White Bumps on the Areola: Causes and Care Tips - Obstetrics and Gynecology

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White bumps on the areola can be concerning, but they are often benign and can be attributed to several common causes. The most frequent reason for these white bumps is the presence of Montgomery glands, which are sebaceous glands located on the areola. These glands secrete an oily substance that helps lubricate the nipple and areola, especially during breastfeeding. They can appear as small, white or yellowish bumps and are completely normal.

However, if you notice that these bumps have changed in appearance, such as becoming more prominent, developing pus, or breaking open, it may indicate an infection or another condition that requires attention. In your case, since you mentioned that the bump had a white head and eventually released pus, it could be a sign of a localized infection, such as a sebaceous cyst or folliculitis. These conditions can occur when hair follicles become clogged or infected, leading to the formation of pus-filled bumps.

Regarding your question about applying a topical ointment like "小護士" (which I assume is a type of antiseptic or antibiotic ointment), it is generally advisable to keep the area clean and avoid further irritation. If the bump has already ruptured and is draining, applying a topical antiseptic can help prevent further infection. However, it is crucial to ensure that the area is not overly irritated and to avoid squeezing or picking at the bump, as this can exacerbate the condition.

Here are some care tips for managing white bumps on the areola:
1. Keep the Area Clean: Gently wash the area with mild soap and water to prevent infection. Avoid harsh soaps or scrubs that can irritate the skin.

2. Avoid Picking: Do not squeeze or pick at the bumps, as this can lead to further irritation or infection.

3. Use Topical Treatments: If you choose to apply a topical antiseptic or antibiotic ointment, do so sparingly and only on clean skin. Follow the instructions on the product for best results.

4. Monitor for Changes: Keep an eye on the bumps. If they become increasingly painful, red, swollen, or if you develop a fever, it is essential to seek medical attention.

5. Consult a Healthcare Professional: If the bumps persist, worsen, or if you have any concerns about your breast health, it is best to consult a healthcare provider. They can perform a physical examination and may recommend further treatment if necessary.

In summary, while white bumps on the areola are often harmless, changes in their appearance warrant attention. Proper care and monitoring are essential, and when in doubt, consulting a healthcare professional is always the best course of action. Your health and peace of mind are paramount, so do not hesitate to seek medical advice if you have concerns.