[39M] With nipple pain and discharge
Patient Description
A 39-year-old male reports experiencing nipple pain with clear to red discharge for the past 4-5 months. The pain is rated as a 6 out of 10 and is exacerbated by friction with clothing. The patient has a long-standing nipple piercing, present for over 10 years without prior issues. Swelling occurs intermittently every few weeks, lasting 3-5 days, and is associated with increased pain. The swelling is slightly above the piercing exit. The discharge and swelling coincide, with no changes in discharge color or consistency noted. No new injuries or irritations have been identified.
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Arora's Assessment
What might be happening
Based on your symptoms, here are some possible explanations:
-
Nipple Piercing Complications: Given your history of a nipple piercing, the pain, swelling, and discharge could be due to irritation or infection. Even long-standing piercings can develop issues over time.
- Treatment typically involves cleaning the area with saline solution and avoiding irritants. If an infection is suspected, a healthcare provider might prescribe antibiotics.
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Gynecomastia-Related Changes: While you mentioned no new lumps, changes in breast tissue can sometimes cause discomfort or discharge.
- Monitoring for any new lumps or changes is important. A healthcare provider can evaluate if further investigation is needed.
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Duct Ectasia or Infection: This involves inflammation of the ducts behind the nipple, which can cause pain and discharge.
- Treatment may include warm compresses and, if necessary, antibiotics.
What you can do
- Continue Warm Compresses: This can help reduce pain and swelling.
- Maintain Hygiene: Clean the area gently with saline solution to prevent infection.
- Avoid Irritation: Wear loose-fitting clothing to minimize friction.
- Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share notes with your healthcare provider.
What you should look out for
- Seek Medical Attention If:
- The discharge becomes bloody or pus-like.
- You notice a new lump or significant changes in the breast tissue.
- The pain or swelling worsens or doesn't improve.
Remember, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.
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7 mo ago
