Is there a systematic program for returning milk if there is too much milk?

  Patient: breast hyperplasia, now the baby has more than six months, I want to return to the milk, but the daily production is still 2000ml + , originally 3 hours to suck once a day, 8 times a day, each time 200 ~ 300ml Some time ago to hold the milk, after the effect is: now is 4 hours to suck once a day, 6 times a day, each time 300 ~ 400ml , now the left side of the left breast that is the armpit has multiple unknown lumps, according to According to the breastfeeder, it’s a growth, and I’ve gotten milk knots many times in the past six months, and I’ve gone to the women’s and children’s clinic to take Xiaojin pills and cephalosporin. Dr. Li, I am currently trying to get back to my milk: 1.  2. According to the above situation, how to return milk? Do I need to clean up the lump in my breast before returning the milk? Or do I need to feel if it is hyperplasia?  3. Do I need to go to the hospital for a specific examination?  4. I have been advised not to breastfeed for the time being, but to continue breastfeeding, is there any risk of breastfeeding now? I am afraid that it will cause mastitis and pus.  5, I am now using a breast pump to suck milk, sucking clean it will rise milk, not sucking clean it and milk knot, do not know how to get good, very helpless, hope that the doctor gives a systematic back to the milk program …… hope to reply!  Li Huan: 1. Your baby is more than six months old, if you want to return to milk, it is possible to do so, and the impact on your baby will not be too great.  2, the left side of the left breast, that is, the armpit has a number of unidentified block, if there is no obvious change before and after emptying the milk, I think it is more likely to be a normal breast gland. If there is no obvious pain, it can be left alone. If you are worried about other conditions, breast ultrasound can help to distinguish whether it is a gland or an accumulation of breast milk. (You have to go to the health department from Monday to Friday morning to get the same day.) 3. If you find milk lumps during breastfeeding, you can squeeze them to promote their discharge. This can prevent the occurrence of mastitis. (Squeezing may cause the lactation reflex to increase, so some doctors do not advocate squeezing, but I personally think that with the effect of breastfeeding medication, this reflex should not be worried too much.)  4. The choice of medication during breastfeeding: A: Chinese medicine: Fried malt 80-100g Hawthorn 80-100g 1 dose daily Decoction in water Decoction in two bowls into one bowl and keep eating until milk is reduced.  B: Bromocriptine tablets One tablet twice daily for one week or until the milk does not spontaneously overflow C: Henestrol tablets Two tablets three times daily for one week or until the milk does not spontaneously overflow D: Henestrol injection One dose of 1-4mg daily for 3 days Choose any 1-2 of the four methods, it is best to follow the advice of your clinician.  5. We suggest you go to the clinic and listen to the doctor’s advice. If the milk return goes smoothly, it can be fixed in a week or so.