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Nipple Issues: When To Worry, When To Wait

By PJ Hamel, Health Guide Tuesday, April 14, 2009
All of us, at one time or another, have had nipple issues. Perhaps it’s discharge, with clear, milky, dark, or even bloody fluid leaking (or being squeezed) out. Often it’s pain—anything from slight sensitivity to a burning soreness. And sometimes it’s a rash, what looks like ...
Anonymous
Betty Daigle
4/15/09 7:55am

If a sympton like inverted nipple appears on a breast waiting a few weeks is not an option.  IBC is aggressive.  Three weeks can mean a lifetime to a woman.  Get to a doctor.  Been there and know the difference a few weeks can make.

 

Thanks

 

PJ Hamel, Health Guide
4/15/09 10:11am

Point well taken. An inverted nipple that appears suddenly is something to call the doctor about without waiting. PJH

Anonymous
Angelina
10/18/09 3:58pm

Thank you so much, I was so confused becuase my nipples were buring each at different times and really badly and then one was even peeling. I didn't know if that was normal or not and if I should go to the hospital becuase it burned so bad. Thank you for putting up this info that let me know its normal and to only be concerned if it persists. You have taken a burden off my mind!

PJ Hamel, Health Guide
10/18/09 4:15pm

Angelina, you still might want to have this checked - not because you think it's cancer, but because it hurts! And it's something new, and out of the ordinary for you. No sense putting up with this pain if you don't have to; it might be something treatable. So think about seeing a doctor, OK? Good luck - PJH

Anonymous
Kelly
10/22/09 12:04am

I am 23 years old and now diagnosed with breast cancer.  It all started with one nipple and was originally passed off as eczema, and an eczema cream did not work.  I was supposed to have a biopsy after one week, but I was too scared and didn't want to know.  I tried to think it was just dry skin and would fix itself, and it continued to worsen.  If you have any doubts it's better to get medical attention!

10/25/09 12:33pm

Thankyou your answer was helpful.

10/26/09 6:05pm

i am 18..i dont know if i should be worried but my brests started out aching now there is a wierd sensation like scratchiness and and burning on the skin as well as some peeling skin...any comments on this would be helpful.. i am worried.

PJ Hamel, Health Guide
10/26/09 7:32pm

Raina, please see my answer to your question in the Q/A section, where you also posted it, OK? Thanks - PJH

Anonymous
Sore nipple
1/17/10 2:04pm

I have one breast nipple that hurts. It was both at first with a tingling sensation but with the next cycle got better.  But one nipple is still sore and now has an itch above the breast. There is no rash, not warm to the touch but the nipple soreness will not go away.  Went to the doc, did the annual, checked the breast and said no lumps no oozing, no droop, no indentations, no rash. He said I did not have Pageats. ( I worry alot so I was up on the IBC and the Pageats stuff to ask about)  Had a cycle, got better, but now it hurts again.  Should I go back?  My next mamo isn't until April 2010. Had one in 2009. Both still have the tingling off and on. I'm 43 and had a breast reduction 6 years ago. He also did hormone testing. I am waiting for those results. Last cycle I did not ovulate then my period came a week early.  I am also have heavy periods. I wouldn't be worried if it was both nipples, but its one.  I am good about annuals exams and doing mamo every year. Any advice with this? The breast itches where the bra starts where the cups are on top.  Its not an intense itch but throughout the day.  I have been putting Aveno lotion; it helps but the itch will not go away. Also I had been putting heating pads on them with the previous cycle and fell asleep with the pad on med/high directly on the skin.  I don't know if this damaged the nipple with the nerves or what.  But at the annual, he said to lay off caffene and drink more water. I've done this with the exception of coffee and choc.  But its one nipple and I would think all of that would effect both.

 

Thanks

LJ

Phyllis Johnson, Health Guide
1/17/10 6:20pm

LJ, you are correct that usually symptoms in just one breast are more likely to be cancer than symptoms on both sides.  However, all kinds of medical problems can affect one side more than another for a wide variety of reasons.  There are several reasons why I think you don't need to worry at this time.  You are having all kinds of hormonal fluctuations that are affecting your periods and probably your breasts as well.  The problem started in both breasts and then got better.  Breast cancer does not usually get better and worse the way your symptoms are.  Sleeping on the heating pad may have made your irritation worse.  Although inflammatory breast cancer symptoms do vary, the kind of itch I had with IBC was an itch deep in my breast not on the skin surface, and my IBC symptoms only got worse, never better.  Your doctor has checked you out and sees no reason to be alarmed at this time.

Since you have a mammogram coming up in April, you will soon have an opportunity to discuss the situation again if it is not completely well.  I'd suggest you keep a log of symptoms between now and then.  If your rash gets worse or if you develop swelling, redness, discharge, or a lump, go back to the doctor for a re-evaluation.  I hope the problem is soon better.

