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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For A Very Sensitive Lump Under Nipple With Puss Discharge

I am a 29 year old male and I have nipple rings. The one on my left healed just fine but the one on my right has always given me problems. First off it was pierced deeper than the one on my left. A couple times while cleaning and reinserting the bar, it would actually go into a pocked located to the right of my right nipple. Occasionally this same pocket would swell with puss and actually “pop” when squeezed. Most recently (last 2 months), I have developed a very sensitive lump directly under my right nipple that secretes a clear discharge when squeezed. Both these lumps appear to be independent of one another however sometimes they are both present. I am not sure if they are all related or not at all. I don’t want to take the ring out without expert advice for fear of the piercing holes closing up and leaving whatever mess trapped inside. I am healthy, no drugs, casual alcohol consumption (10 beers/wk). I take men’s pro health multi vitamin, green coffee bean extract, vitamin C, and a small dose of apple cider vinegar daily. Any help or advice would be greatly appreciated. Thanks
Thu, 26 Nov 2020
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General Surgeon 's  Response
Hi,

Noted your history about having nipple rings, the right nipple has sensitive lump an another one having clear discharge.
The commonest causes I can think about are as follows:
Pain is due to a granuloma formation which has an enlarged nerve ending causing severe pain even on slight touch or rub.
- The another one causing clear fluid indicates either a sinus formation or a fistula.
I would advise you the following in such a situation:
Consult a Genral Surgeon to know the exact problem.
Ultrasound of high resolution helps further.
You may need surgical excision of the tract or a cyst if present.
Do not worry about closure of the ring tract as your Surgeon can pass a prolene thread to keep the tract patent.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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Suggest Treatment For A Very Sensitive Lump Under Nipple With Puss Discharge

Hi, Noted your history about having nipple rings, the right nipple has sensitive lump an another one having clear discharge. The commonest causes I can think about are as follows: Pain is due to a granuloma formation which has an enlarged nerve ending causing severe pain even on slight touch or rub. - The another one causing clear fluid indicates either a sinus formation or a fistula. I would advise you the following in such a situation: Consult a Genral Surgeon to know the exact problem. Ultrasound of high resolution helps further. You may need surgical excision of the tract or a cyst if present. Do not worry about closure of the ring tract as your Surgeon can pass a prolene thread to keep the tract patent. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon