Q. What are the common reasons for nipple discharge?

Hi,

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Nipple discharge is not normal in non-lactating women. It is more concerning if it is associated with a lump in the breast, erosion of nipple or comes out by itself without the need of any pressure. So first, we need to rule out breast cancer by doing a mammogram with or without ultrasound. Your doctor can smear the nipple discharge onto slides and look for nefarious-looking cells. So, seek an appointment and when you go, make sure you have not already expressed the discharge out. Express it out for your doctor to see and make slides. A few blood tests can be required in case if a hormonal problem is suspected. One thing that can help you decrease the risk of cancer and also many other deadly diseases is weight reduction.

If it is a clear discharge, then it can be because of hormonal imbalance as well. Hormonal problems usually cause issues with both breasts at the same time. However, color alone cannot rule out cancer or lead to a definite diagnosis. Most nipple discharges are not because of cancer. But, cancer can be a possibility, and it should be excluded. It is like ruling out a heart attack for every chest pain, even if minor.

What is the color of the nipple discharge? If it is reddish or dark or greenish, then it is because of altered blood. It could be from a very tiny bleeding tumor (usually benign papilloma) inside the milk ducts of the breast.

It could be related to your breast cyst. Milk duct blockage and infection can also be a cause in your age group.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Arvind Guru

Experience: 16 + Yrs

General Surgery

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