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Although symptoms can be mild, in some dogs this can become gangrenous mastitis and lead to death. The puppies most commonly die, but when a dog develops gangrenous mastitis, death is more common (2).
When mastitis is associated with breastfeeding, the treatment has to balance short-term reduction of symptoms with solving the underlying problems that caused mastitis. For example, the Academy of Breastfeeding Medicine recommends against trying to "empty" the breasts, whether through pushing the baby to feed more or through using a breast pump ...
Treatment of mastitis and/or abscess in nonlactating women is largely the same as that of lactational mastitis, generally involving antibiotics treatment, possibly surgical intervention by means of fine-needle aspiration and/or incision and drainage and/or interventions on the lactiferous ducts (for details, see also the articles on treatment ...
Other causes of non-cyclical breast pain include alcoholism with liver damage (likely due to abnormal steroid metabolism), mastitis and medications such as digitalis, methyldopa (an antihypertensive), spironolactone, certain diuretics, oxymetholone (an anabolic steroid), and chlorpromazine (a typical antipsychotic). [5]
Duct ectasia of the breast, mammary duct ectasia or plasma cell mastitis is a condition that occurs when a milk duct beneath the nipple widens, the duct walls thicken, and the duct fills with fluid. This is the most common cause of greenish discharge. [ 1 ]
Special forms of granulomatous mastitis occur as complication of diabetes. Some cases are due to silicone injection (Silicone-induced granulomatous inflammation) or other foreign body reactions. [2] [3] Idiopathic granulomatous mastitis (IGM) is defined as granulomatous mastitis without any other attributable cause such as those above mentioned.
the treatment success with conservative treatment and unspecific antibiotics once again raises the question if, how and when antibiotics ever help cure mastitis. Latter question is not hypothetical. It should be well known (but maybe is not) since at least PMID 15112132 that excellent treatment success is possible without antibiotics. In fact ...
Most women with fibrocystic changes who are asymptomatic do not need treatment; closer follow-up may be advised. [14] There is no widely accepted treatment or prevention strategy for this condition. When the patient is symptomatic, treatment may be necessary. The same guidelines are followed as for treatment for cyclical breast pain.