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Nipple Problems

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What is Nipple Problems?

Nipple problems can include tenderness or discharge from the nipple portion of the breast. See also: Intraductal papilloma



Alternative names



Causes

Nipple tenderness may be caused by dry skin in the areolar region (the darker area surrounding the nipple) of the breast. Women who are breastfeeding can have irritated nipples from too much moisture or if the baby doesn't latch on properly while nursing. Injury to or friction over the nipple area can cause tenderness, as can other skin problems such as bacterial or fungal infections. A milky-appearing nipple discharge can be normal during pregnancy, shortly after delivery, or when breas...



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What is Nipple Problems?

Nipple problems can include tenderness or discharge from the nipple portion of the breast.

See also: Intraductal papilloma

Add to my favorites

Causes

Nipple tenderness may be caused by dry skin in the areolar region (the darker area surrounding the nipple) of the breast. Women who are breastfeeding can have irritated nipples from too much moisture or if the baby doesn't latch on properly while nursing. Injury to or friction over the nipple area can cause tenderness, as can other skin problems such as bacterial or fungal infections.

A milky-appearing nipple discharge can be normal during pregnancy, shortly after delivery, or when breastfeeding. Birth control pills and chlorpromazine-type drugs can also cause a nipple discharge.

Abnormal nipple discharge can be caused by hormone imbalances, growths in the breast tissue that are not cancer, or, rarely, by breast cancer. Milky discharge can occasionally be caused by pituitary tumors, severe hypothyroidism, or recent severe injury to the chest wall.

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Symptoms & Signs

  • Breast tenderness
  • Clear, milky, bloody, or discolored (green or brown) discharge
  • Increased surface temperature of portion of the breast
  • Nipple discharge
  • Pain occurs with or without pressure on the breast
  • Redness, tenderness, and cracking of the skin surface of the nipple
  • Swelling of some portion of the breast (breast lump)
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Exams and Tests

The health care provider will take your medical history and perform a physical examination.

  • Blood tests for prolactin level and thyroid function may be performed.
  • Breast biopsy is performed if a mass or lump is found, or if the discharge is occurring on its own, without any pressure on the breast.
  • Cytological evaluation (cell studies) of nipple discharge may be done in some cases.
  • Mammography is usually performed if the cause is not obvious.
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Treatments

Treatment depends on the cause of the nipple problem. It may include:

  • Medications
  • Observation
  • Surgery
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Prognosis

In most cases nipple problems do not involve breast cancer and will go away with adequate treatment.

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Possible Complications

A nipple discharge may be a symptom of breast cancer or a pituitary tumor.

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When to contact a medical professional

Call for an appointment with your health care provider if you have nipple problems.

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Prevention

Breastfeeding women should clean the breasts before and after feedings. If milk leaks between feedings, absorbant breast pads will help keep the nipples dry. Breast creams can help keep the nipple area soft and moisturized.

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References

Comprehensive Gynecology

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A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch). The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2008 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

Review Date: .5/12/2008

Reviewed By: Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; Susan Storck, MD, FACOG, Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.5/12/2008

Nipple Problems Videos

Nipple Problems Articles

  • 5 Ways to Identify Nipple Problems

    ...efully at both breasts and examine your nipples. It's not necessarily abnormal if one nipple looks different from the other, but be alert for changes in the nipple that are possible signs of a p...

  • 4 Ways to Manage Nipple Problems

    If breast-feeding causes cracked, sore nipples, use a pure lanolin cream to ease the soreness and promote healing. It also helps to rub a few drops of breast milk onto your nipples right after you...

  • 5 Ways to Treat Nipple Problems

    ...or supplement that could be causing the nipple problem known as galactorrhea, a milky fluid discharge. This discharge may be produced by your blood pressure medication, an antidepressant, a tran...

  • Seven Warning Signs of Breast Cancer

    ...so that you can readily identify breast problems if they arise.

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Related Diseases

  • Nipple problems

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  • Breast cancer

    ...) that move milk from the breast to the nipple. Most breast cancers are of this type.Lobular carcinoma starts in p...

  • Pituitary tumor

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  • Subareolar abscess

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Related Surgeries

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    ...emoves the entire breast but leaves the nipple and areola (the pigmented circle around the nipple) in place.For a ...

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Related Tests

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    A mammogram is an x-ray picture of the breasts. It is used to find tumors and to help tell the difference between non...

Conversations On Nipple Problems

  • Can we get serious about nipples for a minute?


    • Posted On March 10, 2009 08:03:30 AM

      ...nst my t-shirt. I don't have oversized nipples or anything, but what can I do for this disorder? Read More

    • Posted On March 10, 2009 08:07:17 AM

      Get some nipple stickers. I think some I saw were called "Nippits". There are some for just downplaying the appearance of noticeable nipples but there are some also used to prevent chaffi... Read More

  • The last post is the winner...


    • Posted On December 4, 2007 09:22:36 AM

      Hi everyone, I'm new compared to alot of people and I've been involved in a few serious topics recently, I just thought I'd say that the last person to post here is the winner... talk about anythin... Read More

    • Posted On December 4, 2007 09:52:04 AM

      What do we win? Read More

  • New game...for fun...could be funny!


    • Posted On August 7, 2008 07:23:37 PM

      What should you never rub on your nipples? It hurts!!! Read More

    • Posted On August 7, 2008 05:55:01 PM

      I state the answer....the next person down states the question to go with my answer, then posts an answer for the next person, and so on... It's in the fridge... Read More

  • 15 things men don't wanna hear


    • Posted On May 15, 2008 06:42:29 PM

      ... if you are drawing a circle around our nipple with your finger at the time. 14. Anyone else's name, in your sleep. 15. Your dreams. Unless we're in them. And in a good light, too. If not, sav... Read More

    • Posted On May 16, 2008 10:11:17 AM

      ...a precursor to some potentially serious problems. My Mister (who has palate issues) was waking 25 times PER HOUR. I let the C-PAP whoosh me to sleep now...just like the ocean. Read More

  • uh.. something that's been worrying me


    • Posted On July 8, 2007 10:33:58 PM

      ...ith a slightly more padded bra. The problem is, I don't even feel proportionate now . Some girls who have a little extra meat on them can get away with it because they have, as my guy friend... Read More

    • Posted On July 9, 2007 08:32:05 AM

      ...ne... no one is cutting me apart at the nipple!!) my recommendation: herbal supplements! awhile ago i did a bit of research to find out which were "the best," and apparently the #1-ranked su... Read More

  • how many inches have YOU lost?


    • Posted On February 6, 2008 01:05:03 PM

      ...m.. I need to measure again soon. Only problem is that my first measurements were taken a month into this all I wish I had the original measurement! ... I almost said next time, haha as if I ... Read More

    • Posted On February 6, 2008 01:20:19 PM

      ...: Measure around the chest right at the nipple line, but don't pull the tape too tight. * Chest: Measure just under your bust * Waist: Measure a half-inch above your belly button or at... Read More

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