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Discharge from nipple, epididymitis and testicular discomfort - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   Hi, Im 19 years old, a male, and I have some clear discharge from my left nipple. What does this mean?
Doctor :   hi
Doctor :   Dr. XXXXXXXX here
User :   Hi how you doing
Doctor :   clear discharge from nipple is common during adolescent years.
Doctor :   do you have swelling in breast associated?
User :   alright well its not really my nipple, its like the pores around my nipple
User :   i have no sweeling
User :   actually its a little swollen
User :   more than the right one
Doctor :   ok
Doctor :   it is usually due to hormonal changes
Doctor :   leave it alone for sometime. it should go away
Doctor :   do not try to squeeze
Doctor :   if it still does not go away or increase in size
User :   well i been having this for quite some time already i would probably say more than a year
Doctor :   then you would need an examination
Doctor :   done to look for th ecause
Doctor :   and start with medications
User :   alright then, well wouldnt any symptoms been present by now?
Doctor :   sometimes there may not be many symptoms associated if the problem is subtle
Doctor :   since it present for more than a year, i would recommend you to get an examination done
Doctor :   and proceed with blood test sto check for hormonal levels
Doctor :   *tests to
User :   alright then. well from what i telling you, do you have any ideas on what it might be?
Doctor :   and if needed a mammogram to rule out any other causes for the discharge other than hormonal
Doctor :   since I ma not examining you personally, I cannot say what is exactly wrong
Doctor :   *am
User :   alright then
User :   i have another question regarding something else
Doctor :   ok. please proceed
User :   i was diagnosed with epididymitis, around the first week of april, and i took some anti-biotics, but i was negative for chlamydia, then i did another test in the last week of may and i was postive for chlamydia, and i was given doxycycline to get rid of the bacteria, its been 2 weeks that ive been taking the meds and some of the symptoms still persist. I have slight discomfort in my left testicle, i have some discharge from time to time. But the burning sensation when i urinate went away
Doctor :   ok.
Doctor :   was anytime a culture sensitivity test done to see which antibiotic is best to treat the infection?
Doctor :   are you sexually active?
Doctor :   if yes, were you sexually active while being on treatment?
User :   no to the first question, and no im not sexually active
User :   since i started treatment
Doctor :   ok
Doctor :   was a Doppler scan done to look for any vascular cause for the discomfort?
User :   well the first tiem i went around march they did an ultrasound and they didtn find anything. No testicualr torsion or anything of that sort
User :   thats when they found out i had epididymitis
Doctor :   ok
User :   i stopped my medication today, the symptoms have subsided significantly but they still persist
Doctor :   ok.
Doctor :   if they recur, discuss about getting a culture sensitivity test and a repeat scan done with your treating doctor
User :   alright, do you think i should wait to see they disappear , or should i go right away?
Doctor :   if the discomfort persists or gets more, go right away.
User :   the thing is though that it comes and goes
Doctor :   ok
Doctor :   is there anything else I can help you with?
User :   well whenever i press down on my head i have this slight pain
User :   on top of my head
Doctor :   ok.
User :   it only hurts when i press down
Doctor :   since when are you having this symptom?
Doctor :   are you able to touch your chin to chest without any discomfort or pain?
User :   for about a 3-4 weeks maybe
User :   yes i i have no pain
Doctor :   where is the pain located in head when you press down?
User :   around the right side of the parietal lobe
User :   close to the right temporal lobe maybe
Doctor :   ok. do you have feeling of nausea associated?
User :   no i dont
Doctor :   ok.
Doctor :   is there any other symptom associated when you press down along with the pain?
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