Patient's question:
Hello, I asked this question last month the 19th (I had very swollen breasts because of pregnancy in the past two months, but now I have had an abortion why are my breasts still swollen and there is something like milk leaking out (more when squeezed hard), what could be the reason and how can it be resolved?Later the doctor told me that as long as I actively strengthen nutrition and do personal care well, it would be fine. But until today it is still there, it has been quite tiring lately with the move, is it because of that that it hasn’t healed yet, or is there something else?
First question supplement: What specific care should be done?
Doctor's answer:
Hello:Diseases Related to Nipple Discharge
Nipple discharge when squeezing the nipple during non-pregnancy and non-breastfeeding periods is called nipple discharge. Nipple discharge is one of the common symptoms of breast diseases. Statistics show that 3% to 14% of patients seeking medical attention primarily due to nipple discharge account for breast diseases, with its incidence rate being second only to breast lumps and breast pain. If the nipple discharge is unilateral, it is often associated with the following breast diseases:
1. Dilated Breast Duct Syndrome: In some patients with this disease, the initial symptom is nipple discharge. The discharge is usually brown in color, occasionally bloody; laboratory tests of the discharge reveal a large number of plasma cells and lymphocytes but no tumor cells. This disease is more common in non-lactating women over 40 or postmenopausal women. The area of the areola where discharge occurs may have a mass adhering to the skin, typically less than 3 cm in diameter. The ipsilateral axillary lymph nodes may be swollen, soft, and tender. If infection occurs, the mass may show signs of redness, swelling, heat, and pain.
2. Intraductal Papilloma: This disease is more common in people aged 40 to 50. 75% of the tumor occurs near the nipple. The tumor is small, pedunculated, and has villi with many thin-walled blood vessels, making it prone to bleeding. Tumor cells can be found in the discharge through laboratory tests. Sometimes, when patients carefully palpate their breasts, they may feel a cherry-sized mass under the areola, which is soft, smooth, and mobile.
3. Breast Cystic Hyperplasia: This is more common in women of reproductive age. In some patients, the nipple discharge is yellow-green, brown, bloody, or colorless serous-like. Laboratory tests of the discharge show no