{
  "schema_version": 1,
  "kind": "condition",
  "id": "breast-lactation-symptom",
  "name": "Breast or lactation symptom",
  "category": "chronic",
  "sources": "Acute Mastitis - StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK557782/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) - condition scope only, no dose · No dose - no medicine is given for this in primary care",
  "review_status": "reviewed",
  "verified_against": "No dose - no medicine is given for this in primary care",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 317,
      "generic": "No drug therapy in primary care (Assessment & Advice)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "A broad symptom category covering breastfeeding difficulties and weaning issues; primary care provides breastfeeding support and treats specific problems, such as mastitis, as they arise.",
      "adult_duration": "Assessment and advice",
      "dose_source": "No dose - no medicine is given for this in primary care",
      "rationale": "A broad symptom category covering breastfeeding difficulties and weaning issues; primary care provides breastfeeding support and treats specific problems, such as mastitis, as they arise.",
      "cautions": [
        "RED FLAG - Systemic sepsis or high fever with rigors: assess urgently and refer.",
        "A breast lump, skin changes, or bloody nipple discharge need urgent referral to exclude breast cancer.",
        "No medicine is prescribed for this in primary care. The value of the consultation is recognition, explanation and follow-up, and referral if the red flags above appear."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: assessment, explanation and follow-up. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "breast-lactation-symptom"
    }
  ]
}