Hard Bumps on the Nipple: Causes and Concerns

Nipple discharge?

I previously experienced itching on my left nipple and noticed two small, skin-colored bumps on it.
They felt hard to the touch and could not be washed away with plain water.
After applying a bit of medication, the itching intensified, but later, during a shower, they were washed away.
Recently, the itching has returned, and I noticed that the bumps have reappeared.
I would like to know what this might indicate, as there is no discharge, redness, or ulceration around the nipple area.

Jiao lü de nu xing, 20~29 year old female. Ask Date: 2023/02/12

Dr. Yuan Tianmin reply Breast and Thyroid

If it persists, make an appointment with a breast surgeon for an evaluation.

Reply Date: 2023/02/12

More Info

Understanding hard bumps on the nipple can be concerning, and it's important to approach this issue with a clear understanding of potential causes and when to seek medical advice. Based on your description, it seems you are experiencing hard, skin-colored bumps on your nipple, accompanied by itching. This situation can arise from several conditions, and while many are benign, some may require further evaluation.

One common cause of hard bumps on the nipple is Montgomery glands, which are sebaceous glands located around the areola. These glands can become more prominent during hormonal changes, such as those occurring during menstruation or pregnancy. They typically do not cause any discomfort or itching, but if they become irritated, they may lead to localized itching.

Another possibility is keratosis, which can occur due to the thickening of the skin in response to irritation or friction. This can happen if the area is frequently rubbed or if there is a reaction to a product applied to the skin, such as soaps, lotions, or even certain fabrics. If you have recently changed any personal care products, this could be a contributing factor.

Eczema or dermatitis can also manifest as itchy bumps on the nipple. These conditions are characterized by inflammation of the skin and can be triggered by allergens, irritants, or even stress. If you have a history of eczema or sensitive skin, this could be a relevant factor.

In some cases, folliculitis, which is the inflammation of hair follicles, can cause small, hard bumps that may itch. This is often due to bacterial or fungal infections and can be exacerbated by shaving or other hair removal methods.

While the absence of discharge, redness, or ulceration is reassuring, persistent symptoms warrant further investigation. It is crucial to monitor the bumps for any changes in size, color, or associated symptoms. If the itching persists or worsens, or if new symptoms develop, it is advisable to consult a healthcare provider. They may perform a physical examination and, if necessary, recommend a biopsy or other diagnostic tests to rule out more serious conditions, such as Paget's disease of the nipple, which is a rare form of breast cancer that can present with similar symptoms.

In summary, while the hard bumps on your nipple may be benign and related to common skin conditions, persistent itching and the recurrence of these bumps should not be ignored. It is always best to err on the side of caution and seek medical advice to ensure proper diagnosis and treatment. Your healthcare provider can offer tailored recommendations based on your specific situation and medical history.

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