Understanding Fatigue: Thyroid Issues and Their Impact on Daily Life
Recently, I have been feeling fatigued frequently? I have thyroid atrophy and have regular follow-up appointments. Last month, my check-up went well, but for the past week and a half, I have been feeling increasingly fatigued. I usually go to bed around 9 PM and wake up at 5:30 A...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Huihui: I'm not sure if there are any issues related to emotional stress. Hypothyroidism can present similar symptoms, but it's rare to encounter the situations mentioned above. I'm wondering if there are other factors, such as stress, that could be affecting ...[Read More] Understanding Fatigue: Thyroid Issues and Their Impact on Daily Life
Understanding Nipple Issues: What Yellow Discharge and Blood Mean
Nipple issues Hello Doctor: Two days ago, I noticed swelling in my nipple, which I thought was just premenstrual swelling. However, today while showering, I discovered that when I squeeze my nipple, a yellowish, pus-like fluid comes out, and eventually it turns into blood and the...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Qiong Mie: It is common to have increased discharge before menstruation, but it is less common for it to be blood-tinged. I'm not sure if the bleeding could be caused by excessive straining. Please keep an eye on it, and if it persists, it may be indicative of a papillo...[Read More] Understanding Nipple Issues: What Yellow Discharge and Blood Mean
Managing Hyperthyroidism: Do I Still Need Heart Medication?
Hyperthyroidism Dear Dr. Zhou, I visited the emergency department in early March due to severe palpitations and arrhythmia, initially thinking it was a heart issue. After being referred to cardiology, my blood tests indicated that hyperthyroidism was the cause of these symptoms ...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Mimi: 1. You should see an endocrinologist, as the thyroid is part of the internal medicine specialty of endocrinology. 2. If you have hyperthyroidism, medication adjustments can be made based on thyroid function tests and clinical presentation. Do not stop the medication...[Read More] Managing Hyperthyroidism: Do I Still Need Heart Medication?
Understanding Nipple Issues: Painful Bumps and Treatment Options
Nipple issues Hello doctor: I have a bump on my right areola that resembles a pimple. It hurts and itches when pressed. What medication should I apply to treat it?
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Dajie: Observe for any enlargement, redness, or pain as signs of inflammation. This is often indicative of a skin cyst. Generally, there is no need to apply medication, but if there are concerns about inflammation or infection, a small amount of antibiotic ointment can be ap...[Read More] Understanding Nipple Issues: Painful Bumps and Treatment Options
Understanding Breast Lumps: What You Need to Know About Your Symptoms
Breast lump Hello, doctor: I am currently in the second year of junior high school, and I have hard lumps in my breasts that appeared shortly after starting junior high. Both sides have them, and they are located towards the outer sides. I'm not sure if they can be described...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Xiao Yu: Mobile lumps are often fibroadenomas. They can be monitored, but if there is a persistent increase in size or any symptoms, it is recommended to consult a breast surgeon for evaluation.[Read More] Understanding Breast Lumps: What You Need to Know About Your Symptoms
Does Thyroid Nodule Removal Affect Fertility?
Will thyroid nodule removal affect fertility? Last August, the left thyroid gland was removed due to a nodule approximately 4 centimeters in size. During a check-up in March of this year, a suspected nodule measuring 1.3 centimeters was found on the right side. There are concerns...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Xiaomi: Generally, it is not common, but long-term medication management is necessary. If you wish to become pregnant, you should work closely with an endocrinologist and an obstetrician-gynecologist.[Read More] Does Thyroid Nodule Removal Affect Fertility?
