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Above rightside breast shoulder pain
Above right side breast and shoulder pain and when press brest release white discharge from nipple, and we have 2.6 baby boy, last 4 months did not breastfeeding, she suffered from this pain from last 4 days, please suggest us which type test required and which type doctor we consult, I not understand how it come, she did not work hard
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You need to consult a gynaecologist for physical examination and further management.
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Consult a surgeon for what you are experiencing is breast abscess most likely. They will do an local ultrasound if required and advise antibiotics as per that.
Do not breastfeed the baby until that from that side of breast.
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Please meet a general physician or a general surgeon and get the examination.
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Likely breast engorged ,
Breast feed/pumping/drain with warm compression
Kindly consult Gynaecologist regarding this
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I would suggest Clinical breast examination by a doctor ,Ultrasound of the breast .You can consult a Gynecologist initially. Avoid frequent pressing of the breast Wear proper supportive bra If there is redness, fever, swelling, or discharge increases, seek evaluation sooner. This is usually a treatable and non serious condition, so no need to panic 👍.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Consult a gynac doctor in person
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I understood your concern and noted the problem as well .I need to ask few more details to make a diagnosis and start treatment and advice which suits you. You can discuss via whatsapp on 971*66*33*129
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Consult superspecialist like gynaecologist/general surgeon
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"The presence of white nipple discharge (Galactorrhea) four months after stopping breastfeeding, accompanied by localized pain and shoulder discomfort, requires a clinical evaluation. While it is common for some milk to remain in the ducts for a few months after weaning, a spontaneous discharge triggered by pressure, along with pain, could indicate Hyperprolactinemia (high levels of the milk-producing hormone Prolactin) or a localized inflammatory condition like Duct Ectasia or a mild underlying infection."
Next Steps
"1. Hormonal Imbalance: Sometimes, even after weaning, the pituitary gland continues to produce excess Prolactin, leading to persistent milk production.
2. Duct Ectasia: This is a non-cancerous condition where a milk duct widens and its walls thicken, which can cause fluid buildup and pain.
3. Referred Pain: The shoulder pain might be 'referred pain' from the breast tissue inflammation or could be related to muscle strain from carrying a toddler.
4. Residual Milk: In some women, it takes up to 6 months to a year for milk production to completely shut down after the last feed."
Health Tips
"To identify the exact cause, I recommend the following:
Specialist Consultation: You must consult a Gynecologist or a Breast Surgeon for a physical breast examination to check for any lumps or specific areas of tenderness.
Blood Test: A Serum Prolactin test should be done (ideally in the morning, fasting) to check hormone levels.
Imaging: A Bilateral Breast Ultrasound (USG) is the best first-step imaging to look at the ducts and ensure there is no abscess or cyst.
Important Caution: Do not squeeze or express the nipple frequently to check for discharge, as this stimulation actually signals the brain to produce more milk and can worsen the pain."
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Most likely its staphylococcus aureus infection due to cracking of nipple during milk sucking by baby.you need to consult with general surgeon physically in nearby hospital for further evaluation.
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Consult a gynaecologist or any doctor if gynaecologist is not available nearby
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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