[65F] With unilateral clear nipple discharge post-core biopsy
Patient Description
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Arora's Assessment
What might be happening
Based on the information you've provided, here are some possible explanations for your nipple discharge:
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Duct Ectasia: This is a condition where a milk duct beneath your nipple becomes widened and its walls thicken, which can lead to a blocked duct. This is more common in women who are approaching menopause and can cause a clear, watery discharge. Treatment may not be necessary unless it causes discomfort or infection.
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Papilloma: A small, benign tumor that can form in a milk duct, often causing clear or bloody discharge. These are usually non-cancerous and can be removed surgically if needed.
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Medication Side Effects: Some medications, including those for mental health conditions like Seroquel, can cause nipple discharge as a side effect. It's important to discuss this with your healthcare provider.
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Breast Cancer: While less likely given your recent MRI results, it's important to rule out any serious conditions. The upcoming mammogram and ultrasound will help provide more information.
What you can do
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Follow Up with Your Doctor: It's important to keep your upcoming appointments for further imaging. These tests will help clarify the cause of the discharge.
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Monitor the Discharge: Keep track of any changes in the discharge, such as color, consistency, or frequency. This information can be helpful for your healthcare provider.
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Avoid Stimulation: Try to avoid squeezing or stimulating the nipple, as this can sometimes increase discharge.
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Use MDandMe: Consider using the MDandMe app to journal your symptoms, track any changes, and share this information with your healthcare provider. This can provide valuable insights into your condition over time.
What you should look out for
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Changes in Discharge: If the discharge becomes bloody or changes in color, it's important to contact your healthcare provider promptly.
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New Symptoms: Be alert for any new symptoms, such as lumps, changes in breast texture, or pain, and report these to your doctor.
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Emotional Well-being: Given your history of anxiety, it's important to manage stress and seek support if you're feeling overwhelmed. Your mental health is just as important as your physical health.
Remember, while I can provide information and guidance, it's crucial to follow up with your healthcare provider for a formal diagnosis and appropriate treatment.
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20 d ago