After weaning, there was nipple discharge, and now there is blood. What is the situation?

Patient's question:

The baby is now 4 and a half years old. After weaning at 1 and a half years, I noticed nipple discharge. It's a translucent, slightly yellow liquid. At the time, I didn't take it seriously. A few days ago, I had breast massage at a beauty salon, and I had it done twice. Yesterday, when I squeezed, it came out as bloody water. Is this a change in the condition itself, or is it related to excessive pressure from the massage?

Doctor's answer:

According to the symptoms you described, middle-aged women who notice nipple discharge, regardless of its nature, especially unilateral single-hole bloody discharge, should seek medical attention promptly to identify the cause and receive treatment. It is recommended to consult the breast surgery department at the hospital for a follow-up examination. If it is unilateral single-hole bloody discharge, young women should consider the possibility of intraductal papilloma (a benign tumor) and may need to undergo ductoscopy for confirmation. If it is bilateral multiple-hole discharge, it may be caused by excessive manipulation that has damaged blood vessels. In any case, it is necessary to visit the hospital for a thorough examination to determine the underlying cause.

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