Why is fluid coming out of the chest. Discharge from the chest - a mandatory reason to contact a mammologist

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Discharge from the mammary glands is a common occurrence that any woman encounters. The appearance of a few drops of fluid from the chest can be either a natural result of the development of a specific secret in the mammary gland, or it can be a sign of a serious illness. In this case, we are not talking about secretions that appear during pregnancy or lactation, when a few drops of colostrum or breast milk flow out when pressing on the mammary gland. Fluid from the mammary glands can also appear in a non-pregnant woman. What are the causes of this phenomenon and what diseases can discharge from the mammary gland indicate?

Normal discharge

The female breast is not in vain called the mammary gland - like any gland in the human body, it produces a specific secret, which is a clear liquid, which in some cases can be released when the nipple is pressed. This is a completely natural process that should not cause any concern. But if the discharge has acquired a white, yellow, greenish tint, blood impurities have appeared in it - this may signal the development of a serious illness. Discharges are considered normal if:

• Not a large number of a clear liquid that is released when the mammary gland is pressed during pregnancy - a physiological process that indicates that the breast is actively preparing for breastfeeding.
• Lactation.
• Some women may have white or clear drops for some time after breastfeeding.
• In quite rare cases, the appearance of a small amount of white or clear liquid may be due to the use of strong hormonal drugs, antidepressants, or intense physical exertion.

Causes of pathological discharge

Pathological secretions, which are symptoms of diseases of the mammary glands, most often differ from natural ones in a sharper and more unpleasant odor, thick, rich texture and a gray, yellow or greenish tint. The transparent color of the fluid coming out of the mammary glands indicates that the purulent nature of the disease is absent at this stage.

The main reasons that can cause the appearance of pathological discharge from the mammary glands:

• Galactorrhea is a pathological disorder, which is an excessive production of the hormone prolactin, which is responsible for the amount of breast milk in the mammary gland in a non-pregnant and nulliparous woman. Most often it develops as a result of long-term use of oral contraceptives. With galactorrhea, when pressing on the chest, white, yellowish-green or light brown drops appear.
• Very often, the appearance of discharge from the mammary gland can become a symptom of the development of fibrocystic mastopathy. In this case, the secret separated from the nipples has a pronounced greenish or dark, up to black, shade. The main danger of fibrocystic mastopathy is that, in the absence of the necessary treatment, a cyst in the breast can turn into a malignant neoplasm, which carries a serious risk to the health and even life of a woman.
• Ectasia - this is the name given to the inflammatory process inside the milk ducts, which is accompanied by their filling with a clear liquid. Over time, the liquid acquires a characteristic yellow or green hue and completely clogs the milk ducts. Most often, this pathology is characteristic of older women.
• Discharge from the mammary glands can be the result of any mechanical injury - for example, a bruise or a fall. At the same time, severe pain is often felt when pressing on the chest, and bloody impurities may appear in the liquid.
• One of the common reasons for the appearance of thick fluid from the breast may be the appearance of papilloma in the milk duct. Papilloma is a benign neoplasm, the exact causes of the development of which have not been finally established to date. In most cases, the presence of papilloma can be determined by the bloody fluid that is released when pressure is applied to the chest.
• Mastitis is a common disease of nursing mothers, which is accompanied by the excretion of a thick purulent liquid with a sharp unpleasant odor from the mammary glands. The yellow or greenish color of the discharge clearly indicates its purulent character. In advanced cases, there is the development of an abscess in the chest, accompanied by severe pain, fever, chills.
• Oncological causes are the most dangerous for the health and life of a woman. Discharge can act as a symptom of the glands - while their color can be completely different, from completely transparent to bloody. Special attention should be paid to additional signs of breast cancer - redness and peeling of the skin on the bust, nipple retraction, enlarged axillary lymph nodes, palpation of nodules or painless seals inside the milk ducts. When the first symptoms of this dangerous disease appear, you should immediately contact an experienced mammologist and oncologist. Treatment started at an early stage of cancer is the key to a full recovery and a speedy return to your usual full life.

Treatment

The first thing to do when a liquid of any color appears from the mammary glands is to immediately visit a mammologist, who will prescribe all the necessary tests and studies. In most cases, an ultrasound examination, mammography, MRI, determination of the patency of the milk ducts, a general blood and urine test are performed to determine the pathological nature of the fluid. Discharge from the chest is necessarily sent for histology - this is necessary in order to exclude the development of oncological diseases.

Depending on the results obtained during the research, the patient is assigned a specific treatment method. Most often, the most effective is the appointment of hormonal drugs, as well as antibiotics. In some cases, surgical treatment is recommended. However, do not panic - after all, treatment that is started in a timely manner in the early stages of the disease can guarantee a woman's full recovery.

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Women's breasts are not only a symbol of femininity and sexuality. The mammary gland performs an irreplaceable most important function - the production of breast milk, without which it is extremely difficult to raise a healthy child. No artificial mixtures can be compared with breast milk in terms of benefits.

