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Symptoms of Galactorrhea - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   hi i have some white pus, spots on my nipple area of both breasts, i also get some discharge from my nipples (both), usually clear, sometimes a greeny colour from my left nipple
Doctor :   Hi
User :   hi
User :   are you able to give me an idea of what it could be?
Doctor :   May I ask you a few questions pertaining to your problem to help you better?
User :   yep
Doctor :   May I know since when you are having this discharge ?
User :   probably about 2 years. havent been to a doctor about it though
Doctor :   Ok.
User :   spots have been there for longer, maybe 6 years
Doctor :   Do you have any pain in the breasts ?
Doctor :   Ok.
User :   yes on the side, mainly my left breast
User :   cannot feel any lumps though
Doctor :   Ok.
Doctor :   May I know your age please ?
User :   37
Doctor :   Ok.
Doctor :   May I know if the discharge in green color occurs only in one breast or both ?
User :   only in my left, right has much less discharge and if it does it's clear
Doctor :   Ok.
Doctor :   Have you been breast feeding at any point of time in the past 6 yrs?
User :   no, i have a 12yr old and didnt breast feed with him. i think spots have been there for 6 years, may have been a little longer
Doctor :   Ok.
Doctor :   As I cannot physically examine you I shall give you a list of differential diagnosis or possible diagnoses : User :   ok
Doctor :   And more over a number of non-cancerous conditions can cause nipple discharge .
Doctor :   1. Galactorrhea
User :   how am i tested for that?
Doctor :   If your initial medical evaluation indicates the discharge is abnormal, your doctor may ask for more tests. The tests will help determine the underlying condition that's causing the problem and may include one or more of the following: 1.Laboratory analysis of the discharge
2.Blood tests
3.Mammogram and/or ultrasound of one or both breasts
Doctor :   1.Galactorrhea. It might sound scary. But galactorrhea simply describes a condition in which a woman's breast secretes milk or a milky nipple discharge even though she is not breastfeeding. Galactorrhea is not a disease and has many possible causes. These include: Pituitary gland tumors
Certain medications, including some hormones and psychotropic drugs
Some herbs, such as anise and fennel,
Doctor :   this might be the reason in your case
Doctor :   but i shall enlist other possibilities
User :   thanks
Doctor :   2.Fibrocystic breast changes. Fibrocystic refers to the presence or development of fibrous tissue and cysts. Fibrocystic changes in your breasts may cause lumps or thickenings in your breast tissue. They do not indicate, though, the presence of cancer. In addition to causing pain and itching, fibrocystic breast changes can, at times, cause secretion of clear, white, yellow, or green nipple discharge.
Doctor :   3.Mammary duct ectasia. This is the second most common cause of abnormal nipple discharge. It is typically seen in women who are approaching menopause. This condition results in inflammation and possible blockage of ducts located underneath the nipple. When this occurs, an infection may develop that results in thick, greenish nipple discharge.
User :   ok, thanks, are there any others?
Doctor :   4. Though I would not go for breast cancer as usually involves unilaterally in most cases and has a lump , but in rare cases it is possible without a lump in Pagets disease or duct ectasia
Doctor :   Most probably it would be galactorrhea
Doctor :   do not worry
User :   i was reading about that on the net, what about nipple adonema?
Doctor :   and go ahead with consultation with a General surgeon or gynec who specilaises in Mastology .
Doctor :   Ok about nipple adenoma
Doctor :   they may be felt as a lump under the nipple
Doctor :   do you have anything under the nipple ?
User :   no the larger spot on my right nipple seems to have firmness in what seems to be a duct but not a lump
Doctor :   and it usually occurs above 40 and is caused in lactiferous ducts
User :   ok, sorry just one more, nipple molluscum?
Doctor :   i still feel it might be just a galactorrhea
Doctor :   thank you
Doctor :   take care
Doctor :   bye for now
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