3/18/10 11:09pm

I have lumps, which look like mini nipples, on both breasts around each of my normal nipples. These extras can be painful and when squeezed (yes I know how weird that sounds) they have white discharge. My family doctor seems to think they're clogged milk ducts but she failed to inspire confidence. I have looked everywhere but no one seems to have posted anything about something like this. Can anyone help? Thank you so much. 

PJ Hamel, Health Guide
3/19/10 5:24am

They actually sound not like clogged milk ducts, but clogged oil glands. Our nipples are surrounded by tiny oil glands, which keep them soft. For some reason, it sounds like yours aren't expressing their oil. I'd definitely ask your doctor for a referral to a dermatologist about this; it sounds rather painful. Good luck - PJH

3/19/10 7:20am

Thank you so much PJ!

3/20/10 11:28am

i am now 23 yrs old, when i was younger about 10 my left inverted nipple was so itchy every night, so i scratch it, after then i notice my nipple became dry cracked and detouched from other part of the nipple but i don't feel any pain and now i am worry because only small part was left and starting to dry and remove and feel some pain. I already gave birth 11months ago my problem is that is hard to pump my breast so i discontinue my breastfeeding it only takes 4 months.

4/10/10 3:14pm

I am a 38 year old with one itchy nipple.  I have been living with it for about five monthes and it will not go away.  We have used the same detergents for years.  Thank you for the article, I will make an appointment with my doctor on Monday.

PJ Hamel, Health Guide
4/10/10 3:32pm

Hi - I'm glad you're seeing a doctor about this. But please don't worry too much - after 5 months, if it was serious it most likely would have developed into something much more intense, rather than simply being itchy. Good luck - hope you get good news from the doctor - PJH

9/ 7/10 12:16pm

I AM 41 I AM EXPERIENCEING MY LEFT NIPPLE, AND LET ME STRESS THE NIPPLE ONLY, HURTS.  ANY IDEAS?

PJ Hamel, Health Guide
9/ 7/10 12:18pm

This could be hormonal. But if the pain lasts longer than a couple of weeks, Renee, then best to ask a doctor about it, OK? You may have an infection. Hope this resolves itself soon - PJH

10/ 5/10 12:59pm

Hi, 

    im 12 years old and i can feel a sort of hard lump under my left nipple, it's quite painful when i touch it. Could this be part of puberty ( my breasts growing awkwardly) or maybe a cancerous lump. Please reply.

PJ Hamel, Health Guide
10/ 5/10 6:43pm

Definitely puberty. Your chance of having breast cancer at age 12 is less than 1 in 1 million - only a handful of girls throughout the world, throughout scientific history, have been diagnosed with BC at age 12. Please read our message to teens; I think that'll make you feel better. And to find out what that lump is, please read our guide to breast development. Be prepared, because your breasts iwll be going through all kinds of changes in the years ahead. If the lump is painful and bothering you, best to share with your mom or the school nurse, OK? They can help you do something to reduce the pain. Good luck - PJH

10/25/10 12:00am

Hello! I am a 24 yr old women.  I have just recently noticed that my left nipple  has become noticeably larger than my right. My nipples have always been pretty sensitive but lately my left one has been more so than the right...ever since I have noticed that is was larger. Its been about 2 or 3 months since I have noticed it. Its not getting much worse from what I can tell, but not going away either. Should I be concerned?

PJ Hamel, Health Guide
10/25/10 6:12am

Hi Karilyn - While this isn't a typical breast cancr symptom, it qualifies as a breast change; and every breast change that lasts longer than a month should be examined by a doctor. So don't stress, but do call your doctor; you need to rule out any serious issues. Good luck to you - PJH

Anonymous
siena
10/27/10 7:11am

im 22 and noticed this morning that my right nipple is darker and the area around it is slightly darker and larger than on my left breast, i know that my right breast has always been slightly larger than the left, i'm just now concerned what this change means, im not due on my period and it is unlikely that i'm pregnant as i always use protection, any help on this would be appreciated.

PJ Hamel, Health Guide
10/27/10 7:37am

Siena, at your age breast cancer would just be extremely unlikely. This is probably hormonal; for whatever reason, your hormones may be out of whack at the moment. Keep your eye on it; if you still have these symptoms in a month, best to see a doctor and find out what's up. Or certainly, if they worsen - if your breast seems infected (red, hot, swollen, itchy), then see a doctor ASAP. Good luck - PJH

Anonymous
angela
12/27/10 9:45am

hello,i`m a 27 year old lady. i`ve been dealing with an itchy nipple for 9 months now.it`s always the left nipple that itches. i`ve been to my doctor many times as she always says that it might be a fungal infection. tried all sorts of cream and even took a pill that is supposed to kill off any fungal infection. the thing is that i can go for days without itching but than it always returns. two months ago i had a breat ultrasound and every thing came back clear but i`m really scared that doctors are missing out on something as when i search " itchy nipple " on the web it always refers to paget`s disease.thanks for your help!!

