Sore nipple left / right of women, adolescent girls. Why do you press, touch, it can be, what to do

in nipple pain in women can be caused by various reasons. The outer part of the breast in women is equipped with nerve endings and reacts to external stimuli. Not surprisingly, there are plenty of provocateurs, causing pain.

Causes of pain papilla

Pain in the left or right nipple in women can occur for the following reasons:

1. Rubbing sheets of a rigid material, or T-shirt. In particular, the problem is often worried about athletes. While women report pain burning character. The skin on the breast becomes irritated, dry and cracked. Long-term exercise provokes prolonged friction. Elevated levels of sensitivity doctors recommend wearing nipple special plaster.

   

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2. Infection. Nipples, skin which is dry and cracked, prone to bacterial penetration. Breastfeeding baby also increases the risk of breast infection. After antibiotic therapy, the fairer sex often complain about the development of secondary fungal infection. Usually it is manifested in the burning pain, redness and peeling of the nipples. Lactation may develop complications such as mastitis. Milk in a milk duct becomes a breeding ground for microorganisms. Mastitis is fraught with tenderness, induration, swelling of the breast, fever. When mastitis shows antibiotic therapy.
3. Allergic reaction or atopic dermatitis. Allergy provoking household products such as cosmetics, detergents, new clothes, perfumes. When the eczema should stop wearing synthetic fabrics, use low-quality cosmetics and perfumes.
4. Hormonal changes during the menstrual cycle. Symptoms appear a few days before the onset of menstruation, when the rise in the level of hormones stimulates the inflow of fluid into the mammary gland and swelling. If the pain is associated with hormonal, then usually it disappears after menstruation. But if it is persistent, you should consult with a specialist.
5. Cancerous tumors in the breast or nipple. In this case the pain will be unilateral in nature.
6. Paget's disease. This is a rare cancer that extends to the area of ​​the nipple. When the disease is marked yellow or reddish discharge from the nipple, change its morphology and the surrounding skin.
7. Gestation. When pregnancy is often formed tubercles Montgomery. Formation on a dummy light different lactic coloration. In some cases, the bumps are formed after birth during lactation.
8. Lactation. Pain in the nipples during breastfeeding appear. In this case, it advised to wear special bras for pregnant and lactating mothers. Also when feeding baby used silicone ointments and pads
9. breast injury. This can be both large and small impact on insect bites or scratching.

Types of diseases in which pain papillae

The intensity of clinical signs upon infection teat may vary depending on the pain threshold and the state of the immune system of the woman.

Usually, when palpation:

• coarsening of the nipple,
• seal in the area of ​​the areola;
• pain;
• breast swelling;
• reddening of the surrounding skin;
• discharge with an admixture of blood and pus;
• temperature rise;
• swollen lymph nodes in the armpits and neck.

Nipple eczema manifests itself in the first few weeks of breastfeeding.

The woman complained of:

• itching of the nipple and surrounding tissues;
• redness of the skin;
• appearance of small bubbles in the nipple;
• selection of nipples lymph.

Frequently, the lesions have sharp edges. The dry areas are covered with crusts and scales, which gradually disappear. There are pain, which intensified at applying the child to her breast. Patients worried about itching at night.

When hormonal failure nipple becomes:

• swelling;
• elastic;
• swollen;
• painful;
• sensitive.

Nipple discharge may trickle out.

For the main symptoms of the cancer lesion nipple should include:

• appearance flakes;
• redness;
• irritation;
• itching and tingling;
• hypersensitivity nipple;
• isolation of ducts;
• Inverted nipples in the propagation of disease on the ducts and breast tissue.

Each second seal diseased women diagnosed breast. Symptoms may include not only the area of ​​the nipple and areola. They can be combined with other malignant processes, for example, carcinoma of the breast.

Often metastases spread on the area of ​​the axillary lymph nodes. Paget's disease is characterized by the absence of specific symptoms. Initial stages occur latently.

Next appear the following symptoms:

• redness of the skin around the nipple;
• peeling;
• irritation;
• intense itching;
• burning sensation;
• tingling;
• selection of nipples serosanguineous contents;
• Seal the nipple;
• retracted nipple or bulge;
• ulceration;
• appearance of crusts;
• appearance moist areas;
• development of mammary tumors in the form of cones;
• swollen lymph nodes in the armpit;
• ichor selection.

Sore right nipple in women due to the formation of tubercles Montgomery, emerging during pregnancy. Neoplasms characterized by tenderness. They can also develop during lactation. In the latter case, the pain does not occur.

Inflammation is characterized by breastfeeding:

• swelling of the nipple;
• redness of the skin of the mammary glands;
• pain;
• an increase in temperature.

When trauma nipple on a primary stage is formed hematoma.

The subsequent stage involves:

• suppuration of the injury;
• itching;
• temperature rise;
• pain.

Diagnosis of nipple pain

Sore right nipple in women - a symptom that needs to be timely diagnosis and troubleshooting. Diagnosis is by characteristic symptoms and complaints. Also taken into account the details of the history and results of a study of additionality.