Understanding Small Bumps on the Nipple: When to Seek Medical Advice
Small bumps on the nipple? Hello, about four days ago I noticed a small growth resembling a skin tag in the center of my left nipple (it is small and the same color as the nipple). I usually don't feel anything, but it hurts when touched. There is no discharge, and it hasn&#...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Daii: It may be a skin lesion. Monitor it, and if it enlarges or shows symptoms, it is advisable to have an outpatient examination. Sometimes, excision may be necessary.[Read More] Understanding Small Bumps on the Nipple: When to Seek Medical Advice
Understanding Brown Soft Lumps on Nipples: Causes and Concerns
There is a brown soft lump on the nipple? Hello, doctor. I am 20 years old and have no sexual experience. While showering, I noticed a soft, brownish lump at the tip of my nipple. The lump can be removed easily by myself, and I have noticed it for quite a long time. Could you ple...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Irene: It may be due to the accumulation of secretions from the milk ducts on the nipple. Please pay attention to cleanliness and keep the area clean and dry. If symptoms persist, a consultation in the outpatient clinic may be necessary.[Read More] Understanding Brown Soft Lumps on Nipples: Causes and Concerns
Understanding One-Sided Itchy Nipples: Causes and Concerns
Itching of the nipples? Recently, I've been experiencing itching in one nipple, and it has been going on for a while. Is this normal?
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Sister: It may be due to stimulation from nipple or duct secretions; keeping the area dry and clean should suffice. If symptoms persist, please seek an outpatient examination.[Read More] Understanding One-Sided Itchy Nipples: Causes and Concerns
Understanding Breast Cysts: What Bipolar Cells Mean for Your Health
Breast lump Hello Doctor, six months ago I had a breast ultrasound that revealed a cyst approximately 1 cm in size on the left side. The doctor mentioned that the ultrasound showed the contents were only fluid, so I was advised to monitor it for another six months. Upon the follo...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Xiao A: I am unsure what the aspirate is. If it is a liquid, it may be a seroma, and observation is sufficient with regular follow-up examinations. If it is solid, there may be irregular proliferation, and you may consider short-term monitoring or surgical excision.[Read More] Understanding Breast Cysts: What Bipolar Cells Mean for Your Health
Sudden Breast Lump: Causes, Symptoms, and When to Seek Help
Breast lump I found a hard lump near my left breast, close to the nipple, this morning that appeared "suddenly." Is it possible for a lump to appear so abruptly? I frequently examine my breasts, so it seems unlikely that a noticeable and painful lump could develop gradu...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Sylvia: It is likely that you have ductal hyperplasia, which may be accompanied by cysts, resembling changes similar to water-filled sacs. After your menstrual period, observe whether there is a reduction in size and a decrease in pain. If the symptoms persist, it is advisab...[Read More] Sudden Breast Lump: Causes, Symptoms, and When to Seek Help
Understanding Male Gynecomastia: Post-Surgery Concerns and Insights
Postoperative care for gynecomastia in males? Hello, I underwent breast liposuction at Chang Gung Hospital in early August last year. Recently, I've noticed that my left breast appears larger and seems to be showing signs of recurrence, with the nipple starting to protrude a...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear M: Breast liposuction? Is it being performed due to gynecomastia? I'm not sure if glandular tissue has been excised. Generally, the treatment for gynecomastia involves both liposuction and glandular excision. If the glandular tissue remains, there is a possibility of ch...[Read More] Understanding Male Gynecomastia: Post-Surgery Concerns and Insights
Understanding Inverted Nipples in Young Girls: When to Seek Help
The little girl has inverted nipples? Hello, doctor. My daughter is currently in second grade and will soon be in third grade. I noticed that she has inverted nipples since she was young. Which specialist should I take her to see? (Her father's nipples are also inverted.) Th...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Cherry: You can consider seeing a plastic surgeon when you grow up (if you're concerned, you can consult a plastic surgeon directly).[Read More] Understanding Inverted Nipples in Young Girls: When to Seek Help
Understanding Breast Lumps: Causes, Symptoms, and When to Seek Help
Breast lump When breast development begins, there may be a small, movable lump in the center of the breast that can be slightly painful when pressed. I previously visited a breast surgeon who said there was no issue, but recently, in addition to some enlargement of the breast, th...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Shan: It is likely caused by the proliferation of breast ducts stimulated by female hormones; observation is sufficient.[Read More] Understanding Breast Lumps: Causes, Symptoms, and When to Seek Help
Itchy, Red, and Swollen Nipple: What Could It Mean?