PJ Hamel, Health Guide
12/27/10 12:02pm

Hi - If this were Paget's disease, it would have progressed in the past 9 months; and you'd see external signs that something was wrong - scaling, flaking, redness, something beyond itching. Since it comes and goes, it sounds hormonal; I think, to get some relief, you need to see a breast specialist. S/he could possibly do some tests and try to pin down what's causing this. Good luck - hope you get some relief soon. PJH

Anonymous
angela
12/28/10 3:10am

Many thanks for your reply..........it helped to put my mind a bit at rest. me and my husband are longing to have a child together but at the mean time i`m scared of getting pregnant beacause of this itchy nipple.!!!

12/27/10 2:02pm

I'm 47 and my right nipple has been itchy for over a year.  I recently had both a mammogram and an ultrasound which came back negative.  I've seen a dermatologist who said she didn't see anything on the skin and gave me an antifungal cream to use.  It's only been a few days but I'm not sure if I feel a difference.  I'm very worried.  Should I get a biopsy?

PJ Hamel, Health Guide
12/27/10 2:44pm

If this were cancer, it would have progressed noticeably into something much worse over the course of a year. Since all your diagnostic tests are negative, and your body isn't showing signs of cancer (growth, change), then you'd have to assume it's something else. Have you seen a breast specialist? PJH

12/27/10 2:47pm

Thanks for your quick response.  It was my gynecologist that sent me to have the tests done and referred me to the dermatologist.  What is a breast specialist?  I'm trying not to worry and think I have something awful.  I just want to find out that it is nothing to worry about. 

PJ Hamel, Health Guide
12/27/10 4:20pm

If by "something awful" you mean cancer, then you can almost certainly stop worrying. Cancer just doesn't go on that long without getting very noticeably worse. A breast specialist is just what it sounds like - a doctor specializing in breast issues, everything from mastitis and infections to hormonal issues and cancer. They're usually found at cancer centers, simply because that's where a lot of the issues are addressed; but they do cover any kind of breast condition, not just cancer. Maybe your gynecologist could refer you? Take care- PJH

1/ 4/11 10:37am

I am a 37 year old female. My left nipple has been itching along with yellow, greenish, black discharge. I have family history of breast cancer. Should I be alarmed??? I have had this problem for a couple months now. My nipple also burns and stings.

PJ Hamel, Health Guide
1/ 4/11 11:02am

Any breast change that lasts longer than a month should be checked by a doctor. In general, nipple discharge doesn't signify breast cancer; but it still needs to be checked, and cancer ruled out. So call the doctor and make an appointment, OK? Take care- PJH

Anonymous
danielle
5/ 2/11 1:19pm

i'm a teenager and have had an itchy nipple for the past 4/5 weeks now. it started off crusty and now is just inflamed and dry with flaking bits. It covers my areola partially, but my nipple is much bigger and inflamed compared to the other.

PJ Hamel, Health Guide
5/ 2/11 2:41pm

Danielle, the chance of you having breast cancer at your age is probably less than 1 in a million, so please don't stress. But you should edefinitely see a doctor about this; you may have a localized infection, eczema, or something else that would respond well to treatment. So please don't keep watching and waiting; after 4-5 weeks, this definitely qualifies as a breast change and, like all breast changes, should be checked by a doctor. Take care - PJH

Anonymous
danielle
5/21/11 9:07am

Thanks for the advice, I went to the doctors and was told it was a fungal infection and given some cream, I was told it would go away in a week with it. It's about 3/4 weeks later now, and although its better and less inflamed, it is still itchy, slightly redder than the other areola, and the nipple is bigger and inflamed. It also still can get dry and flakey. What do you reccomend I do now?

PJ Hamel, Health Guide
5/21/11 10:50am

Danielle, your best bet is to call the doctor back and describe what your breast is like now, after treatment - just as you have to me. S/he should be able to suggest and implement another course of action. Don't let this linger; if it's an infection that the cream didn't quite take care of, you may need antibiotics. So, keep pursuing this with your doctor until everything's back to normal, OK? Good luck - hope whatever it is disappears soon! PJH

5/20/11 2:19pm

Hi There
I'm 28 and 6mths pregnant with my 2nd child.
Approx 2 wks ago I noticed that my right areola and nipple were slightly darker than my left. Then 2 days ago, I noticed that this nipple 'leaked' very slightly.
I did speak with the Midwife about this who mentioned that this could be because one of my breasts is ready for the new Baby to arrive and the other breast will catch up soon, however, I'm still a little worried!
Any help/advice would be gratefully received
Thanks, DB

PJ Hamel, Health Guide
5/20/11 3:35pm

Hi - Congratulations, mom-to-be! We're not doctors here, just well-read breast cancer survivors. I'd guess that the symptoms you describe have something to do with your pregnancy, as your midwife suggests; they sound hormonal. However, your best information would come from a doctor; so if you're worried about this, I'd suggest you call and make an appointment with your regular doctor or your gynecologist. Take care- PJH

Anonymous
SuperMommo
6/23/11 3:29pm

Dear PJ,
I am 33, a professional working mom, am not pregnant and have a 13 month old daughter that I stopped giving breastmilk to at 6 months.  (I exclusively pumped thanks to the hospital grade pump, as my daughter was in the NICU for 2 weeks but is fine now.) During that whole time I was on the pump i never had a nipple or breast issue.