Therefore, it is extremely important for every woman to constantly monitor the condition of her breasts in order to detect in time the development of dangerous diseases that negatively affect not only milk production, but also the general health of the expectant mother. One sign that something is not right in the body is unusual discharge from the nipples, although in some cases this may be the norm.

What discharge is normal?

If a woman is not breastfeeding, ideally, there should be no discharge. However, sometimes, during special periods or under the influence of certain drugs, a small amount of secretion can be released from the nipples. This is considered a relative norm:

• at any stage of pregnancy (more often after 18-20 weeks).
• Sometimes there may be a colorless, odorless discharge in a small amount during menstruation. The mammary glands are a hormone-dependent organ, so an increased level of estrogen in the first half of the cycle can cause a slight swelling of the gland tissues. In the second half of the cycle, the tissues take on their normal size, and the excess fluid formed from swelling is removed.
• Isolation of a colorless secret after strong physical exertion or with a strong mechanical effect on the chest.
• Some oral contraceptives may cause nipple discharge. Before using the tablets, a mandatory consultation with a specialist is required. You should also carefully study all contraindications and side effects.

What is not the norm?

It is necessary to carefully monitor the condition of the mammary glands at any age. This will help to identify dangerous pathological changes in time - seals, pain, changes in the shape of the breast, retraction of the nipple, and a painful condition of the skin.

One of the main symptoms that you need to sound the alarm is discharge from the nipples - from one or both at once. They can be different in consistency (thick, liquid, watery), in color (transparent, white, gray, yellow, greenish, dark green ...), in smell. It should be understood that unusual discharge from the chest that has appeared in women is an indicator of serious illness. If you notice that liquid is being released from the nipples, you should first of all pay attention to its color, consistency and smell.

Causes of dark green discharge from the mammary glands

Dark green discharge is one of the main symptoms of mastopathy. The nature of the disease is benign, but the dangers cannot be underestimated. There are four main types of mastopathy:

• fibrous;
• cystic;
• fibrocystic;
• nodal.

The clinical picture of mastopathy is as follows:

• Associated with the menstrual cycle, chest pains (with the breasts swelling strongly) - they can be either permanent or appear periodically. are especially amplified.
• Seals in the mammary gland - single clearly palpable nodular or multiple small diffuse.
• Sticky green discharge from mammary glands on pressure.

The main reason for the development of this pathology is considered a hormonal imbalance caused by:

• dysfunction of the ovaries;
• poor liver function;
• diseases of the adrenal glands, pituitary gland, thyroid gland.

Methods of treatment for mastopathy depend on the type of pathology that caused it. With fibrocystic, conservative treatment is prescribed (topical ointments, sedatives, multivitamins). With a nodal (especially if the nodes are large), a surgical operation is indicated - a sectoral resection of the mammary gland. In addition, emphasis is placed on restoring the normal level of certain hormones and restoring the normal functioning of the endocrine glands that produce these hormones.

Dark green discharge from the chest is often observed with the development of an ovarian cyst. This benign formation does not pose a direct threat to the life of a woman, however, it seriously disrupts the function of the ovary, causing hormonal imbalance. Concomitant signs of cystic formations will be pain in the lower abdomen, irregular periods, pain during intercourse.

Good afternoon. I am 25 years old. She has never been pregnant. A few weeks ago, she began to notice mild pain and green discharge from one breast. What should I do?

Hello. Do not delay, contact a mammologist. Your symptoms indicate the development of mastopathy. This is a benign pathology associated with hormonal imbalance. It can be caused by thyroid dysfunction, adnexitis, various liver diseases, and sometimes even diabetes mellitus. The doctor will tell you exactly only after all the necessary tests have been carried out.

Green discharge from one breast

Greenish copious discharge only from the right or only from the left breast may indicate the presence of an intraductal papilloma. They usually appear when pressed. This benign formation is a small growth localized in the lumen of the lactiferous duct. Papilloma can be single or multiple. It is most often detected in older women, although it can sometimes be diagnosed during puberty. The main reason for the development is hormonal imbalance against the background of ovarian dysfunction, adnexitis, and obesity.

Hello. Please tell me. My age is 25 years old, my chest has been hurting for a week and green discharge comes from the nipples. I was examined by a gynecologist, I was diagnosed with a cyst of the right ovary. Can green discharge from the breast be associated with a cyst?

Hello. The condition of the mammary gland is directly related to the condition of the ovaries. An ovarian cyst often causes dyshormonal processes in the body, and they, in turn, can lead to pathological changes in the ducts - as a result, discharge of various colors may appear. Do not delay, go to an appointment with a mammologist. The doctor will prescribe an ultrasound and, based on its results, effective therapy.

Yellow-green, gray-green, black-green discharge from the chest

Yellow-green, light green or gray-green discharge from the nipples may indicate such pathological conditions:

• Ecstasy of the milk ducts is an expansion of the duct that is not related to the process of lactation and feeding. At the same time, an inflammatory process can develop in it and thick sticky masses with an admixture of pus accumulate, which are released from the nipple when pressed. It develops most often in women over 40.
• - milk production not associated with breastfeeding, sometimes may be accompanied by a light green discharge from the nipples.
• Injuries to the breast, for example, when playing sports, after a car accident, and the like. Often observed in teenage girls involved in extreme sports.

