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Bloody Nipple Discharge

 

What is bloody nipple discharge?

Bloody nipple discharge refers to the presence of blood or blood-tinged fluid that leaks from one or both nipples. While bloody discharge can be alarming, it is essential to understand that it may not always indicate a serious underlying condition. However, it is crucial to seek evaluation by a healthcare professional to determine the cause and appropriate management.

What are the symptoms of bloody nipple discharge?

The primary symptom of bloody nipple discharge is the presence of blood or blood-tinged fluid coming from one or both nipples. In some cases, the discharge may be spontaneous, while in others, it may only occur with manipulation of the breast or nipple.

What causes of bloody nipple discharge?

Bloody nipple discharge can have various causes, including both benign (non-cancerous) and malignant (cancerous) conditions. Some common causes include:

  • Benign breast conditions such as intraductal papilloma, duct ectasia, or fibrocystic changes may cause bloody nipple discharge.
    Infections of the breast tissue or milk ducts, such as mastitis or abscesses, can lead to bloody discharge.
  • Hormonal fluctuations, particularly during menstruation, pregnancy, or lactation, may result in bloody nipple discharge.
    Injury or trauma to the breast or nipple, including vigorous manipulation or breastfeeding, can cause bleeding and subsequent discharge.

While less common, bloody nipple discharge can also be a symptom of breast cancer, particularly if accompanied by other concerning signs such as a palpable breast lump, changes in breast texture or appearance, or nipple abnormalities.

How do you treat bloody nipple discharge?

At The Iowa Clinic, our experienced healthcare professionals will conduct a thorough evaluation to determine the underlying cause of bloody nipple discharge. Depending on the findings, treatment options may include:

  • Imaging Studies: Diagnostic tests such as mammography, breast ultrasound, or breast MRI may be performed to evaluate the breast tissue and identify any abnormalities.
  • Breast Biopsy: If imaging studies reveal suspicious findings, a biopsy may be recommended to obtain a tissue sample for further evaluation and confirmation of the diagnosis.
  • Medication: Treatment for benign causes of bloody nipple discharge, such as infections or hormonal changes, may involve antibiotics, hormone therapy, or other medications to alleviate symptoms.
  • Surgery: In some cases, surgical intervention may be necessary to address underlying benign or malignant lesions causing bloody nipple discharge.

While many cases of bloody nipple discharge are benign, it is essential to seek prompt evaluation by a healthcare professional to rule out any serious underlying conditions, including breast cancer. Delayed diagnosis and treatment may lead to complications and affect long-term outcomes.