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Bleeding from Nipple

Is bleeding from the nipple a sign of cancer?  I am freaked out.  I have always had nipple discharge, but now I get a bit of brown/red discharge from one duct of my left breast.  I have no lumps.  I am so scared.  I have a doctors appointment next week.
Best Answer
Avatar universal
It's understandable that this is a concerning time for you.  I think many people find waiting (for tests, results, procedures, etc) the hardest.  I think it's natural to be frightened and anxious.
I have this new philosophy where I try not to stress until at least just before something.  Stressing doesn't solve anything and can sometimes make the situation worse.

My advice would be to try and relax.  Maybe spend some quality time with your family to take your mind off this.  Anything that will distract you could be helpful.

Don't squeeze your breast.  This won't help and could make things worse.  It's probably a good sign that the blood isn't coming out spontaneously.  Sometimes clothing rubbing against your breast can be enough to stimulate it to discharge.

Have you had your breast examined previously for the discharge?  Just curious.  Brown sounds like old blood where the red stuff sounds fresh.

I had a bloody nipple discharge which was spontaneous.  I saw my doctor he did a breast exam and took a swab of the blood.  He also ordered blood tests.  I had a mammogram and an ultrasound.  Microcalcifications were found on my mammogram and ?blood/ debris found with the ultrasound.  I then saw a surgeon who refered me for a stereostatic biopsy.  The result of this came back negative for cancer.  I then had a ductogram.  A radiologist placed a needle and fine tubing into my duct and injected saline I think it was.  Maybe it was dye.  I can't remember now it was a few years ago and a lot has happened in that time.  I then had another mammogram which showed the duct well.  The mammogram showed that I had several intraductal papillomas.
Because my nipple was bleeding I had my duct surgically removed.  The results from this did come back saying that I had precancerous cells growing which then required further surgery and radiation.

I honestly wouldn't stress now because you don't know which way it will go.  Stuff happens all the time which is unexpected.  I would just take each moment as it comes and take this step by step.  You have a doctors appointment and you won't know anymore til then.  Even then you may not know a lot more as your doctor may need you to undergo more tests (mammogram, etc).
Just athought but are you able to get an earlier doctor's appointment?  Could you say that you are having symptoms and are extremely anxious.

I was also just wondering if your high anxiety was caused by your over active thyroid.

I found a women-to-women webpage on nipple discharge informative.  It went through possibilities for different color discharges.

I'm sorry you're so stressed.  I hope my post has helped a little.
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Avatar universal
so has anybody ever head of making your nipples bleed from excessive squeezing?
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Avatar universal
So I have caused damage to the tissue causing the bleeding?  I only squeeze one nipple which is hte one that is bleeding.  Thanks for your help.
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25201 tn?1255580836
The explanation is :  When the breast is squeezed a signal is sent to the brain which in turn will produce some type of discharge from the nipple. This is associated when a baby begins to nurse .... milk is produced and this is due to the squeezing (sucking) which sends that message to the brain. It's a reaction that is put in place for a purpose but occurs even with the intended purpose (for the baby to obtain nourishment). Aren't our complicated bodies amazing works of effeciency ??  Don't even think about leaving our Comm. .... there's no problem here. Take care ....
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Avatar universal
i just wondered if anybody else had every heard of it.  That is all I am asking.  
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962875 tn?1314210036
Please discuss your questions about these recent symotoms, and your inability to stop squeezing your nipples, with your doctor.

You have so many worries, concerns, and obsessions about your breast issues that they are beyond the scope of the help that can be offered by volunteers in an Internet forum such as this one.

Wishing you all the best,
bluebutterfly
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Avatar universal
can you just confirm that the constant squeezing could be causing that.  I might be dumb but the above post say they could make it worse, that the cause.  Thanks I really appreciate your help.  I will delete all these posts and deactivate my account seens I am causing so many problems.
Helpful - 0
962875 tn?1314210036
Please rerview all the posts above, advising you NOT TO SQUEEZE, and explaining why.
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Avatar universal
I think they referred to it as fibrocystic condition?
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Avatar universal
i forgot to say I am only getting this when i squeeze, it is not coming out by itself.  Also my ultrasounds showed many cysts in both breasts.  Can cysts bleed at all?
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Avatar universal
i am having more problems.  Ever since I had all those tests, I have been so scared that the bleeding would come back and I have been squeezing my nipples several times during a day to make sure it didn't come back.  Tonight I squeezed them and it did come back.  I don't know what do to because it was only 8 weeks ago that I had all these tests and everything was fine, I didn't have anything to suggest I had cancer.  I have read that excessive squeezing can cause damage to the breast tissue and cause bleeding.  Has anybody ever heard of this?  I am so scared.  I know I shouldn't be squeezing my nipples but I can't stop.  Could I be causing the problem.  My anxiety disappeared after I got my good news and now I feel so sick!!  Somebody help me!!
Helpful - 0
25201 tn?1255580836
CONTRATULATIONS !!! Couldn't ask for better news .... I'm happy too; that's the kind of news we like to hear.  Take care now and enjoy a worry free summer.  
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Avatar universal
Got my results, it is a benign fibroadenoma!!  Yah!  Nothing to worry about!  I am so happy.
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25201 tn?1255580836
No, not always .... cysts can contain both liquid and solid material. Core biopsies are much more revealing than the needle type anyway (personal opinion); better samples are obtained. Waiting for results with you ............ Take care
Helpful - 0
Avatar universal
Had my biopsy today.  They tried needle biopsy but couldn't get any fluid, so had to have a biopsy where they take the cells (core).  Is this bad?  I thought cysts were full of fluid?
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25201 tn?1255580836
That's certainly GOOD NEWS .... now hopefully you can relax a bit and let those "what ifs" fade into the past.    Take care nos ......
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Avatar universal
Thanks.
All my blood tests came back fine, all hormone levels are what they should be.
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25201 tn?1255580836
Thanks for continuing the original thread ... it's a huge help.
You are asking a question that can only be answered by the results of your biopsy. Most results so far do NOT indicate any form of cancer. You need to stop dwelling on the subject of cancer for your own sake and accept what these biopsies show. The results you have been given are certainly NOT abnormal and are experienced by probably one half of all women who have investigated lumps or any other finding within the breast tissue. Perhaps some counselling would help you accept what you actually have and not dwell on all the "what ifs" ... Take care ....
Helpful - 0
Avatar universal
Can somebody please help me!  Nobody seems to reply unless you make a new topic.  I don't want to do that because I got in trouble last time.
Please help!!  It would be greatly appreciated.
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Avatar universal
got the results of ultrasound.
There are some well defined hypoechoic structures scattered throughout both breasts consistent with cysts of varying size measuring up to 1 cm in diameter.
The 0.9 cm lesion in the upper outer quadrant of the right breast contains echoes and is non specific in nature.  It has some features of a fibroadenoma.
A fine needle aspiration biopsy of this lesion is suggested.
Alternatively a follow up ultrasound in 3 to 6 months could be performed.
Comment - There is fobrocystic change in both breasts.  The lesion in the upper outer quadrant of the right breast has some internal echoes and some features of a fibroadenoma.

