What causes breast discomfort and nipple discharge?

Question

Hello doctor,

My sister, aged 38 years, married with two kids, has got an ultrasound done as she was having discomfort in her breasts for a few days. Could you please guide me as to what the ultrasound indicates?

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern. However, I need to know a few things. Since when is she having this discomfort? Does she have any discharge through the nipples? Is there any relation with her periods? Does the discomfort increase or decrease during periods? Has she got herself physically examined? This ultrasound (attachment removed to protect the patient's identity) shows some cysts, which can be physiological as well, but she needs to get examined once.

As of now, I suggest taking capsule Evion (vitamin E) 400 mg once daily for 21 days. In the evening, she can take a capsule of Primrose oil, break it and massage over the breast once a day for 21 days.

Let me know if it does not help; we may have to go for another investigation. Take care.

Answer 2

Hi,

Welcome back to icliniq.com.

There is nothing to worry about. Just follow up regularly every three to six months. Mammography is usually not recommended with dense breasts and also at this age. So ultrasound is better, and if needed, we can get MRI (magnetic resonance imaging) done later. Tell her not to press or squeeze the nipples. Use a properly supportive bra. I suggest getting a blood test for serum prolactin. Usually, with raised prolactin, there is discharge from the nipples. If there is anything else, she can contact me. I suggest taking medications as advised. Take care.