How to Address Persistent Itching and Skin Issues on the Nipple?

Q: How to Address Persistent Itching and Skin Issues on the Nipple?

Dear Hong Hong： 1. This is often a case of eczema. 2. Sometimes it can be an allergic reaction caused by contact with items such as underwear or cleaning products, so it may be helpful to switch those out. 3. Additionally, hormonal imbalances in th

Could you please provide more context or details about the situation you need help with?

Hello doctor, recently the weather has been fluctuating between hot and cold.
I noticed that my nipples and areolas have been itchy, and I unconsciously scratched them, which seems to have broken the skin.
After applying medication, there hasn't been any improvement.
I have been using breathable adhesive bandages, but removing them also pulls off the scabs.
It has been about three weeks now with persistent itching, and my underwear is stained with dried clear tissue fluid.
What should I do?

Hong Hong, 10~19 year old female. Ask Date: 2016/03/05

Dr. Zhou Jiazhen reply Breast and Thyroid

Dear Hong Hong:
1.
This is often a case of eczema.

2.
Sometimes it can be an allergic reaction caused by contact with items such as underwear or cleaning products, so it may be helpful to switch those out.

3.
Additionally, hormonal imbalances in the body may also play a role, so maintaining a normal daily routine, avoiding insomnia and late nights, managing emotions and stress, and reducing the intake of fried and greasy foods as well as caffeine-containing beverages are advisable.

4.
Consult a doctor for medical treatment.

Reply Date: 2016/03/05

More Info

Persistent itching and skin issues around the nipple can be quite uncomfortable and concerning. Based on your description, it sounds like you may be experiencing a condition that could be related to dermatitis, which is an inflammation of the skin. This can be triggered by various factors, including changes in weather, irritants, or even an allergic reaction.
When the skin is scratched, it can lead to further irritation and even break the skin barrier, which may result in secondary infections or prolonged healing times. The presence of clear, dried fluid on your clothing suggests that there may be some oozing or weeping from the affected area, which can be a sign of an inflammatory process.

Here are some steps you can take to address your symptoms:
1. Avoid Scratching: As difficult as it may be, try to avoid scratching the area. Scratching can exacerbate the irritation and lead to further skin damage or infection.

2. Keep the Area Clean and Dry: Gently cleanse the area with mild soap and water, and pat it dry. Avoid using harsh soaps or products that may irritate the skin further.

3. Moisturize: Applying a gentle, fragrance-free moisturizer can help soothe the skin and restore the skin barrier. Look for products that contain ingredients like ceramides or hyaluronic acid, which can help retain moisture.

4. Topical Treatments: Since you mentioned that you have already used medication without improvement, it may be beneficial to consult a healthcare professional for a more targeted treatment. A topical corticosteroid may help reduce inflammation and itching, but it should be used under medical supervision, especially on sensitive areas like the nipple.

5. Avoid Irritants: Consider whether any new products (such as laundry detergents, soaps, or lotions) may have come into contact with the area and could be causing irritation. Switching to hypoallergenic products may help.

6. Wear Loose Clothing: Tight clothing can irritate the skin further. Opt for loose-fitting, breathable fabrics to minimize friction and allow the area to heal.

7. Monitor for Infection: If you notice increased redness, swelling, warmth, or pus, these could be signs of an infection, and you should seek medical attention promptly.

8. Consult a Dermatologist: If your symptoms persist despite these measures, it is crucial to see a dermatologist. They can provide a thorough examination and may perform tests to determine if there is an underlying condition, such as eczema, psoriasis, or a fungal infection.

9. Consider Allergies: If you suspect that allergies may be contributing to your symptoms, an allergist can help identify potential triggers through testing.

In summary, persistent itching and skin issues around the nipple can be distressing, but with proper care and attention, you can manage the symptoms effectively. Avoid scratching, keep the area clean and moisturized, and seek professional advice if the condition does not improve. Remember, early intervention can prevent complications and promote healing.

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