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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Mild Blood Discharge From One Of The Nipples?

I noticed the smallest bit of dried blood in my bra. I am 29 years old. I m also on my period, and have what the Dr. believes is PCOS. This is my first period in 5 months. Before the start of this period i kept feeling my breasts, assuming I had breast cancer because they were sore. Days later my period started so I said, okay the soreness is just from my period. Now tonight -- the tiniest dried blood in my bra - something that I ve never noticed before. How concerned should I be?
Fri, 19 Aug 2016
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General & Family Physician,  's  Response
Nipple discharge may be associated with menstrual hormone changes. Possible causes of nipple discharge include abscess, excessive breast stimulation, fibroadenoma, papilloma, trauma, mammary duct ectasia, hormonal imbalance, galactorrhea, fibroadenosis, prolactinoma hypothyroidism, drugs, and breast cancer. Most nipple discharges are physiological and are not associated with an underlying disease. An abnormal discharge is generally one sided, spontaneous, persistent, clear, watery, bloody in appearance. Breast cancer is a possibility, especially if:
6.     you have a lump in your breast
7.     only one breast is affected
8.     discharge contains blood
9.     discharge is spontaneous
10.     discharge affects only a single duct
Advice
3.     Consult a general surgeon for physical examination of breast for any lump
4.     Investigations – mammography, breast ultrasound, and nipple discharge cytology
Thanks
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What Causes Mild Blood Discharge From One Of The Nipples?

Nipple discharge may be associated with menstrual hormone changes. Possible causes of nipple discharge include abscess, excessive breast stimulation, fibroadenoma, papilloma, trauma, mammary duct ectasia, hormonal imbalance, galactorrhea, fibroadenosis, prolactinoma hypothyroidism, drugs, and breast cancer. Most nipple discharges are physiological and are not associated with an underlying disease. An abnormal discharge is generally one sided, spontaneous, persistent, clear, watery, bloody in appearance. Breast cancer is a possibility, especially if: 6. you have a lump in your breast 7. only one breast is affected 8. discharge contains blood 9. discharge is spontaneous 10. discharge affects only a single duct Advice 3. Consult a general surgeon for physical examination of breast for any lump 4. Investigations – mammography, breast ultrasound, and nipple discharge cytology Thanks