 

I went to my doctor (an internist, not a gyno or breast specialist) last week as my right nipple became extremely red and hurts when touched from directly head-on. It's very sensitive and you can notice a raised red bump on the bottom part of the nipple "end".  Left nipple is completely normal.  I just noticed this 1.5 weeks ago and got right in to see my doctor as it hurts! The doctor said it was "only irritated" and to put Neosporin on it and a bandage to stop any further irritation from rubbing on bra/clothes and it should heal up.  Also, dont touch it and put hot compresses on it (hard to do when i work, but i stand extra long in the shower :-)

 

Unfortunately, it hasn't gotten better, only worse and more red.  Thing is, it's not "open" and hasn't oozed anything when pressed since that first day i noticed it, and when it did ooze with pressure, it was an amount the size of a pinhead with no blood. So it was almost like a mini infection had set in one of the ducts near the top or something.  I've neosporined it and bandaged it, but no relief yet.  How long do i let this go before i either call that doctor back, call a breast specialist, my gynocologist, or perhaps my dermotologist would be a better bet?  Do you know what could be going on?    I'm terrified of Paget's, which from what i gather usually occurs in tandem with an IDC, and dont know if it could be periductal mastitis or what.  Thank you!

Phyllis Johnson, Health Guide
6/23/11 7:44pm

Because the redness is getting worse, not better, with the treatment the doctor suggested, it is time to call back right away.  Some people are allergic to Neosporin, so that could be the reason the problem is worse.  If an infection is deeper in the milk ducts, then a surface antibiotic might not be sufficient.  Usually Paget's is described as looking more like eczema that an infection.  It usually presents with an itchy, scaly rash.

Probably your doctor will step up efforts to find out what is going on when this first treatment didn't work.  Be assertive about getting this properly diagnosed.  It doesn't sound like a typical breast cancer symptom, but there is no reason to suffer continued pain.  Let us know how it turns out.  I hope you are soon feeling better.

6/25/11 1:41pm

Thank you for such a quick reply, PJ! I went to my internist doctor again yesterday who brought in another doctor during the same time to get her opinion. Neither had seen a red bump quite like this.  They did not lance it b/c "there is no head presenting" and they weren't sure it would have drained any of that yukky stuff if they did, but possibly just blood.  So, I am on 10 days of antibiotics as they are treating this as an infection.  I am going back in 5 days to chart progress / response.  If that doesnt work, they will refer me to the apparent best breast specialist (say that five times fast!) in my area.  Both doctors agreed it wasn't Paget's given that its not scaly, and also that it is not itchy and has only been apparent for less than 2 weeks.  I really appreciate your response, it is extremely helpful! ~E

Phyllis Johnson, Health Guide
6/26/11 8:34am

Glad to help.  It sounds like your doctor is being appropriately aggressive about treating this and will follow up if the antibiotics do not work.  i hope you soon see a distinct improvement.

Phyllis

7/27/11 3:03pm

PJ - Everything healed by July 1st so I'm in the clear.  Of course the antibiotics had that awful unwanted side effect some women experience, but I'll take temporary inconvenience over a giant red sore nipple bump any day!  I really appreciate your advice, you and my doc gave me peace of mind.  Much appreciated!

PJ Hamel, Health Guide
7/27/11 3:46pm

Glad you found us, and that everything turned out OK. Thanks to my fellow expert patient, Phyllis Johnson, for her timely and excellent advice. (We're both "PJ," so it gets a bit confusing at times!) Take care- PJH

Phyllis Johnson, Health Guide
7/28/11 12:48pm

I'm delighted to hear that the antibiotics cleared up your symptoms.  We are always pleased to help so let us know if you have other questions.  Thanks for letting us know the outcome.

 

Anonymous
eliza
10/19/11 12:18pm

I am 28. I've noticed getting an itchy right nipple as of the past few menstural cycles. Seems to mostly come before and after my menstrual cycle. Sometimes I will notice dryness around the nipple but lotion seems to fix that. No other abormalities except that sometimes I will notice a small white zit looking thing at the tip of my nipple. But it comes and goes! Have only noticed this since the weather has started getting colder. But concerned as I haven't noticed issues with my left nipple. Reading about Paget's has me truly freaked out. I don't have health insurance. Could the itchiness be related to hormones?

