Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

177 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Noticed clear fluid discharge from nipples. Taking methadone. What is the cause?

Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

default
Posted on Mon, 9 Dec 2013 in Thyroid Problem and Hormonal Problems
Question: Hello doctors. Im a 25 year old male. First of all let me say that im a bit of a hypochondriac. Im also on a methadone treatment plan. Highest dose was 55mg but am down to 13mg and going down. Ive been an addict for approximately 5 years. Approximately 8 months ago i noticed that after eating a large meal i would get a sort of sharp pain under my left nipple. This has stopped. It did catch my attention though, being a health worrier. I could leave my nipples alone. I would squeeze them and rub and eventually a clear fluid was released. Really worried me. And approximately 2 months ago i was rubbing my right nipple, and a white fluid came out. I was wondering if this could be from the constant touching of both nipples, and possibly because im on methadone which can lower testosterone. Ive tried leaving them alone but sometimes i feel what feels like a wetness on my nipples so i feel the need to check. Any thoughts?
doctor
Answered by Dr. Shehzad Topiwala 25 minutes later
Brief Answer: Galactorrhea Detailed Answer: Galactorrhea is the medical term for milk-like discharge from the breast and is obviously considered abnormal unless it occurs in a nursing mother. This merits thorough evaluation. Sometimes a high prolactin level in the blood can cause this to happen. You are correct in knowing that methadone can lower testosterone but that alone cannot cause galactorrhea. However, occasionally methadone may cause an elevation of prolactin levels and consequently lead to the problem you are experiencing. A blood test for prolactin is in order in addition to a systematic evaluation by an endocrinologist, who will assess the thyroid as well medication history.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Shehzad Topiwala 6 minutes later
Ok. This milk like discharge only happened one time which was approximately 2 months ago. I mentioned that from time to time i feel a wet sensation on my nipples but when i check they are dry. Strange! I get this sensation on other parts of my body as well my back and legs. Does galactoreah happen constantly or would this one time thing be considered that as well?
doctor
Answered by Dr. Shehzad Topiwala 11 minutes later
Brief Answer: Still qualifies Detailed Answer: Yes even a one time occurrence is worthy of investigation.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Shehzad Topiwala 12 minutes later
Ive done some research on galactorreah and it says that constant coctact with the nipples can actually cause this in both men and women. Wondering because for quite a while i was squeezing and rubbing them to see if anything would be expressed and thats when that whitish fluid was expressed. This just causes me great concern being a man, makes me feel real wierd. I know galactorreah can be the result of underlying conditions. Can it also be the result of something minor, such as me constantly rubbing and squeezing?
doctor
Answered by Dr. Shehzad Topiwala 9 minutes later
Brief Answer: Unlikely Detailed Answer: I strongly recommend a comprehensive evaluation
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication ,  
Medical Topics