Black-green (dirty-green) discharge sometimes. This is a special type of malignant tumor that affects mainly the nipples. The main signs of pathology are burning, itching, peeling of the skin in the nipple / areola area. The nipple is retracted inward, a liquid from black-green to dark bloody color is released from it.

Greenish discharge from the breast during pregnancy

Breastfeeding women can sometimes develop a breast abscess, a dangerous condition accompanied by a buildup of pus. When breastfeeding, the nipples often develop cracks, through which bacteria can easily enter the breast tissue and cause infection. Greenish discharge is observed, the chest hurts a lot, increases in size. The local temperature rises, the skin becomes red. The condition requires immediate medical attention.

Treatment of green discharge from the chest

The only way to get rid of green secretions is to cure the pathology that causes them. To find out the exact cause, a comprehensive diagnosis is carried out, including:

• External examination and palpation - carried out at the first visit to the doctor. Allows you to identify the presence of seals / deformations / swelling, to see the asymmetry of the contours of the chest and the expansion of subcutaneous vessels. Special attention while the doctor pays attention to the condition of the skin, paying special attention to their color and local temperature. Nearby lymph nodes are also carefully palpated.
• Biopsy - is prescribed for seals to determine their benign / malignant.
• Mammography - X-ray examination of the mammary glands for exclusion.
• Ultrasound is an effective diagnostic method that complements the x-ray picture.
• Ductography - is prescribed to detect intraductal pathology (papillomas, ectasias).
• Cytology - take a smear-imprint from the secretions of each nipple. The method is aimed at studying the cellular and bacterial components of secretions.

Treatment of green discharge from the chest is prescribed in each case individually. It cannot be general, since the presence of discharge is not a separate disease, but one of the symptoms. There can be many reasons for their appearance, therefore, the method of therapeutic action is chosen only after an accurate diagnosis of a specific pathology. It should be understood that all these diseases without professional treatment are fraught with the development of complications that are dangerous for a woman’s health, therefore it is strongly not recommended to use them exclusively for their treatment. folk remedies. This can lead to the fact that the disease will be launched, it will be much more problematic to cope with it.

Hello. I am 36 years old. For three months I have been observing sticky green discharge from the mammary glands. The chest sometimes hurts a lot. I went to a mammologist, they performed an ultrasound and took an analysis for hormones. The results showed the norm. They prescribed only Progestogel. I have been using it for three weeks now, the pain is gone, but there is no discharge. What could it be and what should I do?

Good afternoon. In addition to ultrasound and hormone tests, an analysis for tumor markers (CA 15-3), an analysis for human papillomavirus should be performed. You also need to pass the discharge from the nipples for oncocytology and conduct ductography to exclude the presence of intraductal papilloma.

Ask a doctor a free question

Discharge from the mammary glands with pressure is a common reason for women to visit a mammologist.

But even if the patient is seriously concerned about the appearance of fluid, it is not necessarily about the presence of any pathology.

Exudate from the mammary glands can appear when pressed or on its own.

It can be of different shades:

• transparent or white;
• yellow;
• green;
• brown;
• bloody.

It can also be different in consistency: both liquid, watery, and thick.

What is the norm

It is not uncommon for a woman to have clear or whitish drops that come out of her nipples when pressed before menstruation.

The appearance of such drops is considered normal and is due to the increased activity of the hormonal system at this time.

Women who have stopped breastfeeding can observe small amounts of milk from the nipples even before six months. As a rule, if the areola is not irritated, then it goes away on its own.

It is also considered normal to secrete fluid from the mammary glands during pregnancy. This fluid (colostrum) is most often yellowish in color.

The formation of colostrum is usually observed in the last trimester of pregnancy, but sometimes it can begin to stand out even earlier.

When pressed, discharge from the mammary glands can often be accompanied by any pathological processes in the body.

Milk duct ectasia (duectasia)

Duectasia is an abnormal enlargement of the milk ducts. A similar phenomenon is considered a disease when it is not due to lactation or does not occur in the postpartum period.

The formation of milk in the female breast occurs not only after the birth of a child, but throughout the entire reproductive period.

It is formed in small quantities, since there is no stimulation, and even before reaching the nipples, the milk is resorbed.

When, due to some circumstances, there is a violation of the patency of the ducts or a loss of elasticity of their walls, then in certain areas their expansion can be observed.

The duct begins to become inflamed and filled with a greenish-brown fluid, which is then released from the nipple.

For reference!

Duektasia itself is not considered dangerous to a woman's health, and if the violations are minor and there are no neoplasms, then only drug therapy and constant monitoring of the glands are prescribed.

Complications can occur in the later stages of duectasia, such as the appearance of cysts on the walls of the ducts or the accumulation of milk, which can lead to inflammation of the mammary glands.

Causes

The main causes of duectasia are considered to be hormonal changes, as a result of which an increased formation of the hormone prolactin begins, as well as a number of diseases that lead to a narrowing of the lumen of the milk ducts.