PJ Hamel, Health Guide
10/19/11 4:12pm

Usually, with cancer, the symptoms quickly change from annoying to truly concerning. If this has been appearing off and on for several menstrual cycles, without getting noticeably worse, then it could be hormonal (maybe one nipple is simply more sensitive than the other); or it could just be a random irritation of some kind, like your bra, and as your nipples become more sensitive over the course of your cycle, one starts "acting up."

 

At any rate, if this itching comes and goes and doesn't get worse, then it's probaby nothing to worry about. But if it comes and stays - and/or if your nipple seems infected (oozing, very itchy, painful, red), then you'd definitely want to find out what's causing it. I know it's tough without insurance; check with your hospital social workers to see if there's any program you can access for those without insurance. Good luck- PJH

 

Anonymous
J W
12/13/11 10:44am

I've had eczema on my right hand for most of my life; three months ago I noticed that eczema-like symptoms had spread as nickel-sized spots on my arm, face, and groin. At the same time, my left nipple became extremely itchy, flaky, and wept clear fluid. As well, it is constantly hard with a small lump in the areola on the left side of the nipple, making it noticeably larger than my right nipple. This lump is only apparent to sight and touch when the nipple is erect. There is no pain, no redness, the flakiness responds to my eczema medication, and it doesn't itch as much as it did at the beginning. I suspect that this could have been caused by new laundry detergent, but the lump in the areola and hardness of the nipple concerns me. I plan to see a doctor this week. What are your thoughts?

PJ Hamel, Health Guide
12/13/11 1:18pm

Hi - My initial thought is that, as a 23-year-old male, your chance of this being breast cancer is well below 1 in several millions; just under 2,000 men a year are diagnosed with breeast cancer in the U.S., and most are older. So you can see, the odds are definitely with you. Also, breast cancer wouldn't respond to eczema lotion. That said, it's worth speaking to your doctor about this lump if it doesn't disappear within a few weeks. It's always good to know what's causing any change in your health. Take care- PJH

Anonymous
J W
12/13/11 11:20pm

Thank you PJ for your quick response. Even though the odds are against me having Paget's disease, someone has to get it out of all those millions. The fact that these eczema symptoms are on other parts of my body make me think that it is just eczema or some other reaction. I should have added that these symptoms occured after I bought a new brand of laundry detergent and bought some new clothes. I'll share what my doctor says on Thursday.

PJ Hamel, Health Guide
12/14/11 5:33am

Thanks for writing back - I'll be looking for further information from you once you see the doctor. Good luck - PJH

Anonymous
J W
12/17/11 12:16am

The doctor thinks that it is just eczema. He did find a small lump by my left nipple, but he says it is merely fatty tissue. I asked him about Paget's disease and he said that I definitely didn't show symptoms of it. He said male patients with Paget's Disease typically have a larger breast to begin with and suffer from bone loss which can be detected through blood tests. I should also add that ever since I switched laundry detergent I've noticed the eczema-like symptoms reduce every day.

Phyllis Johnson, Health Guide
12/17/11 5:47am

JW, thanks for the update.  Your doctor seems knowledgeable about male breast cancers and Paget's disease of the breast.  Fatty tissue tumors are called lipomas and they feel different to trained doctors from solid tumors that need a biopsy.  As I'm sure you know from your long experience with eczema, there can be many triggers for it, and it sounds like you are narrowing down to your laundry detergent as a likely culprit.  I'm glad you are seeing an improvement.

Phyllis Johnson, Health Guide
12/17/11 5:47am

JW, thanks for the update.  Your doctor seems knowledgeable about male breast cancers and Paget's disease of the breast.  Fatty tissue tumors are called lipomas and they feel different to trained doctors from solid tumors that need a biopsy.  As I'm sure you know from your long experience with eczema, there can be many triggers for it, and it sounds like you are narrowing down to your laundry detergent as a likely culprit.  I'm glad you are seeing an improvement.

Phyllis Johnson, Health Guide
12/17/11 5:48am

JW, thanks for the update.  Your doctor seems knowledgeable about male breast cancers and Paget's disease of the breast.  Fatty tissue tumors are called lipomas and they feel different to trained doctors from solid tumors that need a biopsy.  As I'm sure you know from your long experience with eczema, there can be many triggers for it, and it sounds like you are narrowing down to your laundry detergent as a likely culprit.  I'm glad you are seeing an improvement.

Anonymous
Kim
1/13/12 9:33pm

hi, i'm a 17 year old female and i'm really scared because I have a visible bump on my areola of my left breast and its itchy.  It's not painful.  I've had it for almost three weeks now.  It all started when I got a haircut at the mall and hair fell into my bra and made my boobs itchy but I wasn't able to shower until a few hours later.  Later on, I noticed a bump on my areola that was kind of wrinkled looking and rough and dry.  I left it alone for a week to see if it would go away but it didnt.  Then, i started applying lotion and vaseline to it and the rough, dryness went away.  It started peeling.  For the past two weeks, it has been smooth and less itchy, but the bump is still there and it still itches occasionally, especially after I touch it(after applying lotion).  I want to wait a little longer before I go to the doctor, but I was wondering if I should be concerned.  Is this cancer?  If not, is there any home remedies or over-the-counter medicines?  It's really hard for me to take time and go to the doctors.

