Understanding Nipple Bleeding in Men: Causes and Solutions
Nipple bleeding (in males) Hello, I recently noticed a small pore on the right areola that occasionally and uncontrollably leaks a small amount of blood. It doesn't hurt when I apply pressure, and there is no bleeding during pressure. I would like to know how to address this...
Dr. Zhou Jiazhen Reply:
Dear Mr. Chen, Hello. You are experiencing intermittent bleeding from the areola? However, there is no pain or bleeding when you apply pressure? This may be an issue related to the sebaceous glands. Without seeing the condition of the areola, I cannot provide an accurate respons...[Read More] Understanding Nipple Bleeding in Men: Causes and Solutions
Managing Hyperthyroidism: Antibiotics and Thyroid Medication Interaction
Hyperthyroidism Hello Dr. Zhou, I would like to ask you a question. I have been on medication for three months now, and I have recently been experiencing some symptoms of thyroiditis. I would like to know if taking antibiotics conflicts with the medication for hyperthyroidism. ...
Dr. Zhou Jiazhen Reply:
Dear Tingting: Hello, there should be no conflict. Please consult your otolaryngologist regarding the use of antithyroid medications and have the doctor evaluate it. Wishing you peace and health. Sincerely, Dr. Chou Chia-Cheng, Director of Surgery, Taoyuan General Hospital, Depar...[Read More] Managing Hyperthyroidism: Antibiotics and Thyroid Medication Interaction
Understanding the Decision Against Chemotherapy After Breast Cancer Surgery
Chemotherapy after breast cancer surgery or not? The physician believes that chemotherapy is not necessary after the right mastectomy because the tumor extent is minimal at 0.1 cm and the tumor grade is intermediate (Grade 2). Although the pathology report shows that both estroge...
Dr. Zhou Jiazhen Reply:
Dear Mei, 1. Have you undergone chemotherapy or other treatments prior to the surgery? This is important because there is a residual tumor of 0.1 cm. If not, please provide the size of the tumor, whether there is lymph node metastasis, and the stage of the tumor. 2. HER-2-neu: ...[Read More] Understanding the Decision Against Chemotherapy After Breast Cancer Surgery
Understanding Breast Enlargement: Causes and Concerns at 50
Breast enlargement Hello Dr. Zhou, I started working in mainland China about three to four years ago. At that time, my cup size was a 34F, but now I have grown to a size where I can't even wear a 34G. However, I do not experience any pain or lumps, and I have not undergone a...
Dr. Zhou Jiazhen Reply:
Dear Jess: Hello, it should be caused by an imbalance of female hormones, not a developmental phenomenon. Your diet should be balanced, with a reduction in the intake of animal fats. Maintain a regular and normal lifestyle, and make sure to have regular follow-ups at the breast s...[Read More] Understanding Breast Enlargement: Causes and Concerns at 50
Understanding Flat Nipples: Should You Be Concerned?
The nipples are not protruding? Hello Doctor: I would like to ask you, my wife has had her left nipple and areola flat since childhood (she is now 36 years old), meaning they do not protrude, while the right side protrudes slightly. Even when touched, the left nipple does not bec...
Dr. Zhou Jiazhen Reply:
Dear Happy: Hello, approximately 3% of women have congenital nipple inversion issues, but some cases of nipple inversion are acquired, often due to inflammation, ductal hyperplasia, mastitis, or malignancies. It is advisable to consult a physician at a breast surgery outpatient c...[Read More] Understanding Flat Nipples: Should You Be Concerned?
Understanding Right Nipple Pain: Causes and When to Seek Help
Right nipple pain? I have been experiencing pain in my right nipple for over a week. The right nipple has always been larger than the left, so I often squeeze it out of concern for any potential issues. Recently, I noticed a small hard lump just below the nipple that I hadn'...
Dr. Zhou Jiazhen Reply:
Dear Xiao Huang, Hello. The symptoms you described are more consistent with gynecomastia, which may sometimes present with palpable lumps and tenderness similar to breast symptoms experienced during a female menstrual cycle. It is advisable to monitor the situation, and I recomm...[Read More] Understanding Right Nipple Pain: Causes and When to Seek Help
Is It Normal for Nipples to Not Protrude During Breast Development?
Nipple inversion Hello doctor, I would like to ask if it is normal that my nipples have not protruded until now? My breasts are gradually getting larger, but the nipples have not become prominent. Is this normal?