This condition is usually seen in women over 40 years of age. During this period, the level of estrogens decreases and the levels of prolactin in the blood increase, which leads to a slight increase in milk production and expansion of the ducts.

Together with these processes, there is a decrease in tissue elasticity due to a decrease in the amount of collagen. All this leads to the fact that after the expansion of the duct, the walls no longer take their original shape.

All the changes that occur in the hormonal system of a woman during menopause increase the risk of developing breast pathologies. Women of this age are advised to carefully monitor any changes in the condition of the breast.

Duektasia can develop due to the appearance of obstacles in the path of milk flow. Such blockage of the duct occurs in the following situations:

1. A woman walks around in tight underwear.
2. There was a chest injury.
3. Previously, surgery was performed on the mammary glands.
4. Inflammation has begun in any part of the duct.
5. A tumor has developed that compresses the mammary glands.

Much less often, duektasia is diagnosed in young girls. This is due, as a rule, to the presence of ovarian diseases and disorders of the endocrine system.

Symptoms

In addition to the appearance of dark exudate from the nipples, the symptoms of ectasia include the following phenomena:

1. The shape of the nipples changes: they become wider and flatter.
2. There are swelling around the nipples and areolas.
3. The skin of the areolas becomes rough.
4. There are red spots on the chest.
5. There is a burning sensation and itching in the chest.
6. Pain in the chest.

Duectasia in most cases is successfully treated with medication.

Galactorrhea

Galactorrhea is the secretion of milk from the mammary glands, not associated with the lactation period.

Most experts consider it not an independent disease, but only a symptom of a hormonal failure in the body, which arose due to some disease.

Causes

The causes of galactorrhea can be the following diseases:

• disorders in the hypothalamus and pituitary gland;
• neoplasms in the adrenal glands;
• polycystic ovary syndrome;
• renal or liver failure;
• thyroid disorders.

In addition, the disease can be triggered by long-term use of certain drugs, such as hormonal contraceptives.

Symptoms

The main symptom of galactorrhea is the appearance of white or whitish exudate from the nipples. In addition, the symptoms of the disease are:

• reduced sex drive;
• the appearance of acne on the face;
• menstrual irregularities;
• pain in the chest.

If galactorrhea is caused by a malignant tumor, then patients may complain of intense headaches and impaired coordination.

For reference!

Since galactorrhea is a condition that accompanies a number of other diseases, its treatment consists in eliminating the cause that caused its appearance.

Mastitis

The disease is an inflammation that affects the tissues of the mammary glands.

In most cases, mastitis occurs during lactation or immediately after it. However, young girls and even little girls can also experience mastitis.

Causes

Usually, bacteria of the staphylococcal group become the causative agent of infection, less often - Escherichia coli. Factors predisposing to mastitis may include:

• hypothermia;
• stagnation of secretion in the glands;
• transmission of infection from the bloodstream to the mammary gland.

The disease accompanies purulent tissue breakdown, and discharge from the nipples is purulent.

Symptoms and treatment

In addition to discharge, mastitis has the following clinical manifestations:

1. Pain appears in the area of ​​the mammary gland, which increases over time.
2. There are lumps in the chest.
3. In the area of ​​inflammation, the skin becomes red and hot to the touch.
4. The chest swells and enlarges.
5. The woman feels weak and unwell.
6. The temperature rises.

Mastitis responds well to treatment, but in advanced cases it can lead to a number of serious complications, such as blood poisoning.

For reference!

At the initial stages of the disease, treatment is carried out with antibiotics, but if it turns out to be ineffective, they resort to surgical intervention.

Intraductal papilloma

If a woman notices the release of a clear, greenish or brown liquid, this may indicate the occurrence of intraductal papilloma.

It is a benign formation that develops in the lactiferous duct. Growths can be single or multiple - in such cases, papillomatosis is diagnosed.

This disease affects both young girls during puberty and postmenopausal women.

Causes

The main reason for the appearance of intraductal papilloma is hormonal imbalance and the diseases that lead to it, such as:

• ovarian dysfunction;
• obesity;
• adnexitis;
• oophoritis

Hereditary predisposition to this pathology also plays an important role.

Symptoms

Along with secretions, a characteristic symptom of the development of intraductal papilloma is the presence of seals that are felt on palpation.

However, if the tumor is small, then it will not be possible to probe it. In this case, the presence of papilloma is determined on the basis of a laboratory analysis of secretions and ultrasound of the mammary glands.

In addition, a woman feels pain in her chest when she is squeezed, and the inflammation that begins near the papilloma often leads to swelling of the tissues and redness of the skin.

Mastopathy

Discharge from the mammary glands may indicate mastopathy.

This disease, which consists in the growth of the connective tissue of the mammary gland. The exudate may be clear, but is more commonly brown or green.

Green discharge from the mammary glands, which have a thick mucous consistency, is a characteristic sign of mastopathy.

Causes and features of the course

The most common cause of this pathology is regular changes in the hormonal background in the female body.

In addition to hormonal imbalance, the appearance of mastopathy can lead to:

• abortions;
• transferred sexual infections;
• some gynecological diseases;
• ovarian dysfunction;
• stress.