PJ Hamel, Health Guide
1/13/12 10:01pm

Luckily, at your age breast cancer is very uncommon; your chances of having it are less than 1 in a million. So odds are, this isn't cancer, but some kind of skin condition. If it gradually seems to be getting better, just keep your eye on it, and see if it continues to improve. If it doesn't - or certainly if it gets worse - then it would be a good idea to see a doctor to find out what might be causing it, and if it needs treatment. Good luck - I hope this goes away on its own soon. PJH

Anonymous
JustMe
1/16/12 2:48pm

Hi im a 44 yr old female in oct i noticed that my nipples were leaking a yellowish /green discharge...when i looked closer at the left one i saw a red bump/spot in the center it freaked me out its shiny it doesnt leak i went to the drs she sent me straight off for a mammo and it came back all clear...she did blood work and my prolactin lvls came back high so sent me to endo which in all honesty was a waste of time as she stated she cant help me! anyways i do ache in both breast but the one with the spot hurts more like a burning hurt kwim? and now there is shotting pains in that nipple...ive been back several times to the drs and even mentioned pagets but she said no it wasnt...can you just look at it and know? ive tried creams and nothing works

Phyllis Johnson, Health Guide
1/16/12 3:30pm

Paget's usually presents with a scaly rash on the nipple, so your doctor's opinion that this is not Paget's sounds reasonable to me.  With the pain in both breasts, the chances are that this is a hormonal problem even though one breast is worse than the other.  However, if you want to pursue this further, it is time to see doctors at a comprehensive cancer center.  I'm not sure what your time line has been with all these tests, but you might want to take a break for a month or two to see if the problem resolves itself or gets worse.  If it clears up, all well and good.  If you develop new symptoms, the doctors will have more information to work with to make the correct diagnosis.  I hope that you are soon better.

4/30/12 1:35pm

I have a basic question and this may sound silly for I don't have the knowledge.  Does the inverted nipple stay inverted?  Or does it go out when you get cold or goosebumps?

Phyllis Johnson, Health Guide
4/30/12 7:47pm

It's not a silly question.  What you are looking for is a change in your normal.  So if you have always had an inverted nipple, it is no big deal.  If your nipples have always changed depending on the temperature or other stimuli, that is your normal.  If you have never had an inverted nipple before, a doctor needs to check it out whether it is in all the time or just sometimes.  If the situation is the same on both sides, it is not likely to be breast cancer, which usually occurs on just one side.

5/ 1/12 10:39pm
I am 41, and Having some nipple issues, for the 2nd time. The first time was last April, started with itching,burning, soreness and the sensation that I was lactating in both nipples. Since they both felt dry but showed no signs of rash, nor any discharge, I just kept applying baby oil, lotion, cortisone cream and even miconazole nitrate cream for relief. It only lasted 6-8 weeks, and by the time I got in to see my gynecologist it disappeared, so she wasn't really worried. My holidays were ruined by the news that my husband was losing his job, which meant our health insurance was gone too, and the symptoms returned sometime again in January. I was under so much stress that I really didn't pay attention to the time passing by, and the fact that this time the symptoms were more severe, and had lasted much longer. When I finally confided in a friend about my issues she urged me to see my doctor, which I did, but chickened out about telling him about my nipple issues. I scheduled my mammogram since I was overdue anyway, and figured if anything was wrong it would show. I did tell the tech about my issues, since they were so severe I could barely keep from scratching anyway, and even the pasties caused extreme discomfort. My results were negative, but I couldn't stand it anymore, so I ignored my embarrassment and made another appointment with my doctor. I explained all the symptoms, he did an exam, and decided on an antibiotic in case of infection, and a prolactin test, which came back normal. I am scheduled to see him again Friday, which will be my last dose of antibiotic. There has been no change in my symptoms after 4 days of antibiotics. Although the pain is a bit worse, it has been increasing in past weeks anyway, but their appearance hasn't really changed. The nipples are usually bright red; the areola are slightly pink, and have a rough, dry skin feel, but there is no rash on any part of the breast. The itching isn't constant but seems to flare up and is severe enough to send me to a private place to scratch several times a day, even though scratching is extremely painful now. Out of everything I've read, Paget's Disease of the Nipple stands out most in matching with my symptoms, but thankfully I'm missing the rash, discharge, and underlying breast cancer. Plus, from what I've read, it's extremely rare for it to show up in both nipples. I'm not sure what to expect on Friday, but in your opinion, should I request a biopsy? It almost seems a waste to me, but I'm at a loss...
PJ Hamel, Health Guide
5/ 2/12 5:23am

Carol, this truly doesn't sound like Paget's - not in both breasts at once, and not occurring in two episodes a year apart. It does sound like either an allergy of some kind that's showing up as itchiness – with your nipples taking the brunt of it – or a hormonal issue.

