Nipple Issues: Painful Bumps and When to Seek Help - Breast and Thyroid

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Nipple issues


Recently, I suddenly experienced pain in my nipple and noticed a bump that looks like a blister or pimple.
The color is similar to that of the nipple, red with a bit of white.
At first, it hurt even without touching it, but after a few days, it only hurts when I move too much and it gets rubbed.
However, it remains as a single bump.
What could this be? Should I see a breast specialist quickly?

lala, 20~29 year old female. Ask Date: 2022/01/10

Dr. Yuan Tianmin reply Breast and Thyroid


There are many gland openings on the areola, which can sometimes lead to infections.
It is advisable to consult a breast surgeon for treatment.

Reply Date: 2022/01/10

More Info


Experiencing nipple pain and the appearance of a bump can be concerning, and it's important to approach this situation with care. The bump you described, which resembles a blister or pimple, could be attributed to several potential causes, including but not limited to:
1. Friction or Irritation: Sometimes, friction from clothing or activities can cause irritation, leading to the formation of a bump. This is often accompanied by redness and tenderness.

2. Infection: An infection, such as a localized skin infection or an abscess, can manifest as a painful bump. If the area is warm, swollen, or producing discharge, this could be a sign of infection.

3. Cysts: Sebaceous cysts can develop in the breast area, presenting as small, movable lumps under the skin. These are usually benign but can become painful if inflamed.

4. Mastitis: This is an infection of the breast tissue that can occur in breastfeeding women but can also affect others. Symptoms include pain, swelling, redness, and sometimes fever.

5. Paget's Disease of the Nipple: This is a rare form of breast cancer that can cause changes in the nipple and surrounding area, including pain and discharge. It is important to note that this is less common but should be considered, especially if other symptoms are present.

Given the symptoms you've described, it is advisable to seek medical attention, particularly from a breast specialist or a healthcare provider. They can perform a thorough examination, possibly including imaging studies like an ultrasound or mammogram, to determine the nature of the bump and the appropriate course of action.


When to Seek Help
You should definitely seek help if you experience any of the following:
- Persistent Pain: If the pain does not subside or worsens over time.

- Changes in Appearance: If the bump changes in size, color, or texture.

- Discharge: If you notice any unusual discharge from the nipple, especially if it is bloody or has an unpleasant odor.

- Systemic Symptoms: If you develop fever, chills, or other systemic symptoms that could indicate an infection.

- Family History: If you have a family history of breast cancer or other breast conditions.


Conclusion
In summary, while the bump you are experiencing may be benign, it is essential to have it evaluated by a healthcare professional to rule out any serious conditions. Early diagnosis and treatment are crucial in managing any breast-related issues effectively. Don't hesitate to reach out to a breast specialist or your primary care physician for an assessment. Your health and peace of mind are paramount, and addressing these concerns promptly is the best course of action.

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