Q. Could emotions cause milky nipple discharge?

 

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Hi doctor,

I got married three years back and I gave birth to a baby boy two years back. However, due to complications I lost my child in just seven days. I never had breastfeeding session with him as he was in NICU. But, sent milk to him through a tin pot for five days. However, after this unfortunate incident, doctor prescribed me few medicines to stop my milk. Soon my body stopped producing the milk. Meanwhile I was going through some emotional turmoil as separated from husband and my mother’s cancer treatment. Since two years I have been living separately from my husband. Four days ago when I was trying to convince my husband regarding relationship, he messaged me that he do not want me back in his life. Till now I realized that something like milk is coming from my breast. Is this breast cancer? Or is this because of emotions about my baby? I am unable to discuss my emotions with my husband as he is not willing to listen. Please help.

 

 

Answered



Hello,

Welcome to dr.sitehome.info.

First of all, I must tell you to relax.

  • A nipple discharge is not an uncommon phenomenon in non-pregnant woman.
  • A bloody discharge is serious. But milk-like or colorless discharge is often caused by minor problems.
  • Are you on any medicine like antivomiting or antidepressent? Taking these medicines could cause a discharge which will stop after stoppage of the drug.
  • Next, if you do not have those; yes, emotional turmoil and remote memories could cause nipple discharge. You are right in this aspect.
  • Though it could be physiological entirely, you need few blood tests if it persists more than two weeks.
  • You need to check thyroid hormones and prolactin to assess their status.
  • Meanwhile, wear tight undergarments and stop squeezing as squeezing will increase more milk production.

  • The Probable causes:

    Stress, tension and medicine.

  • Investigations to be done:

    1. Blood for TSH (thyroid stimulating hormone), T3 (triiodothyronine), T4 (thyroxine) and prolactin.

    2. Mammogram of breast.

  • Differential diagnosis:

    1. Hypothyroidism.

    2. Hyperprolactinemia.

  • Probable diagnosis:

    Stress induced nipple discharge.

  • Regarding follow up:

    Revert back after the tests to an obstetrician and gynaecologist online.—> https://www.dr.sitehome.info/ask-a-doctor-online/obstetrician-and-gynaecologist



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