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In case of your Diaphragmatic hernia If you have no symptoms, you don't need treatment.

If you have mild symptoms, your doctor may suggest lifestyle changes and perhaps nonprescription medicines. Here are some things to try:
•Change your eating habits. •It’s best to eat several small meals instead of two or three large meals.
•After you eat, wait 2 to 3 hours before you lie down. Late-night snacks aren't a good idea.
•Chocolate, mint, and alcohol can make GERD worse. They relax the valve between the esophagus and the stomach.
•Spicy foods, foods that have a lot of acid (like tomatoes and oranges), and coffee can make GERD symptoms worse in some people. If your symptoms are worse after you eat a certain food, you may want to stop eating that food to see if your symptoms get better.

•Do not smoke or chew tobacco.
•If you get heartburn at night, raise the head of your bed 6 in. (15 cm) to 8 in. (20 cm) by putting the frame on blocks or placing a foam wedge under the head of your mattress. (Adding extra pillows does not work.)
•Do not wear tight clothing around your middle.
•Lose weight if you need to. Losing just 5 to 10 pounds can help.

If you often have symptoms or have severe symptoms, you may have GERD. Lifestyle changes may help, and your doctor may prescribe medicine. In severe cases, surgery can be used to pull the hernia back into the belly.

Bloody nipple discharge is never normal. Other signs of abnormality include nipple discharge from only one breast and discharge that occurs spontaneously without anything touching, stimulating, or irritating your breast.

Color isn't usually helpful in deciding if the discharge is normal or abnormal. Both abnormal and normal nipple discharge can be clear, yellow, white, or green in color.

Some causes of normal nipple discharge include:
•Pregnancy. In the early stages of pregnancy, some women notice clear breast discharge coming from their nipples. In the later stages of pregnancy, this discharge may take on a watery, milky appearance.
•Stopping breastfeeding. Even after you have stopped nursing your baby, you may notice that a milk-like breast discharge persists for a while.
•Stimulation. Nipples may secrete fluid when they are stimulated or squeezed. Normal nipple discharge may also occur when your nipples are repeatedly chafed by your bra or during vigorous physical exercise, such as jogging.

What causes abnormal nipple discharge and can it be noncancerous?

A number of noncancerous conditions can cause nipple discharge.

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:
•Laboratory analysis of the discharge
•Blood tests
•Mammogram and/or ultrasound of one or both breasts
•A brain scan
•Surgical excision and analysis of one or more ducts in your nipple

Possible causes of abnormal discharge include:

•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.

•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
•Hypothyroidism
•Illegal drugs, including marijuana

•Infection. Nipple discharge that contains pus may indicate an infection in your breast. This is also known as mastitis. Mastitis is usually seen in women who are breastfeeding. But it can develop in women who are not lactating. If you have an infection or abscess in your breast, you may also notice that your breast is sore, red, or warm to the touch.
•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.
•Intraductal papilloma. These are noncancerous growths in the ducts of the breast. They are the most common reason women experience abnormal nipple discharge. When they become inflamed, intraductal papillomas may result in nipple discharge that contains blood or is sticky in texture.


Premenstrual syndrome, or PMS, describes symptoms a woman may have a few days before her menstrual cycle, including tender breasts, bloating, cramps, mood swings, and headaches. Lifestyle changes and drugs can often help relieve PMS.PMS symptoms may be mild or strong and vary from month to month. When PMS symptoms are severe, the condition is called premenstrual dysphoric disorder (PMDD). But PMDD is rare.

Stress has a major role in altering menstrual cycle and can lead to irregular cycles.
Abnormal vaginal bleeding can be due to anatomical causes, local erosions or lesions and pregnancy. Please get a pregnancy test done just to be safe. If negative then you may be started on OCPs to regularize your cycle in consult with your doctor.


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