Red, swollen, itchy nipples that may be painful? In recent days, I'm not sure if it's the weather causing my skin to dry out or something else, but one side of my nipple is very itchy, painful to the touch, and has become red and swollen. What could these symptoms indic...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Miss: The symptoms are more similar to eczema. If the symptoms persist, you may visit a dermatologist or a breast clinic for treatment.[Read More] Itchy, Red, and Swollen Nipple: What Could It Mean?
Understanding Breast Hardness: Is It Normal During Development?
Breast hardness? Hello, Dr. Zhou. My breasts feel hard when I squeeze them, particularly around the nipple and areola. I've had this since I started developing. When I asked my friend, she said it was normal because I was still developing, and that it should go away once dev...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Huahua: It's completely normal; just pay attention to any swelling or pain, and make sure to have regular check-ups.[Read More] Understanding Breast Hardness: Is It Normal During Development?
Understanding Nipple Pain After Fried Foods: Causes and Solutions
Nipple pain After eating fried foods, I experience persistent nipple pain the next day, which usually resolves after a few days. Sometimes it occurs in my left breast and other times in my right breast. What are your thoughts and recommendations, doctor? Thank you.
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear An-An: This is mostly related to hormonal imbalances in the body. It is recommended to reduce the intake of fried foods, high-fat foods, and those containing animal fats. Avoid smoking, maintain a regular lifestyle (avoid staying up late and insomnia), and manage emotional s...[Read More] Understanding Nipple Pain After Fried Foods: Causes and Solutions
Can Eating Chicken Wings Affect Breast Size? Understanding Hormonal Changes
Eating too many chicken wings? Since I started junior high school and developed a liking for chicken wings, I have noticed a significant increase in my breast size. I'm not sure if it's related to growth hormones. I haven't eaten chicken wings for the past few mont...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Peng Ge: Most of the issues are caused by hormonal changes in the body. Please pay attention to the following: 1. Limit fried foods and high-fat foods, especially those containing animal fats. 2. Reduce the intake of caffeine-containing foods and beverages. 3. Be aware of en...[Read More] Can Eating Chicken Wings Affect Breast Size? Understanding Hormonal Changes
Understanding Pimple-like Bumps and Discharge Near the Nipple
Discharge from pimple-like lesions around the nipple? Today, I noticed a bump near my nipple that resembles a pimple with some discharge while taking a shower. I'm hesitant to squeeze it and I'm unsure whether I should see a breast surgeon or a dermatologist. I'm q...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Ting: It is generally acceptable; it is often caused by the obstruction of skin glands, and there is no need to intentionally squeeze them. If there is redness, swelling, or pain, then antibiotic treatment or surgery may be necessary.[Read More] Understanding Pimple-like Bumps and Discharge Near the Nipple
Understanding Fibroadenomas: Diagnosis, Treatment, and Follow-Up Care
Fibroadenoma Hello Doctor: At the end of 2015, I had a mammogram that showed microcalcifications (but no clustered calcifications were detected). Following that, I underwent a breast ultrasound, which revealed a mass with calcifications on the right side (this mass was normal whe...
Dr. Zhou Jiazhen reply Breast and Thyroid
Dear Open Mind: 1. Sclerosing adenosis is a benign proliferation of the ductal epithelium of the breast, which is one of the changes associated with fibrocystic changes. Stromal sclerosis refers to the fibrosis of the tissue surrounding the ducts and glands of the breast. 2. ...[Read More] Understanding Fibroadenomas: Diagnosis, Treatment, and Follow-Up Care