What does it mean if there is a small bump next to the nipple?
Nov 08, 2024
Source: Cainiu Health
Dr. Liu Wenmin
Introduction
Under normal circumstances, small protrusions near the nipple may be caused by Montgomery tubercles, areolar glands, breast eczema, nipple inflammation, or mammary hyperplasia. If you experience any discomfort, it is recommended to seek medical attention promptly. A detailed explanation is as follows: Montgomery tubercles are formed by the proliferation and hypertrophy of sebaceous glands around the nipple; these sebaceous glands are capable of secreting oils.
Generally, small protrusions next to the nipple may be caused by Montgomery tubercles, areolar glands, breast eczema, nipple inflammation, or mammary hyperplasia. If discomfort occurs, timely medical consultation and examination are recommended. Detailed analysis is as follows:
1. Montgomery Tubercles
Montgomery tubercles are formed by the proliferation and hypertrophy of sebaceous glands around the nipple. These sebaceous glands secrete oils that lubricate the nipple and areola and are considered a normal physiological phenomenon. The proliferation and hypertrophy of these glands cause small bumps around the nipple; small protrusions next to the nipple are usually yellowish or white granules. Wearing loose, breathable undergarments can help avoid friction and pressure on the nipple area.
2. Areolar Glands
Areolar glands are small glands on the skin around the nipple, which have a secretory function and are part of normal breast tissue. The prominence of the areolar glands causes small protrusions next to the nipple; these protrusions are usually small and clustered. The skin color of the protrusion is similar to that of the surrounding skin. Excessive stimulation of the nipple and areola should be avoided, and local cleanliness should be maintained.
3. Breast Eczema
Nipple eczema is usually caused by local dampness, friction, allergies, and other factors. Eczema may cause inflammatory reactions on the skin around the nipple, forming papules or vesicles, manifesting as small protrusions next to the nipple. Symptoms may include itching, redness, swelling, and pain. Keeping the nipple area dry and clean and avoiding friction and scratching are recommended. Medications such as Erythromycin Ethylsuccinate Tablets, Cetirizine Hydrochloride Tablets, and Tacrolimus Ointment may be used under a doctor's guidance.
4. Nipple Inflammation
Nipple inflammation is usually caused by nipple injury, infection, or improper breastfeeding. Nipple inflammation may lead to redness, swelling, and pain on the skin around the nipple, forming small pustules or nodules, manifesting as small protrusions next to the nipple. Symptoms may include nipple pain, burning sensation, and increased secretions. Antibiotic ointments such as Mupirocin Ointment, Erythromycin Ointment, and Chlortetracycline Hydrochloride Ointment may be used under a doctor's guidance.
5. Mammary Hyperplasia
Mammary hyperplasia is a benign lesion of breast tissue, often associated with endocrine disorders, high mental stress, and other factors. Mammary hyperplasia may cause nodules or lumps around the nipple, manifesting as small protrusions next to the nipple. Symptoms may include breast distension, stabbing pain, and exacerbation before or after menstruation or during emotional changes. Medications such as Rupxiao Tablets, Rujiling Granules, and Modified Xiaoyao Pills may be used under a doctor's guidance.
In daily life, maintaining emotional stability and avoiding excessive fatigue and stress are recommended; maintaining a balanced diet and avoiding excessive intake of caffeine and estrogen-containing foods is also advised.