Among them should be highlighted:

• The physical;
• tools;
• laboratory.

Instrumental and laboratory investigations are carried out in the differential diagnosis of the disease and clarify details.

Physical examination by palpation helps detect the presence of:

• secretions from the nipple;
• edema and swelling of tissues;
• increase in the lymph nodes in the armpits and neck.

Instrumental studies suggest holding:

• X-rays;
• ultrasound;
• magnetic resonance and optical mammography;
• tomosynthesis.

This diagnosis allows you to:

• to assess the prevalence of inflammation; to diagnose the presence of mastitis;
• exclude the presence of neoplasms benign and malignant nature.

Also hold:

1. Ductography. The method involves the examination of mammary glands moves through the introduction of contrast.
2. A biopsy. Implemented by the streak fence tissue, followed by microscopic examination.

Research in the laboratory suggest:

1. General blood analysis. Changing the level of leukocytes in a big way indicates the presence of inflammation.
2. Analysis of blood biochemistry. In its implementation determined level of C-reactive protein.
3. Analysis of the level of thyroid hormones and the adrenal glands. It is held to refer to inflammation of the provocateur.
4. A study of discharge from the nipple. Bacteriological sowings secret on culture media identifies the causative agent of disease, and to determine the level of sensitivity to antibiotics.
5. Cytogram. It planned to study under a microscope smear from the nipple to the study of atypical cells. The method allows to rule out cancer.
6. Identification of tumor markers. The presence of blood formed in the presence of cancer.

Full breast examination in Moscow is 16 900 rubles. In Samara, such diagnostics will cost 15,400 rubles.

When to see a doctor

In the presence of fractures and wounds in the nipple area, as well as dryness of the surrounding tissues refer to the specialist. Since pathological processes triggered by various causes, it is necessary to refer to those skilled different profiles.

Pain in the nipples during pregnancy and lactation requires consultation gynecologist. Sore nipple right, in some cases in women before menstruation and after their completion. At the same discomfort accompanied by nipple discharge, the Council asked the mammologist or gynecologist. Consultation of experts is required in the presence of mastitis.

In the presence of eczema and nipple candidiasis should be treated by a dermatologist. Stitching pain in the nipple area, caused by trauma, requires consultation neurologist. In the presence of blood or purulent discharge from the nipple should consult with an oncologist.

Prevention of pain papilla

The major preventive measures include:

• proper care of the breasts;
• good attachment to the baby's chest;
• mammalogy examination on a regular basis 2 times a year;
• preventive measures against the pathologies that can provoke an inflammatory process in the nipple;
• the use of comfortable clothing made of natural fibers;
• avoiding contact with the allergen;
• elimination of pathologies of the endocrine system;
• balanced diet
• smoking cessation and alcohol;
• strengthening the immune system;
• abandonment of the frequent use of soap for breast health;
• the use of soft bath accessories with body wash;
• rejection of the nipple processing compositions containing alcohol;
• avoiding prolonged sun exposure and tanning salons;
• avoiding injuries mammary glands.

Methods of treating pain papilla

Therapy of inflammatory process is carried out in the nipple conservative method. He is local and general. Local treatment is carried out at simple forms of the disease. General medicine is carried out at the bright symptoms of disease.

In this case, the drugs with antimicrobial and anti-inflammatory effects. It shows vitamin. In severe disease used injection. With the development purulent focus surgery is indicated. Also apply physiotherapy and traditional medicine.

Medications

antifungal ointment	Candide, Nystatin, Sintamitsinovaya, Kentokonazol, miconazole.
antifungals	Diflucan, Fluconazole, Nystatin.
Preparations against eczema	Loratadine, Bepanten, Fenistil 24.
hormonal treatments	Tamoxifen, Zitazonium, Nolvadex.
hormonal ointment	Parlodel, Orgametril, Silest, Mersilon, Femoden, Marvelon, Celestoderm B Triderm, sinaflana, Dermoveyt.
non-hormonal drugs	Wobenzym, Mulimen, Remens, Mastodinon.
antibacterials	Gramicidin C Vinylinum, imanina.
antibiotics	Ceftriaxone, Zinnat, Amoxiclav, Dostinex.
vitamins	Vitamin A, galaskorbin, Citral.

Candid cream is applied to the nipple, 3-4 times a day. Duration of treatment - 14 days. When pronounced symptoms cream is applied 6-8 times a day. The cost of the drug is 72% 1 RUB. The tube '25

Miconazole cream is applied 3-4 times a day. The ointment is rubbed until absorbed. The course is 10-14 days. Before serving, it should be washed off with a breast. The cost of the drug is 133% 2 RUB. The tube '15

To prevent development of the chronic form of candidiasis flucanozole recommended single dose of 150 mg. Re-treatment is carried out in 4-5 days. The cost of one capsule 150 mg is 31 rubles.

Loratadine is used to eliminate eczema. Administered in a daily dose of 10 mg. Duration of the course is determined by a specialist. The cost of the drug is 10 mg to 20 rubles. The package contains 10 tablets.

