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A bump behind the nipple in a 11 month old baby - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions
User :   We just noticed a pea size (hard) bump on our baby's chest right below her nipple. The skin is also red around it. Should we be concerned tonight?
Doctor :   Hi
User :   hello
Doctor :   May I know the age of the baby?
User :   11 months
Doctor :   Since when have you noticed this bump?
User :   this morning
User :   It was not there last night when I put on her pjs
Doctor :   Do you have similar lesions else where in the body?
User :   Does she?
User :   No - not that I have noticed
Doctor :   I mean
Doctor :   Yes, does she have similar lesions?
Doctor :   Ok
Doctor :   Is she running fever?
User :   Well she is teething and she is just getting over a terrible cold/virus that caused her to run a fever so she had Tylenol a bit earlier. Therefore, I am not sure.
Doctor :   Is there a pus pointing?
User :   No not that I see
Doctor :   Ok
Doctor :   Let me explain to you you.
User :   ok
Doctor :   Based on your description, the bump is probably an infected lesion. Could be an acne/pimple
Doctor :   which is causing the inflammation.
Doctor :   Since it is small in size and there is no pus pointing,
Doctor :   I do not think this is a concerning problem.
Doctor :   Watch out for the progress of the bump.
Doctor :   If you find that it is growing in size, or if you find a large pus collection with pus pointing
Doctor :   or if multiple other areas of skin developing similar lesions, then you can consider consulting your doctor for antibiotic creams/ointments.
Doctor :   Avoid handling the bump with bare fingers.
User :   Ok - so it is an infection. Is it related to her nipple at all? It is hard (like a marble) but the size of a pea right above/behind her nipple.
Doctor :   It is probably related to acne.
User :   And why not touch with bare fingers? Acne- she is just a baby.
Doctor :   I mean to say, that you should not touch the affected region with barefingers. You may introduce more infections by doing it.
User :   So should we take her to urgent care tomorrow or wait until Monday and take her to her pediatrician if it is still there? Is Monday too long?
Doctor :   You need to consult a doctor, if the bump increases in size or a large pus collections starts to occur.
Doctor :   I expect this to come down in a day or two.
User :   Do we put anything on it? Warm or cool washcloth?
Doctor :   I do not suggest you to use any of the products.
User :   Ok but a regular bath tomorrow is fine.
Doctor :   Yes, you can do that.
User :   Ok so not to be really silly but this is not going to be something serious right?
User :   No cyst or cancer or anything like that...just a skin irritation of some sort.
Doctor :   Since I have not examine the bump, it is hard to predict the exact nature of the problem.
Doctor :   However based on your description,
Doctor :   the symptoms are inflammatory/inffection and not a cancer or cyst.
User :   I wish it was possible to send pictures - that would be helpful.
User :   Ok - well you saved us a trip to urgent care at 8:36 PM with an 11 month old so thanks.
Doctor :   It's my pleasure.
Doctor :   Do you have any other query?
User :   No - thanks
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   Bye
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