[37F] With irregular periods, breast discharge, and rectal bleeding

Patient Description

A 37-year-old female reports experiencing irregular periods, heavier and more painful menstruation, and shorter cycles. Additionally, she has noticed clear fluid leaking from her left breast when squeezed, accompanied by tenderness in the middle of the breast, underneath the nipple. This tenderness and fluid leakage started suddenly about a month ago. The patient also reports a sensation of fullness and increased density in her breasts, similar to when she was pregnant. She has gained weight recently but has not experienced any recent pregnancies or changes in hormone levels. Furthermore, she has observed blood and mucus in her stool, with blood clots attached to the feces and floating in the toilet. This rectal bleeding has occurred off and on throughout the years. There is no history of breast trauma or injury.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Irregular Periods and Breast Discharge

  • Hormonal Imbalance: Irregular periods and breast discharge can often be linked to hormonal imbalances. Conditions like hyperprolactinemia (elevated prolactin levels) or thyroid disorders can cause these symptoms.
  • Galactorrhea: This is a condition where a person produces breast milk or a milk-like discharge without being pregnant or breastfeeding. It can be caused by hormonal imbalances, certain medications, or other underlying conditions.
  • Fibrocystic Breast Changes: This condition can cause your breasts to feel lumpy, tender, and full, especially around your menstrual cycle.

Blood in Stool

  • Hemorrhoids: These are swollen veins in your lower rectum and anus that can cause bleeding, especially during bowel movements.
  • Anal Fissures: Small tears in the lining of the anus can cause blood and mucus in the stool.
  • Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause blood and mucus in the stool, along with other symptoms like abdominal pain and diarrhea.

What you can do

For Irregular Periods and Breast Discharge

  • See a Doctor: It's important to consult with a healthcare provider to get a proper diagnosis. They may recommend blood tests to check hormone levels or imaging tests like a mammogram or ultrasound.
  • Track Your Symptoms: Use MDandMe to journal your symptoms, track your menstrual cycle, and note any changes in your breast discharge. This information can be very helpful for your healthcare provider.
  • Avoid Squeezing Your Breasts: Try to avoid squeezing your breasts, as this can stimulate more discharge.

For Blood in Stool

  • Consult a Healthcare Provider: Given the recurring nature of your symptoms, it's important to see a doctor for a thorough evaluation. They may recommend a colonoscopy or other diagnostic tests.
  • Dietary Changes: Increase your fiber intake to help with bowel movements and reduce the strain that can cause hemorrhoids or fissures.
  • Stay Hydrated: Drink plenty of water to help keep your stool soft and reduce the risk of bleeding.

What you should look out for

  • Seek Immediate Medical Attention: If you experience severe abdominal pain, significant changes in bowel habits, or large amounts of blood in your stool, seek medical care immediately.
  • Monitor for Other Symptoms: Keep an eye out for other symptoms like unexplained weight loss, fever, or persistent pain, and report these to your healthcare provider.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and treatment plan. If you have more questions or need further assistance, feel free to continue the conversation.

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3 mo ago


People Also Ask


What could cause irregular periods and breast discharge in women who are not pregnant?

Irregular periods and breast discharge in non-pregnant women can be caused by hormonal imbalances such as hyperprolactinemia or thyroid disorders, certain medications, or conditions like galactorrhea and fibrocystic breast changes.


What are the potential causes of blood and mucus in stool?

Blood and mucus in stool can be caused by hemorrhoids, anal fissures, or inflammatory bowel diseases like Crohn's disease or ulcerative colitis. It's important to consult a healthcare provider for a proper diagnosis.


How can hormonal imbalances affect menstrual cycles and breast health?

Hormonal imbalances can lead to irregular menstrual cycles, heavier or more painful periods, and breast changes such as tenderness, fullness, and discharge. These imbalances can be due to conditions affecting the thyroid or pituitary gland, among others.


What steps should be taken if someone experiences rectal bleeding?

If someone experiences rectal bleeding, they should consult a healthcare provider for evaluation. This may involve a physical examination, blood tests, or diagnostic procedures like a colonoscopy. Immediate medical attention is necessary if there is severe pain, significant changes in bowel habits, or large amounts of blood.


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