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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does A Sore Bump On Areola Indicate?

I am breastfeeding and noticed a bump on my areola that is sore and tender to the touch very painful when my LO is eating. It has been there a month now I ve tried lanolin cream, switching positions when feeding, using the pump etc. nothing seems to help. From what I have read it sounds like a blocked Montgomery gland...any suggestions?
Tue, 27 Jan 2015
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General & Family Physician 's  Response
Hi,
I understand your concern.
Yes, the swelling you have on areola is a cyst of Montgomery gland.The cyst seems to be infected ,giving you pain.
It needs antibiotic like Erythromycin 500 mg with non steroidal anti inflammatory drug like Ibuprofen 400 mg ( both to be taken twice a day after food) for 5-7 days,along with B complex pills,
Usually it subsides with the oral antibiotics,Non responding patients need surgical drainage.
Thanks.
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What Does A Sore Bump On Areola Indicate?

Hi, I understand your concern. Yes, the swelling you have on areola is a cyst of Montgomery gland.The cyst seems to be infected ,giving you pain. It needs antibiotic like Erythromycin 500 mg with non steroidal anti inflammatory drug like Ibuprofen 400 mg ( both to be taken twice a day after food) for 5-7 days,along with B complex pills, Usually it subsides with the oral antibiotics,Non responding patients need surgical drainage. Thanks.