NIPPLE DISCHARGE TREATMENT

A nipple discharge when spontaneous, persistent and unrelated to lactation is considered abnormal. Any significant nipple discharge must be thoroughly evaluated with the following information: -

NATURE OF DISCHARGE: - (milky, serous or bloody).

• Unilateral or bilateral.
• From a single duct or multiple ducts.
• Association of any mass in the breast.
• History of any drug intake (phenothiazines or oral contraceptives).
• Premenopausal or postmenopausal.

Nipple discharge may be due to benign conditions or due to breast cancer (20%).

COMMON CAUSES OF NIPPLE DISCHARGE: -

Milky colour discharge is seen in: -

• Physiological (lactation).
• Pregnancy
• Oral contraceptives.
• Inappropriate(Galactorrhea).

Bloody/ sanguineous discharge is seen in: -

• Intraductal papilloma
• Intraductal cancer
• Malignancy
• Duct ectasia
• Fibrocystic disease

Clear watery discharge is seen in: - Ductal cancer.

Green, yellow disc is seen in: - Ductal ectasia.

Purulent discharge is seen in: - Infective.

Serous or sticky discharge is seen in: - Fibrocystic disease.

HOMOEOPATHIC MEDICINES FOR MANAGING DISCHARGES FROM NIPPLES: -

Some of the medicines that can be thought of are:-

• Pulsatilla
• Asafoetida
• Merc Sol
• Cyclamen
• Borax
• Belladonna etc can be thought of.