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Comprehensive and Detailed Explanation:

A breast abscess is a localized collection of pus within breast tissue that may develop as a complication of mastitis. Symptoms commonly include a painful lump, localized swelling, redness, tenderness, and persistent fever. Unlike simple milk stasis or engorgement, the mass often does not resolve with feeding or milk expression.

Prompt evaluation by a healthcare provider is important because diagnosis may require imaging and treatment. Management often includes drainage and appropriate medical therapy while supporting continued milk removal whenever feasible. Breastfeeding can frequently continue, depending on the clinical situation and provider recommendations.

Normal engorgement typically improves with effective milk removal and is usually bilateral rather than presenting as a persistent localized mass with fever. The milk ejection reflex and physiologic fullness are normal breastfeeding processes and do not produce these symptoms.

IBCLCs should recognize warning signs requiring referral to ensure maternal health and continued breastfeeding support.