There are two main stages of the disease. The initial stage is called diffuse mastopathy and is characterized by the appearance of small nodules in the mammary gland.

The main symptom at this stage is chest pain, which appears before menstruation and subsides when it begins. In addition, seals on the top of the chest may periodically occur.

At the next stage - nodular - dense nodes with a diameter of 5 to 20 mm are formed in the mammary gland. The pains increase, begin to radiate to the armpits and shoulders.

On palpation of the chest, its granular structure is easily determined. In the second stage, pain and tightness no longer go away when menstruation begins.

Treatment

The formations arising from mastopathy are not malignant, and surgery for this disease is indicated very rarely.

Standard medical treatment of mastopathy includes:

• taking hormonal drugs;
• diet
• taking vitamins.

If the pain is very disturbing to the patient, painkillers may be prescribed.

breast cancer

The most serious cause of discharge from the mammary glands is the presence of a malignant tumor.

The liquid released in this case may have a different color: yellow, brown or greenish.

However, bleeding is the most common. The difference in color is due to:

• type of tumor;
• its form;
• features of its location.

Paget's disease is a type of breast cancer that affects the nipple and areola.

For reference!

Breast cancer is the most common cancer among women. According to statistics, it is diagnosed in 16% of patients.

Symptoms

Unfortunately, breast cancer can go unnoticed for a long time. The earliest symptom is the appearance of bloody discharge from the chest.

Other symptoms of breast cancer include:

1. Nodules and seals are felt in the chest.
2. The integrity of the skin is broken. These may be minor wounds that do not heal for a long time. Then they turn into sores, begin to merge and spread.
3. The shape and overall appearance of the breast is changing. It increases, deforms and loses symmetry.
4. The color of the skin in the affected area may change. On it, you can observe the appearance of dimples, areas with flaky or rough skin.
5. The shape of the nipple and areola changes. The nipple "presses in", becomes flattened. Enlarged lymph nodes in the armpits.
6. The second stage of cancer is characterized by the penetration of cancer cells into the lymph nodes, and this may be associated with their thickening and enlargement, sometimes pain.
7. Pain in the chest.
8. Itching around the nipple, areola.

If a woman has noticed such symptoms in herself, it is recommended to immediately contact a specialist. The earlier the disease is diagnosed, the higher the chances of recovery.

Early diagnosis is the key to successful treatment, so any discharge from the mammary glands should not be ignored, as they may be signs of serious illness.

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Discharge from the mammary glands

Discharge from the mammary glands outside the state of breastfeeding is a reason for an urgent visit to a mammologist. It is especially important to consult with the appearance of purulent or bloody discharge from the chest, with the ongoing nature of secretion.

Discharge from the mammary glands: a little theory

The excretion of secretions from the mammary glands occurs through the same ducts that excrete breast milk during lactation. In women who are not breastfeeding, these ducts constantly contain some amount of fluid, which can sometimes be released from the nipples.

Of course, any woman should be alerted by the sudden appearance of discharge from one or both nipples, if this has not been observed before. The normal color of breast discharge may vary from clear to yellowish, and the consistency may be very runny or slightly slimy.

Discharge from the mammary glands (secernation): causes

• stress
• prolonged breastfeeding
• taking various medications (for example, for the treatment of gastritis, tranquilizers, antidepressants, hormone therapy, etc.)
• thyroid disease and other endocrine pathology

There are a number of symptoms and diseases that lead to the appearance of discharge from the chest.

Consider the following:

Galactore

This is a disease whose main symptom is the secretion of milk or colostrum outside of pregnancy and lactation. Such discharge from the mammary glands during pregnancy and lactation is absolutely normal, but if the fluid appears out of connection with breastfeeding or continues for a long time after it has ended, the situation becomes pathological. Its direct cause is a significant violation of the hormonal background in a woman, leading to an increase in the level of a hormone produced in the pituitary gland - prolactin - due to the use of hormonal drugs, in case of disruption of the thyroid gland or the occurrence of neoplasms in the pituitary gland. Symptoms of galactorrhea (other than discharge of fluid from the nipple) include:

• violation of the ovarian - menstrual cycle - delays, impoverishment or absence of menstruation;
• weight gain;
• infertility;
• hair loss;
• weakness, drowsiness, irritability, depression;
• decreased sex drive.

Mastopathy

This is one of the most common breast diseases outside of pregnancy. It is a growth or violation of the ratio of connective and glandular tissues, which is often accompanied by the appearance of seals in the chest or the appearance of cysts. There are diffuse and nodular forms. Mastopathy may be accompanied by secretions of a transparent, yellowish or greenish color from the mammary gland when pressed, pain syndrome. Most often, this disease is caused by a hormonal imbalance in a woman's body, disruption of the ovaries, sexual infections, and prolonged stress.

Breast injury

Injury to the mammary glands and ducts can disrupt the normal state of these organs and lead to bleeding from the mammary gland.

