Hi I have had this recurring inffection red inflammed swollen , nipple discharge left breast for a year .lots of antibiotics, it came and went often. Feb the last ones helped finally . As i had to wait until june to see surgeon #3 , he was most concerend about the discharge than the other complains since it had disappeared . He said it was caused by plugged ducts and i had surgery aug 27 , by aug 29th it started feeling warm then the next day it was twice the size of my right breast red and very painful. went to emerg and was prescribed IV antibiotics (that is how bad it looked and then doctor on call remembered me from previous times) i had that for seven days it cleared up to an extent . the surgeon reassured me that he sent the ducts to a lab to be tested and they came back fine . he said the inflammation should be nothing more to worry about but if it does to get back in there. 2 days it was back saw him yesterday he is sending me to an infectious disease specialist.,and a plastic surgeon . Now to my question is there anything else i should be asking for ? this has been going on sooo long i have no idea where else to turn
The ducts of the sebaceous glands near the nipple or areola area can get blocked and can become inflamed forming abscesses. This was probably what happened to you. The abscess should be drained, and the specimen should be examined to rule out presence of other conditions like a malignancy.
Appropriate antibiotic should be given to help clear the infection. If you have been given several antibiotics before, and you are not responding to the present antibiotic, there is a need to do culture and sensitivity. That is probably the reason why you are being referred to an infectious diseases specialist. You should ask for the possible cause/s of your recurrent infection and how to address it.
The plastic surgeon can help with the aesthetic part. Perhaps there is something to be done to minimize scarring and thus improve the appearance of the involved part.
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