Is It Normal to Have Blood from the Nipple After Breast Biopsy?

Breast issues

I would like to ask if it is normal to see a small amount of blood discharge from the nipple a few days after undergoing a breast biopsy for a breast lump, even though the wound appears to be healing well.

yu, 20~29 year old female. Ask Date: 2017/06/05

Dr. Li Zhonghuai reply Surgery

Hello! Traditional biopsy? Complete tumor removal? Coarse needle? Fine needle localization? Was there nipple bleeding before the biopsy was performed, or was it overlooked? Post-surgery, bleeding may also occur if the tumor is located close to the nipple.
Take care! Changhua Hospital is concerned about you.

Reply Date: 2017/06/05

More Info

It is not uncommon to experience some bleeding from the nipple after a breast biopsy, especially if the procedure involved the removal of tissue or if there was any manipulation of the breast tissue. Following a breast biopsy, it is normal for the area to be sensitive and for some minor bleeding or discharge to occur as part of the healing process. However, the nature and amount of the discharge can vary, and it is important to monitor the situation closely.

In your case, if your friend is noticing blood when squeezing the nipple after a biopsy, it could be due to several reasons:
1. Healing Process: After a biopsy, the breast tissue may still be healing, and minor bleeding can occur as the tissues repair themselves. This is particularly true if the biopsy was more invasive or if there was any trauma to the area.

2. Inflammation: The biopsy can cause localized inflammation, which may lead to increased sensitivity and some bleeding. This is a normal response of the body as it heals.

3. Ductal Issues: Sometimes, the ducts within the breast can become irritated or inflamed after a biopsy, leading to discharge that may be bloody. This can occur even if there was no direct injury to the ducts.

4. Infection: While less common, an infection can develop at the biopsy site, leading to discharge that may contain blood. Signs of infection include increased redness, swelling, warmth, or fever.

5. Underlying Conditions: In rare cases, if there are underlying conditions such as papillomas or other benign or malignant growths, they may cause bleeding from the nipple.

While minor bleeding can be a normal part of the healing process, it is essential to differentiate between what is typical and what may require medical attention. If the bleeding is persistent, increasing in volume, or accompanied by other symptoms such as pain, swelling, or fever, it is crucial to consult a healthcare provider. They may recommend a follow-up examination to ensure that the healing process is proceeding normally and to rule out any complications.

In summary, while some bleeding from the nipple after a breast biopsy can be normal, it is essential to monitor the situation closely. If there are any concerns or if the symptoms worsen, seeking medical advice is the best course of action. Regular follow-ups with the healthcare provider who performed the biopsy can provide reassurance and ensure that any potential issues are addressed promptly.

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