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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Get Rid Of Infection In The Nipple?

About two years ago, under my partner's right arm was tender (she is 33 years old and a smoker). About a month later she found a mass under her right nipple, then she began showing signs of infection, redness, warmth by the nipple, low grade temps. Dx with non breast feeding mastits and did several rounds of Keflex. The infection continued to occur so they surgically removed the lump about 1 1/2 years ago, which was benign. Since then, the infection continues and she has been on several more rounds of Keflex. Also, since surgery one of her montgomery gland, and sometimes her nipple, produce yellow to green pus, blood, and is extremely painful. Once it "bursts" it is not as painful but it occurs almost weekly at this point and she has now found another lump under her right breast this time.
We know she needs to have it checked again but her insurance doesn't start for a couple months but I'm wondering if this does sound like Zuska's diseases s/s and how it's treated? Until then she is quitting smoking, we will be trying some home remedies such as cabbage leafs and figs to the areas, massage, adding vitamins D and C, and are there any other things that may help reduce her symptoms for the next couple months? Thank you for your help!
Wed, 2 Sep 2015
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General & Family Physician 's  Response
Hello.
I have gone through your question and understand your concern. Zuska’s disease or recurrent sub-areolar abscess is difficult to treat and a rare condition. The best measure taken is to quit smoking which will benefit in long run. Excision of the central nipple including the obstructed ducts, have been found successful.
As for now, you may take care of the infection at home by simple measure. Avoid massage or applying raw food to the affected area. Avoid unnecessary touching and wearing clothes that may further irritate the skin. Clean the affected area with antiseptic liquid like Betadine poured over a sterile piece of gauze once a day. Take pain killers like Panadol to reduce pain, fever and redness when needed. Continue taking vitamin supplements and stay fit to improve your immunity. Good luck. Hope your concern is answered. Thank You.
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How To Get Rid Of Infection In The Nipple?

Hello. I have gone through your question and understand your concern. Zuska’s disease or recurrent sub-areolar abscess is difficult to treat and a rare condition. The best measure taken is to quit smoking which will benefit in long run. Excision of the central nipple including the obstructed ducts, have been found successful. As for now, you may take care of the infection at home by simple measure. Avoid massage or applying raw food to the affected area. Avoid unnecessary touching and wearing clothes that may further irritate the skin. Clean the affected area with antiseptic liquid like Betadine poured over a sterile piece of gauze once a day. Take pain killers like Panadol to reduce pain, fever and redness when needed. Continue taking vitamin supplements and stay fit to improve your immunity. Good luck. Hope your concern is answered. Thank You.