Unidentified Bumps on Nipples: A Teen's Concern

There is an unknown object on the nipple, and I would like to seek clarification?

I am 17 years old and have had a grayish-brown, dirty, hard substance that feels like crusted discharge stuck to my nipple for about two to three years.
In the past, I could pull it off (it was a little painful) and discovered that it is neither soft nor hard, and can be cut with my fingernail.
I have considered whether it might be a hygiene issue related to my underwear, but I don't know how to remove it, and I'm also afraid that it might not be that simple.
I have searched online but found no symptoms similar to mine, which has left me confused.
I also don't feel comfortable discussing this with my family, so I hope to seek assistance here.
Thank you, doctor.

Niming, 10~19 year old female. Ask Date: 2017/08/15

Dr. Chen Jiaming reply Surgery

You are overly anxious about this issue.
The nipple is naturally the convergence point of the breast's milk ducts (the secretion site for breast milk).
During puberty, it is normal for there to be a small amount of discharge due to the development of the mammary glands (caused by friction on the inner walls of the ducts).
Additionally, the color of the nipple varies from person to person.
Excessive cleaning may actually stimulate more secretion (due to friction), which is what you are seeing as crust-like material.
Generally speaking, this is considered normal.

Reply Date: 2017/08/15

More Info

Understanding the presence of unidentified bumps or unusual changes on the nipples, especially in teenagers, can be a source of concern and confusion. Based on your description, it sounds like you are experiencing a buildup of a grayish-brown, crusty substance on your nipples that has persisted for two to three years. This type of symptom can be attributed to several potential causes, and it is essential to approach this issue with care and consideration.

Firstly, it is important to understand that the skin around the nipple can undergo various changes due to several factors, including hormonal fluctuations, skin conditions, or even hygiene practices. In teenagers, hormonal changes during puberty can lead to increased oil production and changes in skin texture, which may contribute to the formation of such bumps. Additionally, conditions like seborrheic keratosis, a benign skin growth, can appear as raised, scaly patches and may occur on the nipple area.

Another possibility is that what you are experiencing could be related to a condition known as nipple dermatitis or eczema, which can cause irritation, crusting, and discomfort. This condition can arise from various triggers, including allergies to soaps, detergents, or fabrics, and may require a change in personal care products or a more thorough cleaning routine.

It is also worth noting that the presence of a hard, crusty substance could indicate a buildup of keratin, a protein found in the skin, which can sometimes form in response to irritation or blockage of hair follicles. This is generally harmless but can be bothersome.

Given that you mentioned being able to remove the substance with some discomfort, it is crucial to avoid excessive manipulation or forceful removal, as this could lead to irritation or infection. Instead, gentle cleansing with mild soap and water may help to keep the area clean without causing further irritation.

While it is understandable to feel hesitant about discussing this with family or friends, it is highly advisable to consult a healthcare professional, such as a dermatologist or a pediatrician. They can provide a thorough examination and determine whether any underlying condition needs to be addressed. A professional evaluation is particularly important if you notice any changes in the size, color, or texture of the bumps, or if you experience pain, itching, or discharge.

In summary, while the symptoms you describe may not be uncommon, they warrant a professional opinion to rule out any significant concerns. Maintaining good hygiene and being gentle with the area is essential, but seeking medical advice will provide you with the reassurance and guidance you need. Remember, it is always better to address health concerns early on, and healthcare professionals are there to help you navigate these issues with confidentiality and care.

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