: A Guide - Surgery

Share to:

Hemorrhoids & Breast Lump


Hello, Dr.
Yu.
I am currently less than a month postpartum, having given birth on June 6.
I am exclusively breastfeeding my baby, but recently I noticed a small hard lump under my left armpit that hurts when pressed.
Additionally, I experience pain when massaging the upper part of my left breast, and my milk supply has decreased (previously I could pump 60-70cc, but now it's only 40-50cc).
What should I do about this?
Another issue is that on the fifth day after giving birth (I had a natural delivery on June 6), I noticed a small painful lump at the anal opening.
After visiting my obstetrician, I was told it was hemorrhoids, and I was advised to take warm sitz baths and was prescribed a hemorrhoid cream.
However, the hemorrhoids still cause some pain, and there is occasional bleeding during bowel movements.
How should I handle this?

Bin Mami, 20~29 year old female. Ask Date: 2016/06/26

Dr. Yu Mingchang reply Surgery


Hello: Eating more fruits and vegetables, and using clean water to cleanse the anus after using the restroom.
Regarding breast issues, please take the time to consult a general surgeon to understand the problem.
The Changhua Hospital of the Ministry of Health and Welfare cares about you.

Reply Date: 2016/06/26

More Info


Managing breast lumps and hemorrhoids after childbirth can be challenging, but with the right approach, you can effectively address these issues.

Breast Lumps
The hard lump you feel under your left armpit and the pain in your left breast could indicate a few possibilities, including a blocked milk duct, mastitis, or even a benign breast lump. Here’s how to manage this situation:
1. Continue Breastfeeding: It’s essential to keep breastfeeding or pumping milk regularly. This helps to relieve pressure in the breast and can clear any blockage. If you notice a decrease in milk supply, it may be due to the discomfort or blockage, but continuing to express milk can help stimulate production.

2. Warm Compresses: Applying warm compresses to the affected area can help alleviate pain and encourage milk flow. You can use a warm washcloth or a heating pad for about 15-20 minutes before breastfeeding or pumping.

3. Massage: Gently massaging the area while breastfeeding or pumping can help to clear any blockages. Start from the outside of the breast and work your way towards the nipple.

4. Stay Hydrated and Rest: Ensure you are drinking plenty of fluids and getting enough rest. This is crucial for milk production and overall recovery.

5. Consult a Healthcare Provider: If the lump persists, becomes larger, or if you experience fever, chills, or increased pain, it’s important to consult a healthcare provider. They may need to evaluate for mastitis or other conditions that may require treatment.


Hemorrhoids
Regarding the hemorrhoids you are experiencing, they are common after childbirth due to the pressure exerted during delivery and hormonal changes. Here are some steps to manage them:
1. Warm Sitz Baths: Taking warm sitz baths for about 15-20 minutes several times a day can help soothe the area and reduce pain. This is particularly effective after bowel movements.

2. Topical Treatments: Use the hemorrhoid cream prescribed by your doctor as directed. These creams can help reduce inflammation and provide relief from pain and itching.

3. Dietary Changes: Ensure you are consuming a high-fiber diet to prevent constipation, which can exacerbate hemorrhoids. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying hydrated is also crucial.

4. Avoid Straining: When having a bowel movement, try to avoid straining, as this can worsen hemorrhoids. If you feel constipated, consider using a stool softener after consulting with your healthcare provider.

5. Consult Your Doctor: If your symptoms persist or worsen, or if you experience significant bleeding, it’s important to follow up with your healthcare provider. They may recommend additional treatments or procedures if necessary.


Conclusion
Both breast lumps and hemorrhoids can be distressing, especially during the postpartum period when your body is adjusting. It’s essential to listen to your body and seek medical advice when needed. Regular follow-ups with your healthcare provider can help ensure that both conditions are managed effectively, allowing you to focus on your recovery and your new baby. Remember, postpartum recovery is a journey, and it’s important to take care of both your physical and emotional well-being during this time.

Similar Q&A

Managing Hemorrhoids After Childbirth: Treatment Options and Safety During Breastfeeding

Hello, I have two questions. After giving birth in March, I developed severe internal and external hemorrhoids (3 to 4 swollen areas, with the largest one the size of a ping pong ball, which pops back out immediately after being pushed in). During my postpartum recovery, I was un...


Dr. Ke Fangxu reply Surgery
1. In this situation, I also recommend undergoing traditional hemorrhoidectomy, as conservative treatments such as ligation are not effective for large hemorrhoids that prolapse. The occurrence of anal stenosis typically happens only under special circumstances, such as acute epi...

[Read More] Managing Hemorrhoids After Childbirth: Treatment Options and Safety During Breastfeeding


Understanding Hemorrhoids: Postpartum Concerns and Symptoms

Hello Dr. Wang, I gave birth in August via vaginal delivery and had an episiotomy. 1. After my one-month postpartum period, I experienced severe constipation and rectal bleeding. After consulting a doctor, I used a topical ointment, and the bleeding has stopped, but my stool sha...


Dr. Wang Qichao reply Surgery
Hello: Regarding your second question, I would like to share my thoughts: The process of natural childbirth can sometimes result in severe perineal trauma, with rectovaginal fistula being one of its complications. Larger and more obvious fistulas can be detected through a pelvic ...

[Read More] Understanding Hemorrhoids: Postpartum Concerns and Symptoms


Postpartum Discomfort: Addressing Common Concerns After Childbirth

Hello, doctor. I just gave birth on October 26, 2006. I am currently breastfeeding, and my postpartum check-up showed that I am normal with no issues. However, I am experiencing the following abnormalities and would like your assistance: 1. I experience severe pain during interc...


Dr. Lin Zhaopei reply Obstetrics and Gynecology
1. If it is a natural vaginal delivery, inflammation of the sutures can lead to the formation of granulation tissue or inclusion cysts, which may cause dyspareunia. Additionally, if the cervix is more prolapsed, there may be increased discomfort during intercourse due to impact. ...

[Read More] Postpartum Discomfort: Addressing Common Concerns After Childbirth


Managing Hemorrhoids During Late Pregnancy: Tips and Solutions

It is normal to have daily bowel movements in the late stages of pregnancy. However, if you suddenly notice a small swollen lump at the anal area that causes pain during bowel movements, it may be indicative of a hemorrhoid or anal fissure. Using a suppository before bed can help...


Dr. Ke Fangxu reply Surgery
In the late stages of pregnancy, increased abdominal pressure often leads to swollen hemorrhoids. At this time, invasive treatments are not recommended to avoid the risk of bacteremia affecting fetal health. Therefore, it is advised to use topical medications, prevent constipatio...

[Read More] Managing Hemorrhoids During Late Pregnancy: Tips and Solutions


Related FAQ

Breast Lump

(Surgery)

Breast

(Surgery)

Post-Hemorrhoid Surgery

(Surgery)

Nipple Lump

(Surgery)

Axillary Lump

(Surgery)

Anal Lump

(Surgery)

Prolapsed Hemorrhoid

(Surgery)

Breasts

(Obstetrics and Gynecology)

Post-Anal Fissure Surgery

(Surgery)

Internal Hemorrhoids

(Surgery)