Broken nipples

Introduction The nipple is broken and named because of its nipple cracking, also known as nipple wind. Most of the nipple breakage refers to the broken nipple and the neck of the breast, and can also extend to the areola. The body is yangsheng, the complex is anger and hurts the liver, the qi stagnation and fire can not be vented, or the food is spicy and thick, the spleen and stomach are depleted of duty, the heat is endogenous, and the fire is formed by the combination of fire and heat. Insufficient milk, or nipple retraction, difficulty in sucking, excessive sucking, and the skin of the primiparous nipple is tender, resulting in skin rupture.

Cause

1, the body is Yang Sheng, the complex is caused by anger and anger, the qi stagnation and fire can not be vented, or the food is spicy and thick, the spleen and stomach are deprived of duty, the heat is endogenous, and the fire and the heat are combined.

2, maternal milk deficiency, or nipple retraction, difficulty in sucking, excessive sucking, combined with the soft skin of the primipara nipple, resulting in skin rupture.

3, excessive secretion of milk, overflowing the skin, caused by dampness.

an examination

Related inspection

Breast palpation breast examination nipple discharge check

1. The surface of the nipple and areola has small cracks and ulcers. It can also appear erosive, oozing out of fat water, causing yellow phlegm, and occurrence of dryness and pain, especially when breastfeeding is painful. Often due to pain, it is impossible to give lactation, milk is rapidly reduced or sputum is formed, and chyle is caused by poor milk excretion, chyle obstruction, and nipple uncleanness. The tongue is white or yellow, with a slow pulse or a number of strings.

2, because the nipple is soaked by the milk, resulting in pus-like white ulcers and tidal red erosion surface, so that the mother can not bear the pain when breastfeeding, like a knife cut. Sometimes the crack is deeper, which may cause bleeding, or the secretions in the gap are dry and crusted, causing dryness and pain. Because the nipple is broken and painful, the mother is not willing to breastfeed the baby, or the milk is not squeezed when the milk is squeezed, it is easy to cause local inflammation, and even form acute mastitis, which may also cause diarrhea or pseudo-black stool.

Differential diagnosis

The disease should be identified with the following diseases.

1. Breast cancer: Some breast cancers may have similar hyperplasia, but the masses of breast cancer are mostly unilateral, the mass is fixed and there is a growing trend. In the menstrual cycle changes can be increased, without shrinking trend. Acupuncture can confirm the diagnosis.

2. Breast fat necrosis: The disease occurs in women who are more obese after trauma. The mass is superficial, not deep into the mammary gland, and the mass does not change with the menstrual cycle. Needle aspiration cytology and tissue biopsy can confirm the diagnosis.

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