Itchy and Painful Nipples: Causes and When to Seek Help

Itchy and painful nipples?

Hello doctor, about a month ago I suddenly felt itching and pain in my left nipple.
There are no lumps upon palpation, just persistent itching and pain.
What could this be a symptom of, and which department should I consult?

Youzhi, 60~69 year old female. Ask Date: 2017/03/13

Dr. Wu Jianting reply Breast and Thyroid

If a male experiences itching and pain in the nipple without any palpable lumps, it is advisable to first consult a dermatologist to check for any skin conditions.
If necessary, a visit to a breast surgeon for further evaluation may also be recommended.
Thank you for your inquiry.

Reply Date: 2017/03/13

More Info

Itchy and painful nipples can be a concerning symptom, and it's important to understand the potential causes and when to seek medical help. The symptoms you're experiencing, particularly localized to one nipple, can arise from various factors, ranging from benign to more serious conditions.

Common Causes of Itchy and Painful Nipples
1. Dermatitis: This is one of the most common causes of nipple irritation. It can be due to contact dermatitis from soaps, lotions, or fabrics that irritate the skin. Allergic reactions to certain materials or products can also lead to itching and discomfort.

2. Infections: Bacterial or fungal infections can cause localized pain and itching. Conditions like mastitis, which is an infection of the breast tissue, can occur, especially in breastfeeding women, but it can also happen in non-breastfeeding individuals.

3. Hormonal Changes: Fluctuations in hormone levels, particularly during menstrual cycles, pregnancy, or menopause, can lead to breast tenderness and nipple sensitivity.

4. Eczema or Psoriasis: These skin conditions can affect the nipple area, leading to itching, redness, and discomfort.

5. Paget's Disease of the Nipple: This is a rare form of breast cancer that starts at the nipple and can cause itching, pain, and changes in the appearance of the nipple. It's important to note that while this is less common, it should be considered if symptoms persist.

6. Fibrocystic Changes: Many women experience fibrocystic breast changes, which can lead to tenderness and discomfort in the breast tissue, including the nipples.

When to Seek Help
You should consider seeking medical attention if:
- The symptoms persist for more than a few days without improvement.

- You notice any unusual discharge from the nipple, especially if it is bloody or has an unusual color.

- There are changes in the appearance of the nipple or surrounding skin, such as scaling, crusting, or a change in color.

- You experience significant pain that interferes with daily activities.

- There are any lumps or changes in the breast tissue that you can feel.

Which Specialist to Consult
For your symptoms, it would be appropriate to start with a visit to a primary care physician or a dermatologist. They can evaluate your symptoms, perform a physical examination, and determine if further testing or referral to a specialist, such as a breast surgeon or gynecologist, is necessary.

Conclusion
While itchy and painful nipples can often be attributed to benign causes, it is essential to monitor your symptoms closely. If you experience any concerning changes or if the discomfort persists, do not hesitate to seek medical advice. Early intervention can lead to better outcomes and peace of mind. Remember, your health is important, and addressing symptoms promptly is key to maintaining overall well-being.

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