First thing to rule out is a lump by palpation and a mammography.Then hyperprolactinoma should also be ruled out by checking prolactin levels.If thats normal,then a swab test of the discharge needs to be done to rule out infection.
Please see your doctor.
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Me: 61 yo male, 185 lbs, exercise regularly. Problem: tenderness behind left nipple. No discharge, no lump that I can feel. Duration is about 2 weeks. No muscle discomfort. 15 yrs ago had 3 fatty tumors removed from chest. On medication for Thyroid for 10 yrs+. Mother died of breast cancer at age 70. Your reply appreciated. Gary
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