I am 44 years from the past ten months I had breast pain now I have only both nipples pain and when touched it seems dry nipple and some white spots on the nipples, please suggest what is it and what tab is good.

Dr. Nikhilesh BorkarOncologist14yrs exp

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Better to see a Surgical oncologist or a breast surgeon. They would examine you and if needed ask for an ultrasound or a mammogram. Dryness of nipple can lead to inflammation and pain. They need to rule out dermatitis and Paget’s disease. Pain in the breasts could be due to cyclical mastalgia, fibrocystic disease, hormonal changes due to OC pills or pregnancy, granulomatous mastitis, periductal mastitis, abscess, cysts and rarely cancer. The treatment would depend upon the cause. Most common cause is cyclical mastalgia due to fibrocystic changes, which usually resolve with time. Treatment may be given if severe pain. Also pain anteriorly could be due to costichondritis which is inflammation of the rib and cartilage junction. Abscess leads to throbbing pain with redness Cyst may lead to pricking pain. Rupture of the same leads to throbbing pain. Feel free to contact me directly if you want to discuss this further.  

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