Areolar inflammation symptoms

Areola inflammation, also known as papillitis, is mainly caused by infection with Staphylococcus aureus. If the nipple area is not kept clean in daily life, or if good care is not taken during breastfeeding, this inflammation may occur. This is also called nipple wind in traditional Chinese medicine. It has a great impact on women's health. At this time, timely and good treatment is needed. Antibiotic treatment can be carried out under the guidance of a doctor.

Symptoms and signs

When chapped, there are small cracks and ulcers on the surface of the nipple, and the epithelium may become erosive after being softened. In the early stage of this disease, the child will feel a knife-like pain in the nipple when breastfeeding, followed by bleeding or yellow fluid discharge and scab formation on the surface; if the child sucks again, the scab will fall off and form again, and the crack will gradually widen. As the disease progresses, acute or subacute cellulitis or local abscesses form under the areola, which rupture and leak out oily, bean curd-like substances.

Medication

1. Antibiotic application

It can be administered orally or by intramuscular injection. Such as cephalexin 0.25g, 4 times/d, orally; or cefadroxil (cefotaxime) 0.25g, 4 times/d, orally; or lincomycin (lincomycin) 0.25g, 3 times/d, orally; erythromycin 0.5g can be used orally, 2 times/d.

2. Application of Chinese medicine Traditional Chinese medicine believes that this disease is related to "liver qi stagnation and internal heat stagnation", and the treatment principle should be "soothing the liver, promoting qi, clearing heat and detoxifying". Commonly used Chinese herbal medicines include:

(1) Burdock Soup: 9g each of cooked burdock, raw gardenia, honeysuckle, and forsythia, 12g each of whole burdock (crushed), dandelion, 4.5g each of tangerine peel and tangerine leaves, 6g of bupleurum, and 9g of phellodendron. Decoction in water, 1 packet per day.

(3) Take 1 whole piece of Rhizoma Corydalis (weighing 100-200g), decoct it in water and apply the residue to the affected area while it is still hot.

(4) Take 60-120g of fresh dandelion and 30-60g of green onion, mash them into a paste, apply it to the affected area, tie it tightly with a bandage or triangular bandage, and change the dressing once a day.

For patients with subareolar cellulitis or abscess, incision and drainage should be performed. In order to prevent damage to the sebaceous glands in the areola and the formation of milk fistula, the following points should be noted during surgery: ① Make an arc-shaped incision along the edge of the areola. ② After cutting the skin and subcutaneous tissue, insert vascular forceps or fingers into the abscess cavity to stretch the abscess cavity partitions one by one to facilitate drainage. ③ When using vascular clamps to open the abscess cavity, it should be parallel to the areola skin and expanded close to the areola skin. Do not enter too deep or perpendicular to the mammary duct to avoid damaging the lactiferous duct.