Nipple fissure?
Hello, Dr.
Hsu.
I have a very good close friend who recently told me that someone bit her breast hard.
As a result, there is a small tear in the center of her nipple, measuring less than 0.5 cm.
She even sent me a photo, but I can't really see anything unusual.
I would like to ask you, is this possible? She feels embarrassed to see a doctor, so I thought I would ask for her.
QQ, 30~39 year old female. Ask Date: 2019/04/15
Dr. Xu Kaixi reply Surgery
If there is a wound, it is recommended to apply topical ointment.
If there are symptoms of infection such as redness, swelling, heat, or pain, it is advisable to seek evaluation and treatment at an outpatient clinic.
Reply Date: 2019/04/15
More Info
Hello! It’s great that you’re looking out for your friend and seeking information on her behalf. Nipple cracks can indeed occur due to various reasons, and it’s important to understand the potential causes and when to seek medical help.
Firstly, it’s possible for a nipple to sustain a small crack or fissure from trauma, such as being bitten. The skin on the nipple is sensitive, and any forceful contact can lead to injury. In your friend’s case, a bite could certainly cause a small crack, especially if the pressure was significant. However, it’s essential to monitor the injury for signs of infection or complications.
Here are some common causes of nipple cracks:
1. Trauma: As mentioned, physical trauma from biting, pinching, or even vigorous sexual activity can lead to cracks.
2. Breastfeeding: For new mothers, cracked nipples are a common issue due to improper latching by the baby or prolonged feeding sessions.
3. Skin Conditions: Conditions like eczema or psoriasis can affect the nipple area, leading to dryness and cracking.
4. Infections: Fungal infections, such as thrush, or bacterial infections can cause irritation and cracks.
5. Allergic Reactions: Sometimes, reactions to soaps, lotions, or laundry detergents can irritate the skin, leading to cracks.
In terms of when to seek medical help, here are some guidelines:
- Persistent Pain: If your friend experiences ongoing pain that doesn’t improve, it’s a good idea to consult a healthcare provider.
- Signs of Infection: If the crack becomes red, swollen, or starts to ooze pus, these are signs of infection, and she should seek medical attention promptly.
- Fever or Systemic Symptoms: If she develops a fever or feels unwell, it’s important to see a doctor.
- Worsening Condition: If the crack does not heal within a few days or worsens, medical advice should be sought.
- Breastfeeding Issues: If she is breastfeeding and the crack is affecting her ability to feed comfortably, she should consult a lactation consultant or healthcare provider.
For immediate care, your friend can take some steps to promote healing:
- Keep the Area Clean: Gentle washing with mild soap and water can help prevent infection.
- Moisturize: Applying a gentle, hypoallergenic moisturizer or lanolin can help soothe the cracked skin.
- Avoid Irritants: She should avoid any products that may irritate the area, including scented soaps or lotions.
- Wear Comfortable Clothing: Loose-fitting clothing can help reduce friction on the area.
Encourage your friend to be proactive about her health. While it might feel uncomfortable to visit a doctor, especially for sensitive issues, healthcare professionals are trained to handle such situations with care and confidentiality. If she feels hesitant, perhaps you can accompany her for support.
In summary, while a small crack from a bite is possible, it’s crucial to monitor the injury for any signs of complications. If any concerning symptoms arise, seeking medical advice is the best course of action. Your concern for your friend is commendable, and providing her with this information can help her make informed decisions about her health.
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