Why are my nipples peeling and itchy?

Nipple peeling and itching are obvious symptoms of breast eczema, and it is also a disease that can cause great pain to patients. After breast eczema occurs, it needs to be treated in time, otherwise it will have many adverse effects on people's nipple health and even breast health. Of course, breast eczema can also be treated in many ways. Here are some treatments for breast eczema!

1. General principles of prevention and treatment

(1) To find the cause of the disease as much as possible, it is necessary to have an in-depth understanding of the patient's work environment, living habits, diet, hobbies, thoughts and emotions, and conduct a comprehensive examination of the entire city to check for chronic lesions and internal organ diseases in order to eliminate possible pathogenic factors.

(2) Avoid various external stimuli, such as hot water washing, violent scratching, excessive washing, and other substances that the patient is sensitive to, such as fur products.

(3) Avoid foods that are allergenic and irritating, such as fish, shrimp, strong tea, coffee, alcohol, etc.

(4) Explain the key points of protection to the patient in detail and provide guidance on medication. For patients with severe eczema and breastfeeding, weaning can be used.

2. Drug treatment

(1) Internal medicine: Antihistamines can be used to relieve itching. In case of acute or subacute generalized eczema, 5% calcium bromide, 10% calcium gluconate or 10% sodium thiosulfate solution can be injected intravenously once a day, with 10 times as a course of treatment. For patients with widespread infection, effective antibiotics should be used in combination. In addition, B vitamins, vitamin C and drugs that regulate nerve function are also helpful.

Oral or injected glucocorticoids are generally not recommended. Although this drug has a quick effect on reducing inflammation, itching and reducing exudation, it will relapse quickly after discontinuation, and long-term use can easily cause many adverse reactions.

(2) The principles of topical therapy are the same as those for contact dermatitis. Choose appropriate dosage form and medicine according to the condition of skin lesions. For small-scale subacute eczema, the application of glucocorticoid cream and tar preparations for external use is more effective. Topical immunomodulatory drugs such as 0.03%, 0.1% tacrolimus ointment or 1% pimecrolimus ointment have good therapeutic effects and can reduce the adverse reactions caused by long-term use of glucocorticoids.

3. Traditional Chinese Medicine

The main treatment for acute eczema is to clear away heat and dampness. The prescription suitable is Longdan Xiegan Decoction or Bixie Shenshi Decoction combined with Ermiao Powder with modifications. If there is a purulent infection, you can add Viola yedoensis, dandelion, honeysuckle, forsythia, etc. The treatment of subacute eczema is mainly based on strengthening the spleen and eliminating dampness, with the assistance of clearing heat. The prescription suitable is Wei Ling Decoction with modifications. The treatment of chronic eczema should focus on nourishing blood and dispelling wind, with the assistance of clearing heat and removing dampness. The prescription for this should be Yangxue Dingfeng Decoction.