HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes White Discharge From The Nipples While Having Hyperprolactinemia?

default
Posted on Tue, 17 Jan 2017
Question: I was having Hyperprolactinemia so i was on a medication using parlodel bromocriptin pro lacting stop and even when walking but recently i carry heavy metal and stress job pro lacting cames but small tip on my nipple and when i stop stress work it goes away why?
doctor
Answered by Dr. Elona (1 hour later)
Brief Answer:
The stress is the cause of your problem.

Detailed Answer:
Hello
I have gone through your question.
I can understand your concern.

Hyperprolactinemia is a condition in which a person has higher-than-normal levels of the hormone prolactin in the blood. The main function of prolactin is to stimulate breast milk production.This is the culpit of your problem.

It is very important to find the cause of the hyperprolactinemia,so you can have the right treatement.

If you were my patient,i will ask:
- blood test is used to detect the level of prolactin.
- the blood levels of thyroid hormone. (hypothyroidism can be a cause of hyperprolactinemia.
-i will also ask about other conditions and medication use that can cause hyperprolactinemia.

The prolactin level raise during psychologic and physical stress.
This is the cause of you recent symptom (the production of breast milk).

My advice for you is: Try to reduce the life stress.This may be beneficial for you.

Hope I have clarified your doubts. If you have any further queries, please feel free to ask.(you can ask me at HealthCareMagic at my private link: bit.do/hcm-Dr-Xhardo). I would be happy to help.
Thank you for using HCM.
Wish you good health.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Elona (16 minutes later)
Because since i reduce stress and taking parlodel bromocriptine it gone even the metal i carry the pro lacting that came out from my nipple is just a small tip not like first as planty....... i stop soy and milk product always fruits and carrot?so the small tip of pro lacting means hyperprolacting is going away?
doctor
Answered by Dr. Elona (1 hour later)
Brief Answer:
Yes,The key for your problem is: Reduce Stress!

Detailed Answer:
Helo
Welcome again

A high level of stress causes dopamine levels to drop and prolactin to rise.

For this reason(as we discussed earlier),if you manage your stress, the symptom of galactorrhea or a spontaneous flow of milk produced by your breasts, very probably will disappear.

In my opinion another important factor for the treatement of your condition is the diet.This can help you to reduce the prolactin level.My advice is:
-A whole foods diet rich in fruits and vegetables, especially dark, leafy greens, is thought to optimize anyone's health.
-Beyond this, certain foods emerge as specifically beneficial in lowering prolactin levels.
-Consider eating more foods containing vitamin B6, such as potatoes, bananas, wild salmon, chicken and spinach.
-Also, according to some studies, supplementation with zinc decreased prolactin levels.Foods high in zinc include shellfish, beef, turkey and beans.

So my answer is:If you reduce your stress,have a healthy diet and take the right treatement(bromcriptine )as prescripted by your treating doctor,you will certainly reduce prolactin levels and your hyperprolactinemia will be normalized.

Hope this information is helpful for you.
Let me know if you have further questions.
Take care.


Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Elona (25 minutes later)
Thank you for the answer
doctor
Answered by Dr. Elona (12 hours later)
Brief Answer:
You're welcome.

Detailed Answer:
I'm sure that you will have very good results after some weeks, if you do the necessary lifestyle changes and treatement with bromcriptine.
Wish you good health.
Dr.Xhardo
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
default
Follow up: Dr. Elona (2 hours later)
No but hoping bromlcriptine eleminate pro lacting forever

The medicine works but it expensive to buy i mean brompcriptine
doctor
Answered by Dr. Elona (52 minutes later)
Brief Answer:
Don't worry, Bromcriptine is not used forever.

Detailed Answer:
Hello again

The treatement with Bromcriptine for Hyperprolactinemia do not last forever,it depends to the cause of hyperprolactinemia.

This condition generally is caused by a type of tumour called a prolactinoma.
Your treating doctor after a MRI scan or CT scan of the head can have the necessary information about the size of the tumour and the options of treatement.

Medication is a very effective treatment for most prolactinomas.
Bromcriptin is a type called dopamine agonists. These act on the pituitary gland to reduce the amount of prolactin it makes, and they can also shrink the tumour.

Usually with this medication, prolactin levels go down to normal in a few weeks. Dopamine agonists can be taken as long-term treatment,but not forever because of side effects.

Patients should be evaluated frequently during dose titration to determine the lowest dosage to the desired therapeutic effects.

At the other side there are other options of treatement.
-Surgery may be an option if medication does not work, is not wanted, or for larger prolactinomas. The operation is called trans-sphenoidal surgery.

-Radiotherapy (X-ray treatment) is not usually needed for prolactinomas - however, it may be used rarely, if other treatments are not sufficient.

My advice is to contact with your treating doctor for the follow up.
Your doctor will check your progress to make sure the medicine is working and will discuss with you how long your treatment should continue.

Don't worry ,i'm sure that everythink will be Ok.
Wish you all the best.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Elona (18 minutes later)
So hyperprolactinea will not worry me if i normalized stress and with medication too will it go away,so medication will strink tumor will eliminate it with medication and reduce stress all depends on me
doctor
Answered by Dr. Elona (2 hours later)
Brief Answer:
Yes,all depends on you.

Detailed Answer:
Hello
Wecome back.

So,as we discussed in the last reply,the treatement with Bromcriptine, the reduction of stress and the right diet for your condition, can normalize the overproduction of prolactin and the side effects that are produced by the excessive amount of this hormone.