 

Rather than ask for a biopsy, I'd ask for a referral to a breast specialist. This is a doctor or other medical specialist trained in dealing with breast issues of all kinds, from cancer to infection to hormonal problems. You need to get to the bottom of this very uncomfortable situation, but a double biopsy, statistically speaking, would probably do more harm than good; about 85% of breast biopsies are negative.

 

So, don't ignore this; but I think your best bet is to focus attention on these symptoms from someone who deals exclusively with breast issues. Good luck - I hope you find some relief soon. PJH

5/ 4/12 8:48pm
Update -No improvement as of today; in fact, they seem to be getting worse, so my doctor performed a 2nd exam and found that both nipples produced a milky white discharge when squeezed. He gave me a referral to a surgeon. I am still convinced it's nothing major, but I never thought to squeeze so I was shocked at the result. Since the antibiotics didn't touch it, could it possibly just be some type of infection of the ducts, in both nipples? Or something similarly simple? My appointment isn't until May 15th; haven't mentioned it to my husband yet - I am the only one working right now and I don't want to worry him over nothing.
PJ Hamel, Health Guide
5/ 4/12 9:10pm

Sorry things seem to be getting worse, Carol. This still seems hormonal; a white milky nipple discharge that's not spontaneous - i.e., you have to squeeze to make it appear – is often a sign of a hormonal issue of some kind. If the discharge is a dark rusty color, and happens without squeezing, then it might be a possible sign of breast cancer; but what you describe wouldn't be typical. Not sure what the surgeon will tell you; I wish you could see a breast specialist, who'd probably be able to nail down what's happening a lot more quickly than any other type of medical professional... Good luck with your appointment with the surgeon, and please do let us know what s/he says, OK? PJH

5/ 5/12 12:44am
Thanks, that's comforting to hear. I'm all for optimism at this point! Though I'm sure my imagination will get the best of me before then, I'll remind myself that i think my doctor is just being cautious. We are somewhat rural, too, so I'll do some research to see how far a breast specialist is, just in case. I will definitely let you know the outcome. Reading the posts here has been very informative for me.
5/ 5/12 12:44am
Thanks, that's comforting to hear. I'm all for optimism at this point! Though I'm sure my imagination will get the best of me before then, I'll remind myself that i think my doctor is just being cautious. We are somewhat rural, too, so I'll do some research to see how far a breast specialist is, just in case. I will definitely let you know the outcome. Reading the posts here has been very informative for me.
5/ 5/12 12:44am
Thanks, that's comforting to hear. I'm all for optimism at this point! Though I'm sure my imagination will get the best of me before then, I'll remind myself that i think my doctor is just being cautious. We are somewhat rural, too, so I'll do some research to see how far a breast specialist is, just in case. I will definitely let you know the outcome. Reading the posts here has been very informative for me.
PJ Hamel, Health Guide
5/ 5/12 6:09am

Carol, even though they don't deal just in cancer, breast specialists are often found at Comprehensive Cancer Centers, which are cancer facilities designated by the government as "best in the U.S." Check out this list of Comprehensive Cancer Centers to see if you're near one - PJH

Anonymous
Carol
5/16/12 11:32pm
Hi, PJ. Just an update. The surgeon believes it's hormonal too. Most of my symptoms subsided by the time I saw her, but she listened, performed a thorough exam, reviewed the mammogram, and didn't think any further testing was necessary. She suggested Primrose Oil and Vitamin E, and said it works for most women. I just started them today, and am hoping for the best. Thanks again for putting my mind at ease!
PJ Hamel, Health Guide
5/17/12 5:37am

Oh, that's good to hear, Carol. Yes, I took vitamin E for some menopausal symptoms, and it did work a bit - hopefully the combination of that with primrose oil will work for you. I'm glad you've pursued it; and thanks for staying in touch here. Hopefully in a few weeks you'll be feeling much better. PJH

9/10/12 2:29am

I have scaliness on my both the breasts. I dont feel itchiness or any sort of sensation. should i consult a doctor?

 

Phyllis Johnson, Health Guide
9/10/12 6:26am

Yes, if you have tried some common sense home remedies like moisturizer and skin care products designed for sensitive skin and they didn't work.  Usually problems on both breasts are not going to be cancer.  A scaly rash on the nipples can be a symptom of a type of breast cancer called Paget's Disease of the Breast, but it is more likely that this is some other sort of skin problem.  Nevertheless, a doctor should always be consulted for any breast change that lasts longer than a month.  I hope you soon see an improvement.

