Can a red patch and pain ever not be mastitis?

Bub is only 18 days old and I’ve already had mastitis once when my milk first came in. Now the other boob is painful in one area with redness there but I’m not engorged, boobs still feel soft and I feel ok so is it mastitis or possibly something lesser that I can remedy at home? I really don’t want to have another course of antibiotics already 😫

For context, I was exclusively pumping from the point my milk came in (hand expressing beforehand) as she wouldn’t latch but since Friday she has started latching, only on one (the one that now has the redness). I don’t know whether I should keep putting her on that one, keep pumping as much etc or what. Although she stays on for a while, it doesn’t feel like she’s emptying it, I can hear her swallowing though? Just feel a bit lost with how to move forward to avoid this happening all the time! Any advice/ideas welcome!!

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Are you still pumping the one she isn't eating from?

yep pumping as normal on that one and seems to be ok. I have pumped the one she’s eaten from too but just to get a small amount a couple of times. Hand expressed a bit last night when I started getting the pain and redness. Just seems strange that it’s soft and I can’t feel a lump 🤷🏼‍♀️

@Liv I would keep pumping, maybe massage while pumping just to make sure a clog doesn't happen while it's red. Strange, though!

Definitely want to make sure you're emptying it out as much as possible especially in the beginning because the last of the breast milk they get is they fat-rich milk! Which, if not expressed and comes out in one way or another, builds up in ducts. I had mastitis three or four times with my first and it was miserable, even if it didn't feel like a lump it was painful to the touch and red. Warm showers, warm towels, massaging from yourself or your partner, and getting the clog out (there's some supplements OTC to take to make it easier to thin out the milk and pump/express)

Baby will definitely get it out best. If you're will to try, on all 4s dangle your breast over baby on the bed and have her latch and try to drain breast that way, then slowly move to laying position, often it's positional to get to to correct duct

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