I spoke to my doctor this afternoon and she said not to be too worried, but she would recomment a fine needle biopsy, so I am booked in for next Wednesday.

Do I have cancer?  I am still freaking out.

Can anybody help me please?

Helpful - 0
Avatar universal
Hi,
The bleeding has stopped.  Well I'm not real sure it was blood, it started off dark brown ish and then went clearer.  I was actually started a course of antiobitics for a tooth absus so maybe it was an infection!  
I have been to my doc and had blood test of progesteron, estrogen and thyroid and another hormone (can't remember), and I am off 1/2 hour for ultrasounds.
Absolutely scared out of my brain.
Will let you know the results.  Hopefully later this afternoon.
K
Helpful - 0
Avatar universal
It does sound like it could be the squeezing which is stimulating them.  12 hours is a good start and a great accomplishment.  Well done!!
I would still keep your doctor's appointment though and discuss this with them.

It could be that the initial problem resolved itself and that the current one is caused by the pressure.  Is hard to know but you still need to get it sorted either way.
If your breast is fine then you should strongly consider treatment, or a consult, for the anxiety.
Helpful - 0
Avatar universal
Thanks so much!  I really do think it is the squeezing of this that has done it!  I am so paranoid about squeezing them.  I didn't squeeze for over 12 hours (wow) and there was no blood at all!!!
I really appreciate your comments so much.
Helpful - 0
Avatar universal
Squeezing wouldn't have helped but you likely would have seen symptoms long before now if it had of been the cause.
I personally wouldn't beat yourself up over this.  It is what it is.  It is best just to focus on the reality of the situation as it is now.

Bleeding irregularities are a side-effect of implaon implants.  Just read about some of its side-effects on another site.
The timing of your symptoms would seem to suggest that it may be as a result of the implant.  Did you mention these sympotms to your health professional at the time?

There is no way of knowing what it is or is not until you visit your doctor and have the necessary tests/ procedures, etc.
The research I did when I had my discharge suggested that cancer was less likely although still a possibility.  The chances that it isn't cancer are good.  But no one will know for certain until you see your doctor, etc.

Most people who are anxious seem to have a tendency to think less positively.

It's good that your bloods haven't changed even if they are at the high end of healthy.

No lumps or redness is probably a good sign.
Did they not follow the discharge up when you were younger?  Seems strange.

My advice would be to make a list of important information to take with you to the doctor.  Your history, when it started, symptoms during implaon use, etc.

I have a long history of anxiety and depression so I would also advise discussing your anxiety with your doctor.  Anxiety can be extremely limiting so is best treated.  I personally think that psychotherapy is more effective than meds.
My ocd meant that I would struggle to get to appointments on time (after having turned up early).  I also kept the surgeon waiting once which was embarrassing.
Something I read ages ago which helped my anxiety was that our thoughts often have no basis in the here or now.  Thinking about negative stuff and what may or may not happen isn't constructive to moving forward.  I expect I didn't communicate that very well.

I guess in a strange sort of way the discharge can be quite reassuring.  ??

I can identify with over-examining things.  I've had an enlarged lymph node or lump.  I asked my doctor to check it out and he suggested keeping a close eye on it.  I look for it every now and then just to see what's up with it.  Is it still there?  Has it changed?  I guess this is probably just an anxiety response to the not knowing.  The fear, the uncertaintity.

I keep being interrupted and are having trouble concentrating.

Other than to avoid stimulating the discharge by squeezing, etc and mentally and emotionally preparing yourself for your doctor's visit I don't think there's anything you can do.  Just try and be patient.  You may like to consider taking a support person along with you if you're comfortable with this.
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Avatar universal
I forgot to say I have no lumps or redness or anything.
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