Recent questions on  Methadone

doctor1 MD

If possible, I would prefer to receive my answer from a pain management physician if one is available. I have been treated by a Board-certified physician in Naples, Florida, for over 13 years. I have remained stable and have worked as an infusion RN while maintained on 40 mg Methadone daily for cervical radiculopathy and radiculitis, ( traumatic injury in 1993 with fusions and nerve damage) neuro pain in the area of my left greater trochanter/femur ( sustained a fall taking my garbage out and shattered the trochanter and fractured thefemur and now have a titanium rod, dynamic screw...bolts and plates. The rod extends into the left knee, but I now need knee replacements from Erosive Osteoarthritis and the docs are scratching their heads on what to do with the knee) and pain in both feet, ankles, and toes. Both knees are bone on bone, but the osteoporosis is a roadblock as the docs are concerned with the healing process. Bottom line, if there is a joint, I hurt there. I cannot take Neurontin as I suffered a pseudo-DIC syndrome and bled from every orifice until they got it stopped. I take Celebrex, but will eventually have the same issues I have had with all the other anti-inflammatories...GI distress. I have been through numerous medication protocols and finally found that the Methadone and Celebrex gave me enough relief that I could function and not be a slug with pain. I have minimal family and want to remain independent. I am doing my best at the age of 62 to function without being a burden to society. The problem is I recently moved to be nearer my daughter, who has my granddaughter and so I wanted to be closer to them, My pain management physician, who is Board certified, wrote a letter for me to bring to the new doc (he referred me to the only one he knew in Atlanta but she has retired) along with some of my records. He gave me three RX scripts with post-dated not to fill dates so that I would have my medication while securing a pain doctor. The problem is that I have been trying for almost 3 months to see someone and it is impossible. I cannot see a Rheumatologist at Emory until July, and I cannot see a pain management doctor because I do not have a referral. I cannot get a referral because I cannot get a doctor early enough. My insurance does not require it, but Emory does. This is frightening. I do not know what to do. I am terrified as I know what the pain is like and my docs told me that I could not just stop the Methadone after being on it since 1996. I was told by one PCP to just stop taking it! And I was told my an internal medicine doctor that he would not see me because he did not support treating anyone with Methadone unless he or she was an addict, and even then, he could not treat with Methadone. He wouldnt take me as a patient! It is scary. I have never encountered this kind of treatment. I am staying with friends and if I cannot move....I just do not want to do that to anyone. No one should have to deal with my pain. I do not know where to turn. I do not want to have to drive 10 hours to Naples just to get my prescriptions. I want to go back to work but know it will be impossible without my medication. My hands are so very painful as well. It is so depressing and I dont know what to do or how to get help. I was told by the registration desk at Emory that the pain doctors do not prescribe opoids for non-cancer pain. Please...where do I go as I will be out of my medication in less than a week. I have been trying to get in with someone for almost 3 months.

doctor1 MD

Hello Doctor Grief; my name is Richard Hartsfield, from Alabama. I am a 61 year old veteran and I have been suffering chronic pain (90% arthritic), amongst other things. My doctors at the V.A. in Birmingham, Alabama have been looking after my needs until 16 to 20 months ago. I was told by my doctor at the V.A. that he was being mandated by his SUPERIORES that he was to start the process of taking myself along with all other Veterans that eventually practically all Vets would not be getting any narcotic pain relievers I was fortunate to have an old high school buddy who is a physician refer me to another physician who would see to my needs. I take anywhere from 150 to 170m.g. s of methadone for a long time and am afraid that ,(well I,m afraid that for some unforseeable reason, that I won t be able to get the meds I need. I am a caretaker for my 86 year old mother and it is a gut wrenching thing to watch her slowly die a little each day. To make a long storey short, I am looking ahead and will eventually need my pain meds (legally) each month without the stress of worrying if I will be able to get my meds. Respectfully, Richard Hartsfield

doctor1 MD

my mom has been on methadone for 17 years as high as 200mg/day. for past 5 years she s been on 40mg/day. she is having a hysterectomy fri and her surgeon wrote a letter to her pcp to recommend iv and po meds post-op what will help the best to relieve the pain .......what meds????

doctor1 MD

I have Miller Fischer Variant since November 2005, extremely painful, currently on numerous meds, the main one being Methadone. Does not matter what I have tried, pain is with me 24/7. I assume if I take larger dose it help, but I don t want to do that. has anyone heard about this

doctor1 MD

I'm a 76-year-old female with thinning hair. I used 5% minoxidil for a year and had hair regrowth with no side effects. I suddenly got large red stinging patches in places across my face. Stopped using minoxidil 2 months ago but the patches recur...

doctor1 MD

My husband, 83, has had dementia ( primary progressive aphasia ) for 13 years. After bout w/pheumonia almost six months ago, I was advised to keep him in bed. Although he hasn't developed pressure sores/skin problems, he quickly became much...

doctor1 MD

I recently stopped taking Methadone (Aug 19) as per my Dr. He helped me slowly get off and I appreciate it so much. I have fibromyalgia and have been on Hydrocodone/ Acetaminophen 10/325 for over 15 yrs. My problem is that this dosage is no longer...