Red Bumps on Nipples: Causes and Concerns - Breast and Thyroid

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Something that looks like acne?


I have a small, raised, red bump on my nipple that looks like an almost mature pimple.
It hurts a little when I press on it, and I'm feeling a bit scared.
Could you please advise me, doctor? Thank you.

Nü, 20~29 year old female. Ask Date: 2006/08/07

Dr. Wu Jingtang reply Breast and Thyroid


Hello: It is recommended that you visit the nearest surgical or breast surgery clinic.
Wishing you good health.

Reply Date: 2006/08/07

More Info


Red bumps on the nipples can be concerning, especially when they appear suddenly and cause discomfort. There are several potential causes for these bumps, and understanding them can help alleviate your fears and guide you toward appropriate treatment.

One common cause of red bumps on the nipples is folliculitis, which is an inflammation of the hair follicles. This condition can occur due to irritation, infection, or blockage of the follicles. It often presents as small, red, and sometimes painful bumps that may resemble acne. Folliculitis can be triggered by various factors, including friction from clothing, sweating, or even shaving. In most cases, folliculitis is self-limiting and can be treated with topical antiseptics or antibiotics if an infection is present.

Another possibility is a condition known as Montgomery glands, which are small sebaceous glands located around the areola. These glands can become enlarged or inflamed, leading to the appearance of small, red bumps. This is generally harmless and may not require treatment unless there is significant discomfort or infection.

Additionally, allergic reactions to products such as soaps, lotions, or laundry detergents can cause localized irritation and result in red, itchy bumps. If you have recently changed any personal care products, it may be worth considering whether they could be the cause of your symptoms.

In some cases, red bumps on the nipples may be indicative of a more serious condition, such as a skin infection or even a dermatological condition like eczema or psoriasis. These conditions can cause inflammation and irritation, leading to the development of red, raised areas on the skin. If the bumps are persistent, worsening, or accompanied by other symptoms such as fever, discharge, or significant pain, it is crucial to seek medical attention.

Another important consideration is the possibility of a benign growth, such as a cyst or a wart. While these are generally not harmful, they can cause discomfort and may require medical evaluation to rule out any underlying issues.

If you are experiencing pain when pressing on the bumps, it is advisable to consult a healthcare professional for a thorough examination. They can provide a proper diagnosis and recommend appropriate treatment options based on the underlying cause. In the meantime, avoid picking at or squeezing the bumps, as this can lead to further irritation or infection.

In summary, while red bumps on the nipples can be alarming, they are often due to benign causes such as folliculitis, Montgomery gland enlargement, or allergic reactions. However, if you have concerns about the appearance or discomfort of these bumps, it is always best to consult with a healthcare provider for personalized advice and treatment. Remember, early intervention can help prevent complications and provide peace of mind.

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