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Nipple eczema and cracked nipples. - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2497 Questions
Doctor :   Hui
Doctor :   How can i help you
User :   Hai
User :   I have to ask about a problem regarding skin
User :   that is a dermatlogist
Doctor :   Ok carry on
User :   I used to have nipple eczema for almost 4-5 years
User :   I have consulted doctors in our area
User :   and get diagnosed
User :   But its not completely preventing
User :   so i changed doctors and they hav said to use moisture always to keep the skin wet
User :   but recently I have studied about paget's disease.millistis or something
Doctor :   Ok
User :   But at my first diagnosed doctor has checked breast area and had checked whether any
User :   secretions related to cancer are there
User :   they said there is not any
User :   since its nor preventing completely for these many years am afraid about it
User :   your diagnosis please??
User :   Hallo ... r u there doctor??
Doctor :   Yes
Doctor :   The Diagnosis may not be complete without physical examination
Doctor :   I can give you some facts about it
User :   ok but my question is does nipple eczema has chance of turning into cancer or somehting
Doctor :   I mean the Eczema and the pagets disease
User :   relayy am very afraid about it
User :   plz educate me
User :   yaya tell me
Doctor :   Are you married and having a baby
User :   noo
User :   am unmarried
User :   Also ,I have cracked nipple on my left side
User :   right side nipple is ok
Doctor :   Ok
User :   bu tboth nipples are eczema affected
User :   but as of now no itching problem or anything
User :   but if I don't keep that area dry,it again comes
Doctor :   Eczema is a condition after baby feeding
User :   due to climate change or somehting
Doctor :   and if the skin is dry naturally
User :   okk
Doctor :   or any dry condition causes it
User :   yaa mine is dry naturally
Doctor :   For it one can only preveent it from applying moisturisers and petroleum jelly
Doctor :   as said by your doctor
User :   is it harmful?
Doctor :   Ok
Doctor :   ECzema is a very benign condtion
User :   okkk
Doctor :   It can be caused by some fungal infections
Doctor :   too
User :   then how can we differentiate eczema from paget's
Doctor :   Eczema is diagnosed on physical examination
Doctor :   Pagets disease needs biospsy
User :   okkay
User :   why I have got cracked nipple on one side?
User :   I mean what may b d reason
User :   since am unmarried
Doctor :   eczema is non cancerous itchy red rash
User :   okkay
Doctor :   If the doctor has diagnosed it as eczema
Doctor :   it would most probably be the right onw
Doctor :   and pagets disease cause is unknown
Doctor :   There are two theories
Doctor :   one cancer cells on the nipple
User :   and other one?
Doctor :   the nipple cells transform into the pagets cells is one
Doctor :   the other one is the underlying breast cancrer
User :   y they transform like that?
User :   okay
Doctor :   Always any pagets disease
Doctor :   should be ruled out with an underlying cancer of breast
Doctor :   it is said that more than 95 percent of pts have underly9ing cancer
Doctor :   if the pagets disease is diagnosed on biopsy
Doctor :   So if your eczema is not coming down then the next step would be biopsy to rule out pagets
Doctor :   But at this age always the benign conditions are ruled out first like
Doctor :   eczema
User :   But at this age always the benign conditions are ruled out first like
eczema
User :   i didn't understand
User :   can u b more clear?
Doctor :   Benign conditions are not the dangerous conditions
User :   okkayy
Doctor :   So usually the breast cancer comes up after 35 years
Doctor :   so at this age the common condtions of the nipple are benign
User :   does this problem leads to cancer as age grows or ??
Doctor :   Did any injury occured to your nipple
User :   or it has gor ntg to do with it?
User :   Noo
Doctor :   any bite?
User :   am 23 years now
User :   no no
Doctor :   Do you squeese the nipples
User :   noo
Doctor :   Do you smoke
User :   no way
User :   noo
Doctor :   any discharge?
Doctor :   Do you have any health problems of any sort?
User :   mm as comes the itching,so comes some skin peeling
User :   so it gets sticked to clothes
User :   so a lite discahrge comes
Doctor :   Ok
User :   but its not from inside nipple area,it is from the part where it is eczema
User :   if i squeeze nipple i won't get any discharge
Doctor :   The eczema has negligible chance of getting the pagets disease
User :   okk
Doctor :   Right now what i can suggest you is that
Doctor :   Dont squeeze the nipples
Doctor :   apply the petroleum jelly
Doctor :   frequently so that the nipple is not cracked
User :   actually my left nipple is cracked
Doctor :   Take care of using better under garments that doesnt
User :   y this happend
User :   is this due to eczema alone?
User :   ur saying somenting
User :   plz continue
Doctor :   Use protective bras
Doctor :   that are smooth
User :   is cotton ok?
User :   I mean the cloth which is made of cottin fabric?
Doctor :   Yes it should be
User :   ok
Doctor :   Ok
User :   so cracked nipple is due ti eczema alone ritee??
Doctor :   Cracked nipple are due to breast feeding and improper breast feeding techniques
Doctor :   and eczema
Doctor :   you can use nipple pads too
Doctor :   which are soft
User :   ok what our doctor said is u need to use them after getting pregnency and at the time of breast feeding
Doctor :   Yes
User :   that is at the time of breast feeding
Doctor :   But they are meant for nipple protection
User :   so as of now i think its not necessary to use
User :   okk
Doctor :   So if you are not comfortable wiht your present measures you may use them too
Doctor :   Ok
Doctor :   thanks for consulting, bye
Doctor :   There are many patients lined up
User :   okkk
Doctor :   Login afte rsometime for other queries
Doctor :   Bye
User :   thank u somuchh
User :   byee
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