9/10/12 6:42am

Thank you so much. :) :)

10/ 6/12 2:38pm

i have been having problems with my rightbreast, sensitive and itchy nipple..it wenr awaya for a few weeks and now ots back. in thay timeframe my neck begin to hurt all the way to my shoulder. my gyn shuns it off and say its not related . i have had normal ultrasound and mammogram. whay could this be? i am 31

10/ 6/12 2:42pm

i have been having problems with my rightbreast, sensitive and itchy nipple..it wenr awaya for a few weeks and now ots back. in thay timeframe my neck begin to hurt all the way to my shoulder. my gyn shuns it off and say its not related . i have had normal ultrasound and mammogram. whay could this be? i am 31

PJ Hamel, Health Guide
10/ 6/12 3:32pm

Your gynecologist is probably right in that the itchy nipple and sore neck aren't connected; although, if you're very worried about your breast, stress may be causing tense neck muscles and pain. When a mammogram and ultrasound are normal, but you're having nipple issues, you may want to see a breast specialist. An itchy, scaly nipple can be a sign of Paget's Disease, a rare form of breast cancer; but that's pretty unlikely, compared to the array of other possibilities that might be causing this – specifically hormones.

 

If the itching feels like it's deep inside your breast, rather than more towards the surface; and if it's accompanied by pain; and if it doesn't go away this time, but keeps up for weeks, then it would be time to see a breast specialist - or at least get another opinion from someone other than your gynecologist. Doctors aren't all-powerful; and yours may not have as much experience with breast issues as someone else. So don't be shy about asing for a referral to another doctor if necessary, OK? Hopefuly (and probably) this is a hormonal issue that will soon subside. Good luck - PJH

Phyllis Johnson, Health Guide
10/ 6/12 3:37pm

JC, since the problem went away for a few weeks, it is not likely to be breast cancer.  If following all the usual home remedies for breast itching like wearing soft, bras of breathable fabric washed in laundry products for sensitive skin don't help, then seeing another doctor might be your next step.  Since your neck and shoulder are hurting too, a family practice doctor might be your best bet.  If you want to pursue each problem separately a dermatologist or a breast specialist for the nipple issue could give you some insight.  If the neck and nipple problem are on the same side, you might want to review in your mind whether you have had some sort of unusual activity that would cause muscle strain and skin chafing on that side.  These don't sound like they would be related, but be sure to mention both problems to any doctors you consult just in case.

 

If you develop a scaly rash on the nipple, ask your doctor to take a biopsy to rule out Paget's Disease of the Breast.  From what you have said, I don't think you need to worry; but do keep an eye out and return to the doctor if the problem gets worse, or if you develop new symptoms.

Anonymous
ivy
2/ 1/13 9:23pm

  hi im ivy, im 20 years old. my right breast is so painful and the surroundings of my nipple becomes dry and I do have a slightly brownish bruise on the right side of the nipple. and the upper part of my right breast is experiencing so much pain and I feel the lump inside, near in the middle of my breast. Do you think it was a breast cancer symptoms? or just a breast health realated issues? or should I go to the doctor and ask for a mammogram? I badly need your opinion. thank you so much

PJ Hamel, Health Guide
2/ 1/13 10:02pm

Hi Ivy - I'm sorry you're having breast issues. You don't say if this is a recent problem, or if it's been going on for months. If the pain, swelling, and discoloration are recent (and constant), then you might have an infection, and you should see a doctor ASAP. If they've been going on intermittently for months - perhaps becoming more painful right before your period, the abating afterwards – then it's probably a hormonal issue, and you may have a painful cyst.

 

Either way, though, this sounds painful enough that you'd want to see a doctor. Thankfully, the symptoms don't sound like breast cancer, especially at your age; being diagnosed with breast cancer at age 20 is exceedingly rare. Still, you want to find out what's causing the pain and lump; and get some treatment, if necessary. Good luck - PJH

Anonymous
Dee
2/28/13 11:45pm
Hi, I'm 27 and for the past day my breasts have been sore. That's not what's bothering me, my nipples are extremely sore! They feel like they contracted in the cold. At first I thought they might be dry, but I started applying cocoa butter and it doesn't seem to help. I'm supposed to start my period in three days, but I've never had this as a PMS symptom. I had my bf look at them and he says my right areola is darker and my right breast seems like its "swollen" for lack of a better word. Please help because the itching sensation is driving me crazy!
PJ Hamel, Health Guide
3/ 1/13 5:25am

Hopefully, Dee, this will all disappear once you get through your period. Even if you haven't experienced this as a PMS symptom in the past, it still could be just that. In the meantime, try to allay the itching with cold compresses. Don't scratch; just press down hard where it itches most, see if that helps.

 

If the symptoms persist once you're through your period, then it's time to look at other causes. Are you using a new shower gel or laundry detergent? Did you buy a new bra? Are you swimming (chlorine) more than normal? Your breasts are sensitive, and small changes in the environment can affect them. Keep a special eye on your right breast, and if the swelling/"bruising" becomes more prominent - or doesn't dissipate soon - then it would be time to see a doctor to find out what's going on. Take care - PJH

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By PJ Hamel, Health Guide— Last Modified: 03/08/13, First Published: 04/14/09