Nipple Discharge: Causes and When to Seek Help

Nipple discharge?

A few years ago, I had a benign tumor removed from my right breast because it was located near the lower edge of the nipple.
After the removal, the lower edge of the nipple became slightly indented, causing some accumulation in that area.
When I shower, I need to clean (squeeze) it out, and what comes out looks similar to the contents of a pimple.
Recently, during my routine cleaning (squeezing) of the right nipple, I noticed that in addition to the discharge from the lower edge of the nipple, there is also a slightly white, somewhat transparent, sticky fluid appearing at the nipple itself, although the amount is small.
Usually, I have to squeeze again the next day for more to come out.
Could this be due to me squeezing the right nipple too often, causing inflammation, or is it related to hormonal imbalance? Are there other factors to consider? If I need to get this checked, which hospital or clinic would be best for my situation? I am currently in Taichung City.
Additionally, I tend to get acne on my face during my menstrual period, experience bloating in my abdomen, and have breast tenderness before my period.
A traditional Chinese medicine practitioner mentioned that I have hormonal imbalance.
I am currently taking Chinese herbal medicine.
Thank you for your response, doctor.

Xia Xue, 20~29 year old female. Ask Date: 2007/09/02

Dr. Wu Jingtang reply Breast and Thyroid

Dear Miss Xia Xue,
1.
It should be a problem related to skin secretion.
Just keep the area clean and dry.
Frequent squeezing may promote the risk of infection.
2.
Taichung City has many medical centers and well-established regional hospitals.
You can seek medical attention at a nearby facility.
Best regards,
Dr.
Wu Jing-Tang, Department of Surgery, Taoyuan Health Bureau

Reply Date: 2007/09/02

More Info

Nipple discharge can be a concerning symptom for many individuals, especially for those with a history of breast surgery or other breast-related issues. In your case, having previously undergone surgery to remove a benign tumor near the nipple area may contribute to the changes you're observing. It's important to understand the potential causes of nipple discharge and when to seek medical attention.

Causes of Nipple Discharge
1. Physiological Discharge: It's common for some individuals to experience a normal discharge from the nipple, which can be clear, milky, or slightly yellowish. This can occur due to hormonal fluctuations, especially around the menstrual cycle. Given that you mentioned experiencing breast tenderness and acne during your menstrual period, it is possible that hormonal changes are influencing the discharge.

2. Infection or Inflammation: Frequent squeezing or manipulation of the nipple area can lead to irritation or even infection, which may cause discharge. If the discharge is accompanied by redness, swelling, or pain, it could indicate an infection that requires medical evaluation.

3. Duct Ectasia: This condition occurs when a milk duct beneath the nipple dilates, fills with fluid, and thickens. It can lead to discharge that may be sticky or thick. This is more common in women who are nearing menopause.

4. Hormonal Imbalances: As you mentioned, hormonal imbalances can lead to various symptoms, including breast tenderness and discharge. Conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders can also contribute to these symptoms.

5. Other Pathological Causes: While less common, nipple discharge can sometimes be a sign of more serious conditions, including intraductal papilloma (a benign tumor in the milk duct) or, in rare cases, breast cancer.

When to Seek Help
Given your history of breast surgery and the recent changes in your nipple discharge, it is advisable to consult a healthcare professional. You should seek medical attention if:
- The discharge is bloody or has an unusual color or odor.

- You experience pain, swelling, or redness in the breast.

- The discharge persists or increases in volume.

- You have any other concerning symptoms, such as weight loss or changes in breast shape.

Recommended Steps
1. Consult a Specialist: Since you are located in Taichung City, consider visiting a breast specialist or a general surgeon who has experience with breast conditions. They can perform a thorough examination and may recommend imaging studies, such as a mammogram or ultrasound, to assess the breast tissue.

2. Discuss Your Symptoms: When you see the doctor, provide a detailed history of your symptoms, including the nature of the discharge, any associated pain, and your menstrual cycle patterns. This information will help the doctor make an informed diagnosis.

3. Follow-Up: If the doctor recommends any tests or treatments, be sure to follow up as advised. Regular monitoring may be necessary, especially if there are any changes in your symptoms.

Conclusion
While nipple discharge can be benign, especially in the context of hormonal changes, your history of breast surgery and the nature of the discharge warrant a professional evaluation. It’s essential to address any concerns with a healthcare provider who can guide you through the appropriate diagnostic and treatment options. Remember, early intervention is key to managing any potential issues effectively.

Similar Q&A

Understanding Nipple Discharge: Causes and Concerns for Women

What are the causes of nipple discharge? I previously had a child and was treated for cervical cancer, which is now resolved.

Dr. Zhan Deqin reply Family Medicine
Nipple discharge should be evaluated based on its characteristics. The most common type resembles milk (i.e., lactation), which can have various causes, such as hyperprolactinemia, pituitary tumors, or medication effects. Of course, pregnancy is also a likely cause. If the discha...

Understanding Nipple Discharge: When to Seek Medical Attention

Hello Doctor: For about the past two years, I have been experiencing nipple discharge that resembles sweat (the fluid is clear and salty). It seems to occur more frequently during exercise, and when one side discharges, the other side usually does as well. The amount is typically...

Dr. Tang Yuxiong reply Surgery
Hello, Ms. Cathy: A small amount of clear, watery discharge from the breast is generally normal and may be related to a high-calorie, high-fat diet. However, if the discharge is bloody or occurs in large amounts (persistently leaking without pressure), you should seek medical eva...

Understanding Nipple Discharge: Causes and When to Seek Help

I have been experiencing nipple pain for over two weeks, and there is a slight lump around the area. Today, when I squeezed it, there was a clear, watery discharge.

Dr. Yuan Tianmin reply Breast and Thyroid
You may consider visiting a breast surgery outpatient clinic for evaluation.

Understanding Nipple Discharge: Causes and When to Seek Help

Hello, doctor. I have a breast fibrocystic condition. Previously, I experienced bleeding from my left nipple, and after consulting with a physician at a large hospital, I underwent surgery. I have been monitored every six months since then. Recently, I noticed that when I gently ...

Dr. Li Zhonghuai reply Surgery
Hello! It is recommended to consult the surgeon who originally performed your operation for an ultrasound. Fibrocystic changes near the nipple can sometimes present this way. Changhua Hospital cares about you!