Mastitis

It is an inflammatory process inside the mammary gland. It manifests itself in the form of compaction and soreness of the chest, an increase in its temperature and redness of the skin. Most often, the causative agents of mastitis are staphylococci or streptococci, which can enter the mammary glands through various microdamages in this area. There are two types of this disease: postpartum and fibrocystic mastitis. In the first case, the outflow of milk from the lobules of the mammary gland is disturbed, an inflammatory reaction of the surrounding tissues occurs, and when an infectious factor is attached, suppuration occurs. The reason may be insufficient emptying of the ducts during lactation, as well as the formation of cracks in the nipples due to improper attachment of the baby to the breast. In the second case, inflammation is not associated with feeding and can appear even in girls and women who have never given birth.

Papilloma

Papilloma, located inside the milk ducts, is a benign tumor. The main symptom of the appearance of intraductal papilloma is thick dark or bloody discharge from the mammary glands when pressed. Duct papillomas are small (from a few mm to a few cm) single or multiple growths in the subareolar zone or peripheral parts of the mammary gland. Papillomas require surgical removal and a thorough histological examination, which should confirm the benign neoplasm.

malignant tumor

The appearance of a malignant neoplasm in the chest can make itself felt by spontaneous bleeding. Another sure sign of the appearance of a tumor is an increase in the size of one of the mammary glands or the appearance of dense nodules in it, a change in the color and structure of the skin - a symptom of "lemon peel".

Paget's disease

Such a disease is a cancer localized in the nipple area and causing, in addition to spotting, peeling of the skin on the nipple or areola, burning and itching, darkening of the area around the nipple.

Discharge from the nipples during pregnancy and breastfeeding

Usually the appearance of colostrum begins in the second trimester of pregnancy, but sometimes the first yellowish or white droplets on the nipples may appear earlier. This is completely normal. If a pregnant woman has white or pink discharge and at the same time her nipples hurt, this is a reason to see a doctor.

It must be borne in mind that normally in a woman after the end of the lactation period, discharge from the breast can still be observed for some period. In medicine, a period of 4-5 months is often heard, which is “given” for the complete completion of feeding. Therefore, if after 5 months after the end of breastfeeding, a woman still observes any discharge from the nipples, then you should definitely make an appointment with a doctor to exclude the occurrence of diseases or hormonal disorders.

What are nipple discharges?

Fluid that emerges from the nipples with or without pressure may vary in color and consistency. Let's look at the most common selection options:

White discharge from the chest

White discharge from the chest during pregnancy, as well as during lactation, is considered the norm. If they appear outside of pregnancy and lactation, then this may be a symptom of galactorrhea.

Brown discharge from the chest

If a woman has breast pain and black or brown discharge from the nipple, the reason may be the development of malignant neoplasms. Also, the appearance of dark secretions may be due to the presence of blood in the ducts - a similar situation is usually observed with closed chest injuries, papilloma.

Green discharge from the mammary glands

The appearance of green discharge from the nipples when pressed may be a sign of mastopathy. Usually in this case, when pressed, a thick mucous liquid appears. Also often there is a painful swelling of the breast.

Transparent discharge from the mammary glands when pressed

Transparent discharge from the nipple can appear not only in the event of the development of any disease. It can also be caused by prolonged stress, hormonal imbalances, or the use of inappropriate contraceptives. In such cases, the appearance and sensation of the breasts usually do not change.

If a woman has swollen breasts, nipples hurt and clear discharge from the mammary glands has appeared, then perhaps these are manifestations of mastopathy or a closed form of injury.

Yellow discharge from the mammary glands

One possible cause of such discharge from the nipples is ectasia, or enlargement of the milk ducts. Also, sometimes a greenish or yellow liquid can also be released during mastopathy.

Purulent discharge from the nipple of the breast

Accumulations of pus in the milk ducts are usually caused by infection inside the duct. Most often occurs after childbirth, while breastfeeding.

What will the doctor prescribe when discharge from the nipples appears?

Examination of a doctor when discharge from the nipples appears is strictly mandatory, because taking care of your health is not only the prevention of diseases, but also the timely detection of problems in the body. At the doctor's appointment, you will need to try to answer important questions:

• When did the discharge first appear?
• What color and texture do they have?
• Is the discharge from the chest accompanied by other symptoms, such as pain?
• Did any trauma to the mammary glands precede the appearance of the discharge?

Also, the doctor must be informed about the intake of any medications, if such a fact takes place.

It is advisable to plan a visit to the doctor with a regular menstrual cycle in phase 1 for 5-7 days, in the absence of regular menstruation at any time.

The main examinations that the doctor will prescribe when discharge from the chest appears:

• manual examination - palpation of the mammary glands in a standing and lying position;
• Ultrasound of the mammary glands;
• mammography (with scheduled examinations 1 time in 2 years after 40 years);
• cytological analysis of secreted fluid or puncture biopsy;
• tests to determine the level of hormones and tumor markers, a detailed complete blood count;
• consultation with a gynecologist and endocrinologist.

Summing up

If you see unusual fluid discharge from the nipples, do not panic. The main thing in such cases is to immediately seek advice from a specialist mammologist, undergo an examination and, in the future, strictly adhere to the doctor's instructions.