Dr. Zhou Jiazhen Reply:
Hello, approximately 3% of women have congenital nipple inversion issues. Most cases only require monitoring for any lumps beneath the nipple or worsening of the nipple inversion, along with maintaining cleanliness. It is advisable to consult a breast surgeon for examination. Wis...[Read More] Is It Normal for Nipples to Not Protrude During Breast Development?
Breast Pain When Wearing Clothes: Causes and Solutions
Experiencing pain when touching clothing? Hello, doctor. My period started on October 27, but lately, I've been experiencing breast pain whenever I touch them while getting dressed. What should I do?
Dr. Zhou Jiazhen Reply:
Dear May, Hello. The breast glandular swelling and pain are mostly caused by an imbalance in the secretion of hormones within the body. Other possible causes may include medications or other factors. The initial treatment primarily involves analgesics and anti-inflammatory medic...[Read More] Breast Pain When Wearing Clothes: Causes and Solutions
Understanding Breast Thyroid Issues: Biopsy Insights and Genetic Testing
Testing issues Dear Doctor, For stage 0 breast cancer patients, can a biopsy after surgical excision determine the type of cancer? Which type would it be? Additionally, how should we approach testing for hereditary factors? An email response would be appreciated. Thank you!
Dr. Zhou Jiazhen Reply:
Dear Jacqueline, 1. A biopsy that cannot be visually classified must be confirmed through pathological examination, which may indicate possible diagnoses such as ductal carcinoma in situ or lobular carcinoma in situ; however, the basic treatment remains the same. 2. For genetic...[Read More] Understanding Breast Thyroid Issues: Biopsy Insights and Genetic Testing
Understanding Hard Lumps on the Areola: Causes and Concerns
Nodule on the areola? I would like to ask a question. I had a baby removed around October 15th but did not have a follow-up appointment. By around November 10th, I felt something was wrong, so I went back for a check-up and discovered that it had not been properly addressed, lead...
Dr. Zhou Jiazhen Reply:
Dear Yu-Hsuan, Hello. The most likely cause may be related to hormonal metabolism issues within the body. Physiological and psychological factors can lead to hormonal imbalances, resulting in the proliferation of breast tissue and a sensation similar to a lump. If the symptoms p...[Read More] Understanding Hard Lumps on the Areola: Causes and Concerns
Understanding Breast Cysts: Pain, Fluid Accumulation, and Imaging Needs
Breast edema Hello, doctor: I have been experiencing breast pain and went to see a doctor for an ultrasound. The doctor said it was fluid accumulation and advised me to exercise more to help drain it. I would like to ask if this is the same as a fibrocystic condition, and at my a...
Dr. Zhou Jiazhen Reply:
Hello: 1. The most common cause of breast pain is fibrocystic breast changes, which require follow-up after 6 months. 2. It is generally recommended that women over the age of 40 should undergo mammography. Wishing you safety and health, Dr. Chou Chia-Cheng, Director of Surgery, ...[Read More] Understanding Breast Cysts: Pain, Fluid Accumulation, and Imaging Needs
Painful Pink Bump on Nipple: Causes and When to Seek Help
There are small growths on the nipple that are painful to touch? Hello Dr. Zhou, I have a small pink bump on my left nipple that feels very painful when touched. There is some white discharge on the nipple, but after cleaning, I cannot express any more. My menstrual period has ju...
Dr. Zhou Jiazhen Reply:
Dear Peggy: Based on your description, it seems more like a benign skin tumor that may be caused by a blockage of the skin glands. If it increases in size or if symptoms persist, I recommend an outpatient examination. Wishing you safety and health. Sincerely, Dr. Chao Chia-Cheng,...[Read More] Painful Pink Bump on Nipple: Causes and When to Seek Help
When to Expect Resolution of Blood Blisters in the Breast?
There is a hematoma in the breast? Three months ago, a blood blister was found in the breast. When is it expected to resolve? If it does not resolve, how long should I wait before returning for a follow-up appointment?
Dr. Zhou Jiazhen Reply:
Dear Agnes: 1. It is unclear what type of examination was performed, but it was found to be a hematoma. 2. Generally, common breast conditions include serous cysts, and the presence of a hematoma may indicate trauma or infection. 3. As a principle, it is recommended to have a...[Read More] When to Expect Resolution of Blood Blisters in the Breast?
Post-Surgery Rehabilitation for Breast Cancer: Pain Management and Osteoporosis Prevention
Postoperative Rehabilitation for Breast Cancer Hello, Doctor: Thank you very much for your thorough response last time. I have a few more questions to ask you. (1) Postoperative pain is a common complication after breast cancer surgery, especially in patients who have undergone...