Fenistil 24 assigned to 1 capsule 1 time a day. The duration of treatment should not exceed 25 days. The cost of 1 mg drug is 299 rubles. The pack of 20 tablets.

Hormonal drugs tablets are used to treat cancer. The duration of treatment with tamoxifen, and the dosage is set by your doctor. The price of the drug 20 mg is 58 rubles. The pack of 30 tablets.

The drug is taken Zitazonium 20 mg 2 times a day. treatment duration is different and is set by your doctor. Price 1 20 mg tablets is 80 rubles.

To eliminate the inflammation and itching use hormonal ointment. Dermoveyt applied in a thin layer 1-2 times / day. Rubbed careful movements. Therapy course is 1 month. The price of the drug 0.05% is 519 rubles. The tube '25

Triderm applied in a thin layer 2 times / day. The treatment duration is 1 month. The cost of the drug is 660 rubles. The tube '15

Wobenzym drug is used to eliminate mastitis. Usually it is taken from 3 to 10 tablets a day depending on the disease severity. The course of treatment is 3-6 months.

Wobenzym price is 480 rubles. The package 40 tablets.

The drug is assigned Mulimen 15-20 drops 3-5 times / day. one hour after ingestion. Drug cost 1480 rubles. In 50 ml vial.

C. Preparation gramicidin applied after ingestion, not liquid 2 tablets one after the other for half an hour. The cost of the drug is 1.5 mg 290 rubles. The pack of 18 tablets.

Vinylinum applied topically in the form of lotions. A single dose of 1.4 mg. Recommended for use 3-5 times / day. The cost of funds is 179 rubles. In vial 100 g of means.

When infected teat appointed antibiotics. Amoxiclav taken 2 times a day for 7 days. The cost of the drug is 333 rubles. The package of 15 tablets.

Zinnat assigned 2 times daily 250 mg. Duration of treatment - 5-7 days. The cost of the drug is 214 rubles. The package contains 10 tablets.

Galaskorbin drug is prescribed for 1 hour before a meal 500-1000 mg three times a day for 1 month. The course is repeated 2-4 times a year. The cost of the drug to 500 mg is 766 rubles.

Traditional methods

Along with anti-microbial and anti-inflammatory drugs used traditional medicines. Their use must be coordinated with the attending physician.

To eliminate cracked nipples are offered the following recipes:

1. Take in the same amount of dry yarrow, St. John's wort, horsetail and marsh cudweed. Grind the ingredients and mix. Pour 1 liter of boiling water and for 20 min. Strain. Applied in the processing of areolas.
2. Take on 3 tbsp. l. aloe juice, onion and fish oil. All mix and add flour, knead the dough. Cake to put applications on both nipples. After removing the wipe nipples broth camomile, Calendula, sage, oak or plantain.

For the treatment of mastitis include the following recipes:

• Take ½ cup dried sweet clover drug. Fill it with boiling water and infuse for 5-10 minutes. Moisten the infusion of towel, wrap them breasts and wrap a scarf on top of wool. Repeat this procedure after 2 hr. In continuous change compress every 2 hour, followed by application to the breast based on propolis ointment mastitis can be eliminated for 2 days.
• Take peeled onion daffodil garden, chop and mix with rice porridge thick consistency. Smear on the affected breast 3 times a day, washing with warm water hardened crust.
• Mark 50 g of tangerine peel, and 10 g of licorice root. Pour 500 ml of boiling water. Divide into 2 portions and take 2 times / day. The same infusion make lotions.

Other methods

To eliminate the inflammatory process in the nipple using physiotherapy. They act as a complementary therapy.

Among the methods should be highlighted:

1. Laser therapy. Exposure to the magnetic field is carried out by a special machine, which produces infrared radiation in a pulsed continuous process. Exposure is carried out two fields. In this region near the juice it is protected by a special display of medical film. The exposure duration was 3 minutes. The course of treatment consists of 10 procedures.
2. Exposure to ultraviolet light using a tube. Usually taken 2 biodozy. Irradiation is carried out every other day. therapy includes 5-6 procedures.
3. Darsonvalization. The exposure duration was 5 minutes per nipple. Therapy includes 10 procedures.

Sore left nipple in women in the presence of an abscess. In this case, surgical intervention. Pus, going in the mammary gland, can cause a number of complications. The festering region produces a small incision. Pus is removed, followed by disinfecting wounds.

If purulent bag has a large size, it is established drainage which outputs purulent residues and sanies. Further held stitching. After 2-3 days, the drainage is removed. The surgical site treated by antibiotics.

possible complications

Inflammation juice may be accompanied by the following complications:

1. Mastitis, that is breast inflammation.
2. Phlegmon. It is a diffuse lesion with pus.
3. Gangrene. In this process, tissue necrosis occurs with elements of putrefaction.
4. Malignancy. The process is a malignant process, which included soft tissue of the breast due to unceasing discharge from the nipple.
5. Scarring of the nipple.
6. breast deformity.
7. Psychological problems.

Sore nipple right - a reason immediate treatment to the doctor, since this symptom can women be caused by many things, and timely care - the key to a favorable outcome pathology.

Registration of the article: Mila Friedan

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