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Discharge from the mammary glands on pressure

Since their youth, mothers have been instilling care for the mammary glands in their daughters, because they realize how dangerous the consequences can be if it is absent. But it is not always possible to predict events and protect the chest from external influences, which causes the appearance of various ailments. Discomfort, pain when touching the chest - all this is not as alarming as discharge from the mammary glands. It is to these manifestations that women react sharply and become overly upset, because they do not fully understand the level of danger. Therefore, it is necessary to understand what such changes can promise, and what are the reasons for their appearance.

Discharge from the mammary glands on pressure

What problems are hidden behind the secretions from the mammary glands when pressed? Minor discharge from the nipples, which is odorless and not accompanied by unpleasant symptoms, does not threaten health in any way, but is only the result of the process of cleansing the mammary glands.

It is inappropriate to take measures and worry during pregnancy, since women in this position may experience pressure discharge, which is the norm.

From time to time, each person is faced with various health disorders. But not all of them require immediate consultation with a doctor and may well be eliminated at home. However, there are symptoms that should never be ignored, even if they are not accompanied by severe malaise. This also applies to the condition of the mammary gland in women, because violations of its structure, pain on palpation, hardening and discharge can be symptoms of a serious illness. The topic of our conversation today will be white discharge from the mammary glands when pressed, we will discuss the possible causes of this phenomenon.

Norm variant

It should be noted right away that in some cases, the appearance of white discharge from the chest in response to pressure is a completely natural symptom that does not pose a threat to health. This applies to pregnant women and those who have become mothers. During pregnancy, the discharge may be whitish and sweet in taste. This is colostrum, it is released when the body of the expectant mother begins to prepare for the upcoming breastfeeding. In some cases, such a symptom appears shortly after conception, when the woman is not yet aware of her interesting position. But most often, this kind of discharge begins from the fourth month of pregnancy, or even closer to its end.

Sometimes, for a period of about three months of pregnancy, a woman may encounter a discharge of a white liquid in which bloody streaks are visible. This symptom is explained by the synthesis of special hormones necessary for lactation. But when it appears, you must definitely consult with a gynecologist and mammologist.

Of course, the release of breast milk is also considered a variant of the norm - shortly after childbirth. Sometimes this phenomenon is observed even after the completion of breastfeeding. Normally, breast milk can be released from the breast when pressed for several months after weaning the baby from the breast. If you do not stimulate the areola, this symptom will go away on its own.

In some cases, perfectly healthy nulliparous girls may have white discharge from the mammary glands when pressed. Such a symptom usually occurs before menstruation, is not very pronounced, and is explained by the activity of the hormonal system. But when it appears, you should definitely consult with a gynecologist and mammologist.

Pathological causes of white discharge from the mammary glands when pressed

Sometimes the appearance of white discharge from the chest (in the absence of pregnancy) is classified by doctors as galactorrhea. This condition may be accompanied by the appearance of a small amount of discharge, less often milk production is more significant. Galactorrhea can be unilateral or occur in both mammary glands. This symptom usually occurs in patients of childbearing age, and is diagnosed quite often.

Galactorrhea can be triggered by many factors, represented by diseases of the hypothalamus, tumors and other diseases of the pituitary gland, and metabolic disorders of thyroid hormones. In addition, estrogen-producing tumor formations in the adrenal glands or polycystic ovary syndrome can cause it. In some cases, galactorrhea develops against the background of liver and kidney failure, as a result of other metabolic disorders, or as a result of taking a number of medications, for example, oral contraceptives.

What to do?

Having found incomprehensible discharge from the mammary glands that occur when pressed or appear on their own, seek the advice of a doctor. You should not leave such a symptom unattended, because it can be caused by a variety of diseases, including quite serious ones.

To clarify the diagnosis, you may need to undergo a series of laboratory tests:

Ultrasound of the mammary glands;
- mammography;
- blood test for hormones;
- cytology of the discharge.

The conducted research will help the doctor to make the correct diagnosis and choose treatment measures.

How is galactorrhea treated?

The therapy for such a disorder is selected by the doctor and directly depends on the factor that caused the appearance of white discharge from the mammary gland.
So in the event that galactorrhea has developed due to pituitary adenoma, therapy begins with the use of dopamine agonists. These substances work in conjunction with natural dopamine to help suppress the production of prolactin by the pituitary gland. Such drugs are represented by Bromocriptine, Pergolide and Cabergoline.

It is worth noting that galactorrhea therapy is usually carried out in cases where a woman wants to become pregnant. Also, such an ailment requires treatment with a pronounced form of osteoporosis or with especially abundant secretions that cause discomfort to the patient. In certain cases, women with this diagnosis are shown only observation, which includes repeated examinations for prolactin levels, as well as MRI of the brain.

Do not run and yellow discharge from the mammary glands or green discharge from the mammary glands. Visit the doctor immediately when they appear!

Discharge from the mammary glands is one of the most common complaints with which gynecologists refer their patients to a consultation with a mammologist.

This condition can be the result of both temporary "failures" in the body, and a symptom of many diseases.

