How to manage nipple hematoma from suction trauma?

Question

Hello doctor,

My husband sucked my nipple on the breast, and there is a small blue spot there. It hurts when it gets cold, and when it is heated, it relaxes. The pain has not gone away even after two weeks.

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

So, from what you describe, it sounds like the spot is basically a bruise (we call it a hematoma under the skin) caused by suction or pressure. Usually, these settle in a week or so, but sometimes they linger for two to three weeks if the tissue under the breast skin is sensitive.

The fact that cold makes it hurt more and warmth eases it also fits with a bruise. As long as the size is not increasing, no lump is forming, and there is no redness, fever, or discharge, it is not something dangerous. Probable cause is a small subcutaneous hematoma or bruise from suction trauma.

Investigations are not always needed if it is improving. However, if it persists beyond another week or you feel a lump, it is better to do a breast ultrasound just to be safe.

The treatment plan is as below:

Warm compresses, two to three times a day, help with resolution.
A simple analgesic like Paracetamol if the pain is more.
Avoid further pressure or suction until it heals.
If it does not settle in the next one to two weeks, or you feel a hard lump forming, get examined and do an ultrasound.
Be gentle with breast tissue. Avoid direct, strong suction or trauma. Wear a supportive bra if the area is tender.

If the spot persists beyond three to four weeks, becomes larger, turns hard, or you notice nipple changes or discharge, then please follow up with me. If it does not improve, I will want you to get an ultrasound and show the report here.

I hope that this answers your query.

Kindly follow up if you have more doubts.

Thank you.