What is the recommended treatment for severe lactational mastitis?

The recommended treatment for severe lactational mastitis is antibiotic therapy, particularly with Dicloxacillin. This antibiotic is effective against Staphylococcus aureus, which is a common causative organism in mastitis, particularly in cases where the infection is more severe. Starting treatment with antibiotics like Dicloxacillin is critical to help resolve the infection and prevent further complications, such as the development of an abscess.

In addition to the antibiotic treatment, it's often encouraged for the mother to continue breastfeeding if possible, as this helps to clear the infection from the breast. However, the mainstay of treatment for a severe infection is the targeted antibiotic therapy, which addresses the underlying cause of the mastitis, leading to quicker resolution of symptoms and promoting the mother's well-being while allowing her to continue breastfeeding effectively.

Other options, while they may provide some supportive care or comfort, do not address the infection itself. NSAIDs and bed rest can help alleviate some pain and discomfort but do not treat the infection. Warm compresses and hydration can also provide symptomatic relief but are insufficient as stand-alone treatments. Prolonged breastfeeding can be beneficial in managing lactational mastitis, but it should be combined with appropriate antibiotic therapy for severe cases to effectively control the infection.