Small Bumps Under the Areola: When to Seek Medical Advice - Breast and Thyroid

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When it comes to small bumps under the areola, particularly those that appear as tiny black dots or resemble acne, it’s important to understand the potential causes and when to seek medical advice. The bumps you describe could be a number of things, including but not limited to sebaceous cysts, folliculitis, or even normal anatomical variations such as Montgomery glands.

Montgomery Glands: These are small sebaceous glands located around the areola. They can appear as small bumps and are completely normal. Their function is to lubricate the nipple and areola during breastfeeding. Sometimes, these glands can become more prominent or inflamed, leading to the appearance of small bumps.

Sebaceous Cysts: These are non-cancerous lumps beneath the skin that can occur when a sebaceous gland becomes blocked. They can feel like small balls under the skin and may be tender to the touch. If the cyst becomes infected, it can become red, swollen, and painful.

Folliculitis: This is an inflammation of the hair follicles, which can occur anywhere on the body, including the areola. It can present as small red bumps or pustules and may be itchy or painful.

Acne or Pimples: Just like on other parts of the body, acne can occur on the areola. This can happen due to hormonal changes, clogged pores, or irritation.

Given that you have noticed a change in the bump, particularly if it has become more prominent or painful, it is advisable to seek medical attention. While many of these conditions are benign, changes in the skin, especially in sensitive areas like the breast, should be evaluated by a healthcare professional.

When to Seek Medical Advice:
- If the bump becomes painful, red, or swollen.

- If there is any discharge from the bump.

- If you notice any changes in the surrounding skin, such as discoloration or texture changes.

- If you have a history of skin conditions or breast issues.

Which Specialist to See: In your case, a visit to a dermatologist would be appropriate. Dermatologists specialize in skin conditions and can provide a thorough examination and diagnosis. If there are any concerns related to breast health, a consultation with a breast specialist or general surgeon may also be warranted.

What to Expect During the Visit: The doctor will likely perform a physical examination of the area. They may ask about your medical history, any changes in the bumps, and any other symptoms you may be experiencing. Depending on their findings, they may recommend further tests, such as imaging or a biopsy, to rule out any serious conditions.

Conclusion: While many small bumps under the areola are harmless, it’s essential to monitor any changes and seek medical advice when necessary. Given the current global health situation, if you are unable to return to Taiwan, consider looking for a local healthcare provider who can assist you. It’s always better to err on the side of caution when it comes to your health.