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Alternative names:
discharge from breasts; milk secretions; lactation, abnormal; witches milk
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Definition:
Abnormal discharge from the nipple(s)
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Considerations:
The likelihood of nipple discharge increases with age and number of pregnancies.
While nipple discharge is rare in men, and in women who have never been pregnant, it does occur; and when it does, it is more likely to be caused by some underlying disease (particularly when accompanied by other changes in the breast(s).
It is relatively common in women who have had at least one pregnancy. A thin, yellowish, or milky discharge (colostrum) is normal in the final weeks of pregnancy.
The nature of the discharge can range in color, consistency and composition and may occur on one side or both sides.
Witches' milk is a term used to describe nipple discharge in a newborn. The discharge is a temporary response to the increased levels of maternal hormones. Witches' milk should disappear within 2 weeks as hormone levels dissipate in the newborn.
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Common causes:
breast abscess (most common in lactating women)
trauma can cause discharge from both breasts
drugs such as cimetidine, methyldopa, metoclopramide, oral contraceptives, phenothiazines, reserpine, tricyclic antidepressants, or verapamil
prolactinoma
Note: There may be other causes of a nipple discharge. This list is not all inclusive, and the causes are not presented in order of likelihood. The causes of this symptom can include unlikely diseases and medications. Furthermore, the causes may vary based on age and gender of the affected person, as well as on the specific characteristics of the symptom such as quality, time course, aggravating factors, relieving factors, and associated complaints. Use the Symptom Analysis option to explore the possible explanations for a nipple discharge, occurring alone or in combination with other problems.
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Home care:
Follow provider-prescribed therapy.
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Call your health care provider if:
there is any abnormal nipple discharge.
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What to expect at your health care provider's office:
The medical history will be obtained and a physical examination performed.
Medical history questions documenting a nipple discharge in detail may include:
Are you pregnant?
Are you breast feeding?
What type of drainage is there?
Does it look like milk (even though you are not breast feeding)?
Does it look bloody?
Does it look like pus?
Is the drainage from both breasts?
How much drainage is there?
Enough to stain the lining of the bra?
Enough to soak through the bra?
Does the discharge occur spontaneously, or only when expressed?
Do you perform breast self-exam? How often?
What medications do you take?
What other symptoms are also present? Especially, is there:
a breast lump
breast pain
The physical examination will include examination of the breasts for lumps or other abnormality.
Diagnostic tests that may be performed include:
breast biopsy (if lump is found)
cytologic study of discharge (a study of the cells in the discharge)
head CT scan to look for pituitary tumor
mammography
serum prolactin
transillumination (a light is placed against the breast to help determine if there is an accumulation of fluid in the tissue)
ultrasonography (ultrasound of the breast)
After seeing your health care provider:
You may want to add a diagnosis related to a nipple discharge to your personal medical record.
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Bijwerkingen van de pil
Vertel het altijd tegen uw dokter als u last heeft van een bijwerking, vooral als die ernstig of hardnekkig is, of als u een verandering in uw gezondheid bemerkt waarvan u denkt dat die mogelijk door de pil wordt veroorzaakt.
Mogelijke bijwerkingen
De volgende bijwerkingen worden genoemd door pilgebruiksters, hoewel ze niet door de pil veroorzaakt hoeven te worden. Deze bijwerkingen kunnen vooral in de eerste paar maanden van het pilgebruik voorkomen. Vaak gaan ze na enige tijd vanzelf over:
Gevoelige of pijnlijke borsten
Afscheiding uit de tepel
Hoofdpijn en migraine
Minder zin om te vrijen, stemmingsveranderingen
Irritatie van de ogen bij het gebruik van contactlenzen
Misselijkheid en overgeven
Verandering in de afscheiding uit de schede
Huidreacties
Vochtophoping
Gewichtsverandering
Overgevoeligheidsreacties
Ernstige bijwerkingen
Ernstige bijwerkingen die met het gebruik van de pil in verband worden gebracht zijn trombose en (borst)kanker.
Als je altijd doet wat je altijd deed zul je altijd krijgen wat je altijd kreeg.