Nipple issues
Hello doctor, I underwent nipple inversion reconstruction surgery at the beginning of January.
However, about three months post-surgery, I started experiencing pain around the nipple area along with a hard lump.
During my follow-up visit, the doctor mentioned it might be related to the sutures and suggested further monitoring (but before the surgery, he said that the type of sutures used were absorbable).
An ultrasound was performed, but no issues were detected, and the responses I received were quite uncertain.
Now, it has been about six months, and the pain persists along with the lump.
There have been instances where I woke up in the middle of the night due to the pain.
The ultrasound did not reveal any cause.
I would like to ask the doctor what this situation might be.
Thank you!
Ani, 20~29 year old female. Ask Date: 2019/07/05
Dr. Chen Jiaming reply Surgery
The nipple is the convergence point of the mammary ducts, and surgical procedures may disrupt the original ductal system (pre-existing retraction may lead to duct obstruction), resulting in the retention of secretions in the mammary ducts beneath the nipple, causing a sensation of fullness and pain (a lump-like feeling).
This is particularly noticeable before menstruation.
During this period, taking acetaminophen can provide temporary relief, but ultimately, a longer adaptation period is required.
However, after childbirth and breastfeeding, one may encounter significant mammary engorgement, and it is advisable to wean immediately postpartum.
Reply Date: 2019/07/05
More Info
Post-surgery nipple pain and complications can be concerning, especially after a procedure like nipple reconstruction. It’s essential to understand the potential causes of your symptoms and the appropriate steps to take for management and relief.
First, it’s important to recognize that pain and discomfort in the area surrounding the nipple after surgery can occur for several reasons. One common cause is the presence of scar tissue, which can develop as part of the healing process. Scar tissue can sometimes become thickened or fibrous, leading to a sensation of hardness or lumps in the area. This may contribute to ongoing pain, especially if the scar tissue is pressing on surrounding nerves or tissues.
Another potential cause of your symptoms could be related to the sutures used during the surgery. Even if absorbable sutures were used, there can be instances where they do not dissolve as expected, leading to irritation or inflammation in the surrounding tissue. This could explain the persistent pain and the presence of a lump. It’s also worth noting that sometimes, the body may react to the materials used in the sutures, leading to localized inflammation.
In your case, since the ultrasound did not reveal any significant issues, it may be beneficial to consider other diagnostic approaches. If the pain persists, further imaging studies such as an MRI could provide more detailed information about the soft tissues in the area and help identify any underlying issues that may not have been visible on the ultrasound.
Management of post-surgical pain can include several strategies. Here are some recommendations:
1. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate discomfort. If the pain is severe, your doctor may prescribe stronger medications.
2. Physical Therapy: Engaging in physical therapy can help improve mobility and reduce pain. A physical therapist can guide you through exercises that may help alleviate tension in the area and promote healing.
3. Warm Compresses: Applying warm compresses to the affected area can help soothe pain and reduce muscle tension. This can be particularly helpful if the pain is related to muscle tightness or spasms.
4. Follow-Up Appointments: Regular follow-ups with your surgeon or healthcare provider are crucial. If your symptoms persist or worsen, it’s important to communicate this to your doctor. They may need to reassess the situation and consider additional interventions.
5. Avoiding Irritation: Be mindful of clothing and activities that may irritate the area. Wearing loose-fitting clothing can help minimize discomfort.
6. Surgical Evaluation: If conservative measures do not lead to improvement, it may be necessary to discuss the possibility of a minor surgical intervention to remove any problematic tissue or to address the underlying cause of the pain.
In conclusion, while post-surgical nipple pain can be distressing, understanding the potential causes and management strategies can help you navigate this challenging situation. It’s essential to maintain open communication with your healthcare provider and advocate for your health. If your symptoms continue to interfere with your daily life, don’t hesitate to seek further evaluation and treatment options. Your comfort and well-being are paramount, and there are pathways to finding relief.
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