If the tumour is microprolactinoma(less tha 1 cm)the possibility that bromcriptine can shrink it and elimine the symptoms is high.
This possibility decrease if the tumour is big,but i don't think this is your case.

Don't worry;Normalization of PRL levels occurs in 85-90% of all patients with prolactinomas.

Anyway i'm curious to know your actual PRL level and if you have Headache and Visual disturbances,these symptoms are important to undertand the size of the tumour and to have a better information about your actual situation.

Regards.


Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Elona (31 minutes later)
Am a bp patient but i check my blood pressure it high but i dnt have vision problem all i have it headache that all but not vision problem

So if i normalize my pro lacting level can i have fertility on a woman or give birth when i have sex with a woman
doctor
Answered by Dr. Elona (18 minutes later)
Brief Answer:
You must control your blood pressure during the treatement.

Detailed Answer:
It is very important that during the bromcriptine treatement ,you have a normal blood pressure.
Bromocriptine is contraindicated in patients with uncontrolled hypertension.

Headache can be a side effect of bromcriptine or can be because of the tumour.Anyway ,in my opinion ,in your case it is more possible that is the side effect of the drug because you don't have visual problems.

And your actual Prolactin level???
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Elona (57 minutes later)
So can the bromocriptine eliminate the tumor if the tumor is small can i give birth or have fertility with a woman if i normalise the pro lacting level to it normal range
doctor
Answered by Dr. Elona (1 hour later)
Brief Answer:
My answer is:YES.

Detailed Answer:
Yes,if the tumour is small or microadenoma the possibility that the therapy with Bromcriptine is very effective and shrink the tumour,is very high.

It is a common and reversible cause of male infertility, and has excellent results with dopamine agonist drugs or Bromcriptine.

So, as i said,Don't stress,because your condition can be managed medically with simple medication, such as bromocriptine , which normalizes serum prolactin levels, restoration of gonadal function, reversing infertility caused by hyperprolactinemia and induces reduction in the prolactinoma size.

Hope this helps you.
Anyway if you have other doubts ,please do not hesitate to contact me.You can ask me at HealthCareMagic at my private link: bit.do/hcm-Dr-Xhardo.
Take care.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Elona (15 hours later)
I check my bp was low no headache pro lacting had stop it since 5 days but if my bp is 180/120 i have headache....what causes this and how will i know bromocriptine has eliminate the tumor because no headache and vision problem and no lactation?
doctor
Answered by Dr. Elona (43 minutes later)
Brief Answer:
You have normal BP and no lactation...this are good news.

Detailed Answer:
Hello again
wellcome back.

1.I suppose that with "my bp was low" ,you mean that your blood pressure is normal and this is good because this is important for the treatement with Bromcriptine.

In the moment when your BP is too high like 180/120,the headache is caused by the hipertension.

When blood pressure is 180/110 mm Hg or higher this is called hypertensive crisis and it is a medical emergency.You must be careful,because it is very very dangerous.

Important nore for you:Hypertension or hypertensive crisis are not common for a 25 years old person.So my advice is to consult a hypertensive specialist,if this problem persist.

2.Once the diagnosis (Hyperprolactinemia) has been established and therapy initiated, fasting prolactin levels should be monitored monthly. Later, prolactin levels can be monitored every 3-6 months. Shrinkage of the tumor should be followed by formal visual-field testing and MRI.

Let me know if you have further doubt (at HealthCareMagic at this link: bit.do/hcm-Dr-Xhardo.)I will be happy to help.
Or if everythink is clear, you can close the discussion and rate the answer.
Wish you all the best.
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
default
Follow up: Dr. Elona (30 minutes later)
So what stress works makes the tumor cames if eliminated and also i notice taking blood pressure drug can cause hyperprolactinoma or pro lacting so what should i do?so the tumor will not came back again
doctor
Answered by Dr. Elona (1 hour later)
Brief Answer:
Stress can raise prolactin hormone.

Detailed Answer:
Dear
1.As we said several times,stress is harmful for you because it can raise the prolactin hormone and exacerbate your symptoms,for this reason you must try to manage and reduce stress.

2.It is true,some of the medicines of the treatement of High blood pressure such as calcium-channel blockers and methyldopa can cause hyperprolactinemia.In your case if you will need to take a treatement for high blood pressure,you must avoid this drugs.

if you reduce stress and take a regular treatement the tumour will not came back again.

Take care.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Elona

Endocrinologist

Practicing since :2008

Answered : 940 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes White Discharge From The Nipples While Having Hyperprolactinemia?

Brief Answer: The stress is the cause of your problem. Detailed Answer: Hello I have gone through your question. I can understand your concern. Hyperprolactinemia is a condition in which a person has higher-than-normal levels of the hormone prolactin in the blood. The main function of prolactin is to stimulate breast milk production.This is the culpit of your problem. It is very important to find the cause of the hyperprolactinemia,so you can have the right treatement. If you were my patient,i will ask: - blood test is used to detect the level of prolactin. - the blood levels of thyroid hormone. (hypothyroidism can be a cause of hyperprolactinemia. -i will also ask about other conditions and medication use that can cause hyperprolactinemia. The prolactin level raise during psychologic and physical stress. This is the cause of you recent symptom (the production of breast milk). My advice for you is: Try to reduce the life stress.This may be beneficial for you. Hope I have clarified your doubts. If you have any further queries, please feel free to ask.(you can ask me at HealthCareMagic at my private link: bit.do/hcm-Dr-Xhardo). I would be happy to help. Thank you for using HCM. Wish you good health.