What medicine is good for nipple inflammation?

A woman's breast is a special organ. It not only represents the beauty of women, but is also essential for breastfeeding and sexual life. Therefore, even if there is no discomfort in the breasts, they still need long-term care and maintenance. Especially the nipples, after all, they are connected to the breasts. Once there is a problem with the breasts, the nipples will probably be affected. In life, many women have encountered nipple inflammation, so what medicine is good for nipple inflammation?

1 The diagnosis can be made based on typical clinical symptoms and signs.

At the beginning of acute mastitis, the affected breast will be swollen and painful, especially during breastfeeding. Milk secretion is not smooth, and there may or may not be breast lumps. The systemic symptoms may not be obvious, or there may be general discomfort, poor appetite, chest tightness and irritability. Then, the local breast becomes hard and the lump gradually increases in size, which may be accompanied by obvious systemic symptoms such as high fever, chills, general weakness, dry stool, etc. Abscesses can often form within 4 to 5 days, and throbbing pain in the breast may occur, with local redness, swelling, and translucency of the skin. When pus forms, the center of the lump becomes soft and feels fluctuating when pressed. If it is a deep breast abscess, the entire breast may become swollen, painful, and have a high fever, but the local skin redness, swelling, and fluctuation are not obvious, and a puncture is required for a definitive diagnosis. Sometimes there may be several abscesses, or they may form at different times. They may penetrate the skin or enter the milk duct, causing pus to overflow from the nipple. After the ulcer breaks and pus flows out, the pus will drain smoothly, the swelling and pain will be reduced, and the disease will heal. If the treatment is not good or is not timely, the abscess may break through the loose connective tissue in front of the pectoralis major fascia, forming a retromammary abscess; or milk may overflow from the wound and form milk leakage; in severe cases, sepsis may occur. Acute mastitis is often accompanied by enlarged and tender axillary lymph nodes on the affected side; the total white blood cell count and neutrophil count increase.

2. Blood examination: The total white blood cell count and neutrophil granulocyte count were significantly increased.

3. When exploring a tumor, puncture should be performed under local anesthesia to help confirm the diagnosis of an abscess.

4. Ultrasound examination helps to diagnose abscess.

Nipple inflammation needs to be differentiated from the following symptoms:

1. Traumatic hematoma during lactation

There is often a lump and local swelling and pain may also be seen, but there is a history of trauma and no obvious systemic symptoms of infection. The diagnosis can be confirmed by puncturing the lump and finding blood. Traumatic hematoma during lactation is prone to secondary infection and acute mastitis

2. Breast cancer

There is a highly malignant inflammatory cancer in breast cancer. Its symptoms are similar to those of mastitis, with local redness, swelling, heat and less pain than acute mastitis. Clinically, the lump cannot be felt, there is no suppuration, the systemic reaction is mild, the total white blood cell count and neutrophil count are not high, and antibiotic treatment is ineffective.

Some breast cancers that occur during lactation and pregnancy are hidden in the physiologically enlarged breasts and are easily mistaken for milk stasis. They do not attract enough attention and require ultrasound and imaging examinations to help confirm the cause.

3. Plasma cell mastitis

It is a mammary duct ectasia, which often occurs during the non-breastfeeding and non-pregnancy period. The breasts show signs of inflammation, but the course of the disease is long, ranging from several months to several years, and it develops slowly. The nipples can squeeze out acne-like substances with a foul odor. Many patients have inverted nipples. The disease often recurs, and some form small abscesses, which often form sputum tubes after rupture. The wounds heal and rupture again.

4. Acute viral mastitis

In addition to this acute bacterial mastitis, there is also acute viral mastitis, but it is rare and is generally considered a complication of acute mumps. It is characterized by swelling and pain in both breasts. The local redness and heat are not severe, and there will be no suppuration. The total white blood cell count is normal or slightly low, and the lymphocyte count is relatively increased. It often heals with the recovery of mumps.

1. Maintain a regular daily routine and combine work and rest.

2. Maintain a good mental state.

3. Keep the breasts clean and avoid trauma.

4. Seek timely treatment for illness to avoid complications caused by long-term treatment.

5. The diet should be light and nutritious, and avoid spicy, irritating, meaty and greasy foods.