Dr. Zhou Jiazhen Reply:
Dear Daisy, 1. Use a hot water bottle or heating pad for 20 to 30 minutes, followed by a rest period of 30 to 60 minutes. This can be repeated, but if symptoms worsen, you should stop. 2. Joint exercises should include shoulder joint exercises, chest expansion exercises, and up...[Read More] Post-Surgery Rehabilitation for Breast Cancer: Pain Management and Osteoporosis Prevention
Understanding Hard Lump Behind Right Nipple: Causes and When to Seek Help
There is a hard lump on the right nipple? Hello Dr. Chou, I have a hard lump behind my right nipple that sometimes causes mild pain. When I press on it, I can feel that the lump behind the nipple is round, and it is painful when I squeeze it. What could this condition be? Do I ...
Dr. Zhou Jiazhen Reply:
Hello: 1. Symptoms similar to gynecomastia. 2. It is caused by an increase in female hormones in the body, similar to breast tenderness experienced during a woman's menstrual period; it can sometimes be painful. It is recommended to consult a specialist in breast surgery for...[Read More] Understanding Hard Lump Behind Right Nipple: Causes and When to Seek Help
Managing Post-Surgery Pain and Side Effects After Breast Cancer Surgery
Post-operative complications after breast cancer surgery? Hello Doctor: My mother has undergone surgery for breast cancer, and since the operation, she has been experiencing sharp pain at the surgical site, which seems to be nerve-related. This pain occurs intermittently and has ...
Dr. Zhou Jiazhen Reply:
Dear Daisy, Postoperative pain is a common complication following breast cancer surgery, particularly in patients who have undergone axillary lymph node dissection. The pain is typically located in the axilla, upper arm, and chest area, with some patients experiencing severe sho...[Read More] Managing Post-Surgery Pain and Side Effects After Breast Cancer Surgery
Persistent Pain in Armpit and Breast: What Could It Mean?
Pain upon palpation of the axilla? There is pain when pressing on the junction between the left armpit and the outer upper side of the breast. An ultrasound was performed at the hospital, and the doctor did not find any issues. However, the symptoms have persisted for the past tw...
Dr. Zhou Jiazhen Reply:
Dear Nini, Hello. You should consider whether there is an issue with accessory breast tissue. During embryonic development, breast tissue is distributed from the axilla to the lower abdomen. If there is incomplete regression, residual breast tissue may remain, most commonly in t...[Read More] Persistent Pain in Armpit and Breast: What Could It Mean?
Understanding Male Breast Pain: A Guide to Diagnosis and Treatment
Male breast swelling and pain? Hello Dr. Zhou, I went to the hospital and saw a general surgeon who performed an ultrasound. The tissue around my nipple is swollen, forming a hard area about 3-4 cm square. Sometimes the nipple experiences sharp pain. The doctor advised observatio...
Dr. Zhou Jiazhen Reply:
Dear Ah Xiang, 1. The most common cause of breast swelling and pain in males is "gynecomastia," which is caused by an imbalance of female hormones in the body. It is often seen in adolescent males and patients with liver disease. Some cases are attributed to medication...[Read More] Understanding Male Breast Pain: A Guide to Diagnosis and Treatment
Understanding Male Nipple Pain: Causes and When to Seek Help
The male has experienced some swelling and pain in the nipple over the past few days? Hello, I am a 40-year-old male. For the past 2-3 days, I have been experiencing some swelling and pain in my nipples, which has not improved. They feel swollen and painful, and there is no sensa...
Dr. Zhou Jiazhen Reply:
Dear Ah Xiang, Hello, excessive use of the muscle fascia and neuropathic pain are common causes of male breast pain. If the pain is localized only to the nipple, the likelihood of gynecomastia is higher, which may be caused by hyperplasia of the mammary ducts. This condition can...[Read More] Understanding Male Nipple Pain: Causes and When to Seek Help
Understanding Breast Lumps: Are They Signs of Breast Cancer?
Breast lump There are small raised bumps on the areola, and sometimes the nipple has small yellowish hard lumps. When palpating the breast, there are noticeable hard lumps. Should I be concerned that this could be breast cancer?
Dr. Zhou Jiazhen Reply:
Dear Xiao Jiu, Hello. For the preliminary assessment of whether a lump is benign or malignant, consider whether the lump is smooth and movable, any changes in size, and its relation to the menstrual cycle. At the age of 20, a fibrocystic tumor is most likely, but it is still rec...[Read More] Understanding Breast Lumps: Are They Signs of Breast Cancer?