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What Causes Milk Leaking From Breasts And Flaky Nipples?
My breast leaks milk and my son is 1yrs old and I have skin on my nipple that is breaking and after I scratch the wat I think is dead skin off my nipple it leaks and it only leaks wen I squeeze my nipple and I bled for only 3 days wen I started my period I am ovulating now and cramping on some nights I took a pregnancy test it was negative but I think I took it early I been feeling nauseated at times and having a hard time having a bowel movement sometimes I dnt have a family doctor right now ...please help. thank you very much
Wed, 2 Mar 2016
Hello,
Thanks for writing to us.
Milky nipple discharge without pregnancy is called galactorrhea in medical term. It occurs mostly due to elevation of prolactin hormone and is seen in 5 to 30% women of reproductive age group.
Little amount milky discharge is less significant and quite physiological. If it occurs in large amount or on regular basis or spontaneously, then underlying pathological conditions are needed to investigate properly. 50% of the cases are without any pathology.
COMMON CAUSES:
1) Excessive nipple stimulation or breast massage during sexual excitement.
2) Hormonal causes like hyperprolactinemia & hypothyroid state with elevated levels of TSH or TRH hormones.
3) Certain medications (methyldopa, opiates, antipsychotics, serotonin reuptake inhibitors)
4) pituitary adenomas (causing overproduction of prolactin or compression of the pituitary stalk.
INVESTIGATION: You need to undergo blood test for prolactin level, complete thyroid profile and pelvic ultrasound scan initially as you have missed period.
In addition, one CT scan of brain & ultrasound scan of breast are advisable in case of abnormal report of above mentioned tests.
Kindly, consult with your gynecologist regarding this for proper guidance. Take proper treatment according to test reports.
For future query, you can directly approach me through
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326
Thanks for writing to us.
Milky nipple discharge without pregnancy is called galactorrhea in medical term. It occurs mostly due to elevation of prolactin hormone and is seen in 5 to 30% women of reproductive age group.
Little amount milky discharge is less significant and quite physiological. If it occurs in large amount or on regular basis or spontaneously, then underlying pathological conditions are needed to investigate properly. 50% of the cases are without any pathology.
COMMON CAUSES:
1) Excessive nipple stimulation or breast massage during sexual excitement.
2) Hormonal causes like hyperprolactinemia & hypothyroid state with elevated levels of TSH or TRH hormones.
3) Certain medications (methyldopa, opiates, antipsychotics, serotonin reuptake inhibitors)
4) pituitary adenomas (causing overproduction of prolactin or compression of the pituitary stalk.
INVESTIGATION: You need to undergo blood test for prolactin level, complete thyroid profile and pelvic ultrasound scan initially as you have missed period.
In addition, one CT scan of brain & ultrasound scan of breast are advisable in case of abnormal report of above mentioned tests.
Kindly, consult with your gynecologist regarding this for proper guidance. Take proper treatment according to test reports.
For future query, you can directly approach me through
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326
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