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Nipple Problems: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Nipple problems can be caused due to some illness and/or irritants that are present in the environment. Such problems can occur in both men and women and they may occur due to a variety of causes. Some of the causes that may cause nipple problems include pregnancy, hypothyroidism, ecstasia or widening of the milk ducts, pituitary gland tumor, injury to the breast tissue, infections, small, noncancerous or benign tumors and Paget’s disease of the breast. A person may experience unnecessary discharge from the breasts due to unusual pressure on his/her chest or due to a severe injury. Excessive friction may also cause nipples to become sore, irritated or cracked.

Itchiness of the nipples can be caused due to a number of reasons. Pregnancy can cause changes in hormone levels, expansion of breasts and increased blood flow to the nipples and this may cause nipple problems in women. A person can also suffer from nipple or areola dermatitis due to eczema or other causes. Breast-feeding women are the most susceptible to eczema. Sometimes the fungus Candida albicans may cause a woman to suffer from a fungal infection of the nipples. A person may also suffer from a condition called jogger’s nipple or runner’s nipple if he/she experiences irritation due to clothing rubbing against the nipples during some physical activities.

Treating nipple problems involve identification of the cause that is causing the problem. So there are different treatment options.

How is the treatment done?

A person needs to take appropriate medications to treat nipple problems due to any infection. Nipple problems due to a bacterial infection will require treatment with antibiotics. Again, a person suffering from fungal infection like candidiasis will have to take an antifungal medicine. A person suffering from nipple problems due to the presence of a small but non-cancerous tumor may require going to the doctor on a regular basis. Ecstasia or swollen milk ducts usually gets resolved on its own. However, a doctor may surgically remove the swollen milk ducts if a person suffers from this condition continuously. Nipple problems can also occur due to lack of thyroid hormones in the body. Lack of such hormones can cause the normal balance of chemical reactions to get upset. However, this condition can be treated with the help of a prescription medicine which will help to replace the hormones.

Pituitary tumor, which can cause nipple problems, can be treated with the help of two medications like bromocriptine and cabergoline. Sometimes radiation therapy may also be necessary to treat such a tumor. A person may have tumors in the nipple or may have tumors all over the breast if she is suffering from Paget’s disease of the breast. If the tumors are concentrated only in the nipple, the person will require undergoing surgery to remove the areola and nipple and also will have to take radiation treatment. If the tumors are spread all over the breast, the person may require undergoing mastectomy to remove the entire breast.

Who is eligible for the treatment? (When is the treatment done?)

A person who has nipple discharge without any apparent reason I eligible for the treatment. The fluid discharge may appear o be clear, yellow, milky, green or even bloody. Other symptoms that may make a person eligible for treatment are irritation, cracking, bleeding and soreness of the nipples or if the nipples have changed their shape. A person should be diagnosed by a doctor by be suffering from this condition to be eligible for the treatment.

Who is not eligible for the treatment?

A doctor will enquire about the medications that a person is on, whether there has been any change in the person’s diet, whether the person is pregnant or if her nipples have got irritated due to some recent activity before diagnosing her with suffering from nipple problems. A person is not eligible if a doctor has not diagnosed him to be suffering from such. Some of the tests that may help a person to understand whether she is eligible for treatment or not include ductography, skin biopsy, mammogram, MRI scan, thyroid hormone test or CT scan.

Are there any side effects?

Mammography used to treat nipple problems exposes a person to some amount of radiation. So a person should always be aware of the side-effects of radiation. A person generally suffers from acute symptoms during the treatment phase of radiation therapy. However, other side-effects include fatigue, skin reactions and other effects specific to the area under treatment may be experienced by a person. Other symptoms of radiation therapy include general weakness and tiredness. Antihistamines, which are used to treat eczema of the nipples, can have side-effects like drowsiness, dizziness, nausea, vomiting, restlessness or moodiness, confusion, dry mouth or blurred vision.

What are the post-treatment guidelines?

Wearing properly fitting clothes while exercising or working out will help a person to avoid nipple problems. Women who run or do horseback riding should wear a well-fitted sports bra. Men, who are suffering from nipple problems, should wear a snug undershirt before indulging in physical activities. Applying products to prevent chafing may also help to deal with nipple problems. It may also be beneficial if a person applies moisturizer to keep the nipples moist.

How long does it take to recover?

Mammoplasty or breast reduction surgery will require a person to take a week off from active life. It normally takes a person about 10-14 days to recover from the effects of this surgical procedure. Physical activity should be avoided for a period of about 1 month. The recovery period for a person suffering from nipple problem depends on the cause of the ailment.

What is the price of the treatment in India?

Mammoplasty generally costs in between Rs 85000 and Rs 110000. Anti-fungal medications can something in between Rs 640 to Rs 1600. A tablet of cabgolin, that is used to treat nipple problems due to pituitary gland is approximately Rs 273 per pill. A single pill of dostinex which is also used for a similar purpose can be purchased for Rs 225. Antibiotics are available within a price range of Rs 10-Rs 40 for a single tablet.

Are the results of the treatment permanent?

A person may suffer from an injury to his/her chest or breast and this may cause him/her to suffer from nipple problems even after that person has undergone treatment for the same. Pregnancy or some infection may also cause a person to suffer from nipple problem. Thus there is not always a permanent solution.

What are the alternatives to the treatment?

A pregnant woman can use her own breast milk to treat sore, cracked, blistering or bleeding nipples. Sore nipples can also be treated by applying a warm compress. Other natural methods that help to treat nipple problems include massaging with oil, use of aloe vera, basil leaves and ice. Calendula, tea-tree oil, chamomile and Vitamin C also help to deal with nipple problems.

Safety: High Effectiveness: High Timeliness: Medium Relative Risk: Low Side Effects: Low Time For Recovery: Medium Price Range:

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Popular Questions & Answers

My nipples are small and inside. Baby is not able to feed through them. Which injection is there for increasing the nipples. Please suggest me.

No such injection. As long as some part of areola (brown surrounding area of nipple) can go in baby's mouth it is ok. Meet obstetrician and paediatrician of baby friendly hospital.

My baby is one month old and I am using nipple shield because of small nipple size. Is using nipple shield is a problem.

No. Not at all. But in due course of time your nipple may get normal size also .that will be naturally more satisfying to you n the baby.
2 people found this helpful

She is facing itching on her nipples. If you can suggest cause and a possible cure. To add additional information - No breastfeeding.

Atopic dermatitis is a common cause of an itchy breast or nipple. This type of dermatitis is also called eczema, which is an inflammation of the skin. While its cause is unknown, atopic dermatitis can cause dry skin, itching, and rash.

Suffering from a node formed in the breast during course of breast feeding one year ago. Doctor suggested for sonography. Report showing formation of node due to milk deposition. Please suggest treatment.

Hello, this is a galactocele and can be removed by hot fomentation alone and some massage towards the nipple outlet, which shall drain the lacteal.
4 people found this helpful

I have had puffy nipples for years now. I read somewhere that surgery is the only solution. Is it true? If true please give me some suggestions and how much would this surgery cost because this is very embarrassing for me.

Hello the condition you said is called as gynecomastia, there are many causes of gynecomastia like hormonal imbalance, having small testis (microorchidism),brain related causes like prolactinoma, certain drugs etc so firstly you need to visit a ph...
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Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
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