How do I manage my breast milk discharge and delayed periods?

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

You are noticing milk discharge from the left breast, delayed periods, and stomach pain. This combination suggests a possible hormonal imbalance, often associated with elevated prolactin levels. Although it can sometimes be related to stress or weight-related cycle disturbances, the presence of breast discharge requires careful evaluation.

I would recommend the following investigations to be done:

• Urine or blood pregnancy test (to rule out pregnancy).

• Serum prolactin level.

• Thyroid profile (thyroid stimulating hormone, triiodothyronine, thyroxine).

• Ultrasound of the abdomen and pelvis (to check uterus and ovaries).

• If breast discharge persists: Mammogram or breast ultrasound.

I would suggest the following treatment plan:

• Do not start any medicines before completing the investigations.

• Complete the blood work and ultrasound.

• If prolactin levels are elevated, an endocrinologist or gynecologist will prescribe appropriate medicines to lower them.

• If the pregnancy test is positive, that explains the delayed cycle and symptoms.

• For stomach pain: Short-term use of Antacid (proton pump inhibitors such as Omeprazole – gastric acid suppressor class) or Spasmolytic agents (Dicyclomine- anticholinergic/antispasmodic class) may provide relief, but the underlying cause must be confirmed before continuing.

I would suggest the following preventive measures:

• Maintain a healthy weight.

• Reduce stress.

• Limit caffeine intake.

• Ensure regular sleep for better hormonal balance.

I hope this helps.

Thank you.