Yellow Discharge from Right Nipple: Causes and Concerns for Teens - Breast and Thyroid

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There is yellow discharge from the right nipple?


Recently, a second-year junior high school student has been experiencing yellow discharge from the right nipple.
The discharge dries up and becomes hard.
Initially, there was only a small amount of discharge, but after two days it disappeared, and then reappeared two days later, increasing in quantity.
Additionally, there was itching in both breasts a while ago.
Is there a problem? Could it be due to dryness?

Hello, 10~19 year old female. Ask Date: 2016/02/29

Dr. Zhou Jiazhen reply Breast and Thyroid


Hello: The discharge sediment that accumulates at the nipple can sometimes feel hard.
This discharge is related to the balance of secretions in the body.
Breast itching is also associated with individual constitution and endocrine issues.
It is recommended to maintain a regular lifestyle, avoid staying up late and insomnia, and reduce the intake of high-fat and caffeine-containing foods.
If symptoms persist, please seek a consultation for examination.

Reply Date: 2016/02/29

More Info


Yellow discharge from the nipple, especially in a teenager, can be concerning and warrants careful consideration. There are several potential causes for this symptom, and understanding them can help in determining the appropriate next steps.

Firstly, it’s important to note that nipple discharge can occur for various reasons, some of which are benign while others may require medical attention. In adolescents, hormonal changes during puberty can lead to breast tissue development and changes in the breast, which may sometimes result in discharge. This is often due to hormonal fluctuations that can stimulate the mammary glands.

One common cause of yellow discharge is a condition known as galactorrhea, which is the production of breast milk or a milk-like discharge unrelated to breastfeeding. This can be triggered by hormonal imbalances, certain medications, or even stress. If the discharge is persistent and accompanied by other symptoms such as breast tenderness or changes in breast shape, it would be advisable to consult a healthcare provider.

Another possible cause could be an infection or inflammation of the breast tissue, known as mastitis. This is more common in women who are breastfeeding but can occur in adolescents as well. Symptoms of mastitis may include redness, swelling, warmth in the breast, and sometimes fever. If the discharge is accompanied by these symptoms, it is important to seek medical advice promptly.

Additionally, if the discharge is unilateral (only from one nipple) and especially if it is accompanied by itching or irritation, it could indicate a localized issue such as a duct obstruction or a benign growth. The itching you mentioned could be due to dry skin, irritation from clothing, or an allergic reaction, but it could also be related to the underlying issue causing the discharge.

Given the variability in the discharge and the accompanying symptoms of itching, it would be prudent to schedule an appointment with a healthcare provider. They may perform a physical examination and possibly recommend imaging studies, such as an ultrasound, to evaluate the breast tissue and any underlying issues. They might also check hormone levels to rule out any hormonal imbalances.

In summary, while yellow discharge from the nipple in a teenager can be due to normal physiological changes, it can also indicate underlying conditions that may need attention. Monitoring the situation, noting any additional symptoms, and consulting with a healthcare provider will be the best course of action to ensure proper evaluation and management.

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