10 days old male infant with bilateral mammary swellings. On examination bilateral mobile retro areolar masses ,not fixed to deeper structures 5×4 cms .What is the management

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Mastitis. Due to massage or attempt to express milk or due to hormonal issue.. reassurance.. w/f sec infection.

physiological neonatal mastitis reassurance to parents n advice them not to meddle with it

Physiological neonatal mastitis due circulating maternal hormones. It will subside its own. Other possibilities are neonatal bacterial mastitis breast abscess . So keep all these possibilities in mind.

Physiological neonatal mastitis may be due to excessive Prolactin lvl in maternal serum... may vanish in a week.. But if not vanished... stopping mother's milk for some days to nullify effect of maternal Prolactin in her milk and start with lactogen like supplement... do check mother's Prolactin lvl... 2nd rare possibility would be... a baby born with congenital pituitary adenoma....?? But I never heard of it sir...

Stopping breast milk for neonatal mastitis is not recommended sir.
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DX : BILATERAL NEONATAL MASTITIS. RX : NOT TO EXPRESS MILK/ DO NOT TOUCH THE BREAST. IF BREAST ABCESS DEVELOPS, ANTIBIOTICS SHOULD BE GIVEN.

It is due to female harmones. It's self limiting condition.

this is a physiological response and nothing to worry about. it will subside within a couple of weeks

Neonatal mastitis due to the effect of maternal hormones. Need not worry. No treatment is required. Only reassurance. Will subside in 1 to 2 weeks time.

It's normal in a child to have this as maternal hormones cause this in some children. It's normal till there is no redness, discharge or baby crying while touching it. Treatment would be to AVOID TOUCHING it again and again. Child also seems to have jaundice. Get that investigated and treat accordingly.

Need not to worry, it will subside of its own in few weeks time

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