Nipple Cracks: Causes and When to Seek Help - Surgery

Share to:

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.

Similar Q&A

Dealing with Sore Nipples While Breastfeeding: When to Seek Help

Hello Doctor: I am currently in the postpartum period and breastfeeding, but my baby has caused my nipples to become cracked. Is it still okay to breastfeed? Should I see a doctor, and if so, which specialty should I consult? Thank you.


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the following are six major causes of nipple cracking: 1. Incorrect latch position or prolonged sucking time by the baby. 2. Mothers mistakenly believe that pain during breastfeeding is normal. 3. The mother's nipples may be more sensitive. 4. Excessive suction force ...

[Read More] Dealing with Sore Nipples While Breastfeeding: When to Seek Help


Understanding Persistent Nipple and Areola Cracking: When to Seek Help

Dear Dr. Hsu, Hello! I have been experiencing cracks at the junction of one of my nipples and areola, approximately 0.5-1.0 cm in length. Each time, I apply Mentholatum ointment for 2-3 days, and it heals, but it recurs after a while (about 7-8 times now), always in the same loc...


Dr. Xu Kaixi reply Surgery
Dear Ms. Hsiao-Cheng, This situation pertains to a skin issue, most likely caused by eczema or dry skin. It is advisable to consult a dermatologist (normal breast ultrasound and mammography have already preliminarily ruled out breast diseases). Wishing you good health and all ...

[Read More] Understanding Persistent Nipple and Areola Cracking: When to Seek Help


Understanding Nipple Cracks: Causes and Concerns for Women

Hello Dr. Chen: I am 35 years old, married, and have two children (both in elementary school). Recently, I experienced nipple pain the day after my menstrual period. I went to the hospital for an examination, and they found a 0.2 x 0.2 cm fissure in the center of my right nipple....


Dr. Chen Jiaming reply Surgery
It is not possible to deduce any potential causes solely from your brief description. However, considering that it occurred the day after your menstrual period, it is common to experience breast tenderness prior to menstruation. It is possible that a cyst beneath the nipple may h...

[Read More] Understanding Nipple Cracks: Causes and Concerns for Women


Understanding Nipple Pain: Causes and When to Seek Medical Advice

Hello, doctor: I noticed nipple pain while showering last winter. Upon examination, I found a wound resembling a fissure, but there was no unusual discharge. After some time, the pain suddenly disappeared, so I didn't pay much attention to it. However, this condition has rec...


Dr. Xu Kaixi reply Surgery
Dear Water, Hello. In winter, the skin is prone to dryness, which can lead to裂傷 (fissures). Additionally, it may also be eczema. In the worst-case scenario, it could be skin lesions caused by malignant tumors on the nipple or areola. I recommend visiting the surgical outpatient ...

[Read More] Understanding Nipple Pain: Causes and When to Seek Medical Advice


Related FAQ

Nipple

(Surgery)

Nipple Lump

(Surgery)

Nipple Discharge

(Family Medicine)

Nipples

(Dermatology)

Breast

(Surgery)

Nipple

(Obstetrics and Gynecology)

Fibrocystic Breast Disease

(Surgery)

Orbital Fracture

(Plastic Surgery)

Nipple Lump

(Oncology)

Breast Examination

(Plastic Surgery)