First of all, it is necessary to draw a line between the physiological (normal) discharge from the nipple that accompanies pregnancy, lactation and other "healthy" periods in a woman's life and pathological ones - indicating the presence of any disease.

Physiological secretions

This type of discharge from the nipples includes the following:

• Discharge from the chest during pregnancy, which is observed in both mammary glands, is cloudy white or yellowish in color and is not accompanied by a change in well-being. This is the so-called "training" lactation, which begins in the last trimester and is provoked by the harbingers of contractions - painless uterine contractions that stimulate discharge from the chest.
• Lactation after premature termination of pregnancy can look like a full-fledged production of breast milk, and have the character of minor discharge from the nipples. It usually lasts from several days to a month and depends on the gestational age at which the interruption occurred.
• Discharge from the chest associated with the start of taking oral contraceptives that increase the level of prolactin, a hormone that stimulates lactation. Such discharge from the nipples stops on its own along with the change of the drug or its cancellation.

Pathological discharge

Discharge from the nipples, which can be attributed to pathological, is much larger and in each case they indicate the occurrence of a disease.

Mastopathy

The most common reason for the occurrence of discharge from the mammary glands. This disease develops due to hormonal disorders, ovarian diseases, genetic predisposition and other reasons.

The nature of the discharge from the chest in this disease is very variable, and differs from woman to woman.

It can be spontaneous and copious discharge from the nipples that appear without any stimulation, resembling colostrum or a watery liquid, colored yellow, brown or greenish. Also, discharge from the nipple can be observed only when squeezing the nipples - as when expressing milk - and be thick, dense in consistency.

In addition, mastopathy is accompanied by uncomfortable sensations, often described as "heaviness", an aching feeling in the chest. These symptoms are aggravated after physical exertion, stress.

Discharge from the mammary glands during pregnancy

Most often, pathological discharge from the nipples in pregnant women develop due to inflammatory and infectious processes in the tissues of the mammary gland. But this condition can also be a symptom of the presence of a benign or malignant tumor that existed before pregnancy and whose growth is provoked by hormonal changes in the body.

Such discharge from the nipples is obviously “abnormal” in nature, which is quite easy to notice even for a non-specialist:

In addition to these reasons - the presence of a tumor and an infectious / inflammatory disease of the mammary glands, discharge during pregnancy can be caused by pathology of fetal development and exacerbation of chronic diseases that were present before pregnancy.

Hormonal disorders

In diseases of the thyroid gland and pituitary gland, discharge from the chest can be observed, since these endocrine glands are involved in the regulation and stabilization of hormonal levels, including the concentration of prolactin in the blood (the hormone responsible for lactation).

Discharge from the nipples with thyroid dysfunction or prolactinoma (pituitary adenoma) is fully consistent with normal lactation - there is a discharge of milk or milk-like liquid without the inclusion of blood or pigments.

In addition to lactation, there are violations of the menstrual cycle, up to its complete cessation.

Persistent endocrine disorders can be triggered by bad habits, an unhealthy lifestyle, prolonged use of drugs that affect hormonal status, frequent viral infections, etc.

Tumor diseases of the mammary glands

With discharge from the chest caused by neoplasms, the accompanying symptoms can vary significantly depending on the type of tumor, its location and other factors:

Tumor diseases (cysts, adenomas, oncological neoplasms, etc.) can develop for many reasons. To date, the main of them is the genetic predisposition to cancer and the presence of risk factors.

These include:

• bad habits (smoking, alcohol abuse);
• adverse environmental conditions (work in hazardous industries, living in industrial areas, etc.);
• unhealthy lifestyle (lack of sleep and rest, unbalanced diet, physical inactivity, etc.);
• transferred abortions.

Treatment of secretions from the mammary glands

In case of discharge from the chest, which is not associated with pregnancy and lactation, it is necessary to consult a doctor as soon as possible.

Early diagnosis of tumor and other diseases of the mammary glands significantly increases the chances of recovery and reduces the risk of complications.

Diagnosis is carried out using laboratory and instrumental methods of examination:

Treatment of discharge from the chest is prescribed in accordance with the reasons that provoked this condition.

• Endocrine disorders require correction of the hormonal status of a woman, which is carried out using a wide range of drugs, including thyroid, pituitary, and ovarian hormones.
• Treatment of pathological breast discharge during pregnancy may be delayed until the postpartum period, and before that, supportive therapy is prescribed, which excludes risks to the fetus. In some cases, it may be necessary to terminate the pregnancy if the doctor has reason to assume a threat to the health and life of the woman when postponing treatment to a later period.
• Tumor diseases of the mammary glands are pathologies for the treatment of which a very wide range of methods and means is used. In each individual case, treatment requires an individual approach and taking into account the nature of the tumor (cyst, adenoma, malignancy, etc.), the age and health of the patient, and other factors. Treatment may include conservative methods with the use of medications (including chemotherapy), radiological treatment (so-called radiation) and surgery, during which part of the breast or the entire mammary gland is removed. The most effective today is considered a combined treatment, in which the appointment includes several directions.