This is an English rendering of a Polish public-health reference. The care paths it names (112, night and holiday care NiŚOZ, primary care POZ) are Polish. This is not medical advice.

PL

This is not medical advice Life-threatening emergency (Poland): 112

Home › Breast and bottle feeding

Are breast pain, hard lumps or milk stasis during breastfeeding normal, and when should you see a doctor?

Applies to age: 0–12 months

In short

With milk stasis (a lump in the breast) or mastitis, contact a midwife as soon as possible. Engorgement between day 3 and day 5 after birth is a physiological, normal state; breastfeeding should not hurt.

Sources: gov.pl, Portal Pacjenta, NHSChecked: Report an error

What is normal

  • Breastfeeding should not cause pain.
    Source: gov.pl – show the quote

    Verbatim quote from the source:

    Polish original

    Karmienie piersią nie powinno ci sprawiać bólu.

    gov.pl · open the source · accessed: 2026-10-13 · license [1]

  • Pain during feeding is often a sign that the newborn is not latched on correctly and has taken the breast too shallowly.
    Source: gov.pl – show the quote

    Verbatim quote from the source:

    Polish original

    Ból jest często oznaką, że noworodek jest nieprawidłowo przystawiony do piersi, przez co chwycił pierś zbyt płytko.

    gov.pl · open the source · accessed: 2026-10-13 · license [1]

  • In the first three days of the baby's life the nipples are more sensitive because of hormones, so the moment the newborn latches on may be painful, but it should pass after a moment.
    Source: Portal Pacjenta – show the quote

    Verbatim quote from the source:

    Polish original

    hormony zwiększają wrażliwość brodawek – moment chwytania piersi przez noworodka może być bolesny, ale po chwili powinien ustąpić.

    Portal Pacjenta · open the source · accessed: 2026-10-13 · license [2]

  • Engorgement often appears between day 3 and day 5 after birth.
    Source: Portal Pacjenta – show the quote

    Verbatim quote from the source:

    Polish original

    Między 3 a 5 dobą po porodzie często pojawia się nawał pokarmowy.

    Portal Pacjenta · open the source · accessed: 2026-10-13 · license [2]

  • Engorgement is a physiological, normal state.
    Source: Portal Pacjenta – show the quote

    Verbatim quote from the source:

    Polish original

    To stan fizjologiczny, normalny.

    Portal Pacjenta · open the source · accessed: 2026-10-13 · license [2]

  • During engorgement the breasts become heavy, swollen and warm.
    Source: Portal Pacjenta – show the quote

    Verbatim quote from the source:

    Polish original

    piersi stają się ciężkie, obrzmiałe i ciepłe

    Portal Pacjenta · open the source · accessed: 2026-10-13 · license [2]

When to worry

Some claims: international norm

  • If the pain when the newborn latches on does not pass after a moment in the first three days, it is worth asking a midwife for help with latching on.
    Source: Portal Pacjenta – show the quote

    Verbatim quote from the source:

    Polish original

    Jeśli tak się nie dzieje – poproś położną o pomoc w przystawieniu do piersi.

    Portal Pacjenta · open the source · accessed: 2026-10-13 · license [2]

  • Milk stasis occurs when a milk duct becomes blocked, and a lump the size of a piece of fruit forms.
    Source: Portal Pacjenta – show the quote

    Verbatim quote from the source:

    Polish original

    Zastój – powstaje, gdy zatyka się przewód wyprowadzający mleko, tworzy się zgrubienie wielkości owocu.

    Portal Pacjenta · open the source · accessed: 2026-10-13 · license [2]

  • The symptoms of mastitis are strong breast pain, swelling, redness, difficulty with milk flow, local warmth or fever, and flu-like symptoms.
    Source: Portal Pacjenta – show the quote

    Verbatim quote from the source:

    Polish original

    silny ból piersi obrzęk zaczerwienienie utrudnienie wypływu mleka miejscowe ocieplenie lub gorączka objawy grypopodobne

    Portal Pacjenta · open the source · accessed: 2026-10-13 · license [2]

Worth discussing with a doctor: international norm

  • If the symptoms of mastitis do not go away 12–24 hours after home care, it is worth seeing a doctor.
    Source: NHS – show the original wording (EN)

    Summarized and translated by the editors, not an official translation. Verbatim quote from the source, in its original wording:

    your symptoms do not get better 12 to 24 hours after treating it at home

    NHS · open the source · accessed: 2026-10-13 · license [3]

See a doctor

  • A primary care (POZ) doctor and a midwife monitor the course of breastfeeding and help solve problems that arise.
    Source: Portal Pacjenta – show the quote

    Verbatim quote from the source:

    Polish original

    Lekarz podstawowej opieki zdrowotnej (POZ) i położna monitorują przebieg karmienia piersią i pomagają rozwiązać powstające problemy.

    Portal Pacjenta · open the source · accessed: 2026-10-13 · license [2]

  • With milk stasis (a lump the size of a piece of fruit after a milk duct becomes blocked), contact a midwife as soon as possible.
    Source: Portal Pacjenta – show the quote

    Verbatim quote from the source:

    Polish original

    Jak najszybciej skontaktuj się z położną.

    Portal Pacjenta · open the source · accessed: 2026-10-13 · license [2]

  • With mastitis, contact a midwife as soon as possible.
    Source: Portal Pacjenta – show the quote

    Verbatim quote from the source:

    Polish original

    W tym przypadku skontaktuj się z położną jak najszybciej.

    Portal Pacjenta · open the source · accessed: 2026-10-13 · license [2]

international norm “International norm” next to a section heading means its claims come from a non-Polish source, because no Polish source in our registry covers this topic. When this applies to only some of the claims, the foreign ones carry the same label next to their source.

International norm

“International norm” next to a section heading means its claims come from a non-Polish source, because no Polish source in our registry covers this topic. When this applies to only some of the claims, the foreign ones carry the same label next to their source.

Sources

  1. gov.pl – serwisy Ministerstwa Zdrowia i GIS
    License: CC BY-SA 4.0. Source: gov.pl – serwisy Ministerstwa Zdrowia i GIS. Content summarized and translated by the editors; changed relative to the original.
  2. Portal Pacjenta (pacjent.gov.pl)
    License: CC BY 3.0 PL. Source: Portal Pacjenta (pacjent.gov.pl). Content summarized and translated by the editors; changed relative to the original.
  3. NHS (nhs.uk, Anglia)
    License: Open Government Licence v3.0. Source: NHS (nhs.uk, Anglia). Content summarized and translated by the editors; changed relative to the original. Contains public sector information licensed under the Open Government Licence v3.0. The summary is ours and is not attributed to the NHS.

See an error or outdated information? Report an error in this answer. Answer checked against the sources on October 13, 2026.

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