Should You See a Doctor for Brown Nipple Discharge?

Should I see a doctor for this?

Hello Dr.
Wang, I would like to ask you about something.
While showering, I noticed that when I apply pressure to my breasts, there is a discharge from my nipples that is dark brown and resembles blood, but the amount is small and only appears when I squeeze hard.
If I don't squeeze, there is no discharge.
Previously, whenever I squeezed, there would be some yellow, watery discharge, but it wouldn't appear if I didn't apply pressure.
Is this something I should be concerned about?

Xiao Xin, 30~39 year old female. Ask Date: 2005/01/22

Dr. Wang Gongliang reply Obstetrics and Gynecology

In general, when a non-lactating woman produces milk, the first consideration should be the issue of excessive secretion of prolactin.
Therefore, a blood test to check the prolactin levels is necessary.
If the levels are elevated (normal value < 35), it is often due to hypersecretion from the pituitary gland or a tumor in the anterior pituitary, which requires further imaging studies and medical treatment.
If the discharge contains blood or has an unusual odor, and there are visible indentations or retractions on the breast, one should suspect other breast pathologies and seek further evaluation at a general surgery outpatient clinic.

Reply Date: 2005/01/22

More Info

When it comes to experiencing brown nipple discharge, it is essential to approach the situation with caution and seek medical advice. Discharge from the nipple can vary in color, consistency, and quantity, and while some forms of discharge can be benign, others may indicate underlying health issues that require attention.

Firstly, the presence of brown discharge, especially if it appears to be blood-stained, should not be ignored. Brown discharge often indicates old blood, which can result from various causes, including hormonal changes, infections, or even benign conditions like fibrocystic breast changes. However, it can also be a sign of more serious conditions, such as intraductal papilloma or, in rare cases, breast cancer. Given that the discharge is only present when you apply pressure, it may suggest that it is related to the ducts within the breast, but this does not eliminate the need for further evaluation.

In your case, the transition from yellow, watery discharge to brown discharge is noteworthy. The yellow discharge could have been related to hormonal fluctuations, especially if you are premenopausal or experiencing changes in your menstrual cycle. However, the appearance of brown discharge warrants a thorough examination. It is crucial to consider other accompanying symptoms, such as breast pain, changes in breast shape or size, or any lumps that may have developed.

You should definitely see a healthcare provider, preferably a specialist in breast health, such as a breast surgeon or a gynecologist. During your appointment, the doctor will likely perform a physical examination and may recommend imaging studies, such as a mammogram or ultrasound, to assess the breast tissue and any potential abnormalities. Additionally, they may suggest laboratory tests to check hormone levels or rule out infections.

When you visit the doctor, be prepared to provide a detailed history of your symptoms, including when you first noticed the discharge, any changes in your menstrual cycle, and any other symptoms you may have experienced. This information will help the doctor make a more accurate diagnosis.

In summary, while brown nipple discharge can sometimes be benign, it is essential to consult with a healthcare professional to rule out any serious conditions. Early evaluation and diagnosis are key to addressing any potential issues effectively. Remember, your health is paramount, and seeking medical advice is a proactive step towards ensuring your well-being.

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