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What Causes Nipple Discharge After A Gynemastacia Surgery?
Question: Hello! My 27 year old son had gynemastacia (sp) surgery 8 weeks ago. His healing was perfect, until he had a reaction to the tape - a rash appeared, along with severe nipple drainage. We called the surgeon and were prescribed a steroid and an antibiotic cream for the rash (He had been fine until he drank one night and then got really hot when accompanying some friends when the friends played golf). The rash is now almost gone after 10 days and the discharge had stopped - Today the discharge came back. I am reading that nipple discharge in men is NOT normal, no matter what, but the nurse at the surgeon's office is assuring us all is fine. Can you please enlighten me? Thank you!!!
Brief Answer:
Greetings,
Detailed Answer:
Detailed Answer:
Thanks for writing in HCM. I had gone through your query and understand your concern.
I need further information regarding nipple discharge for your 27 yrs old son (post Op) 1.) colour of the fluid discharge from nipple 2.)associated with any smell or not 3.) swelling +/-area of nipple discharge 4.) any complaints of fever.
First possibility is seroma formation ,no need to get worried as is subside spontaneously in course of time.
second possibility is abscess ,if any foul smelling discharge or presence of fever with painful swelling is highly suggestive of abscess.But if you treating with appropriate antibiotic no need to get worried .In your son case and from history it is highly suggestive of seroma only,its post operative complication of surgery associated with nipple discharge . my advise is to wait and watch, if your 27 yr old son is not suffering from above mentioned symptoms.
I would be glad to provide answers to any further queries.
Thanks for using HMC Have a good day!
Regards ,
Dr. V.KUMARAGURU, general surgeon.
Greetings,
Detailed Answer:
Detailed Answer:
Thanks for writing in HCM. I had gone through your query and understand your concern.
I need further information regarding nipple discharge for your 27 yrs old son (post Op) 1.) colour of the fluid discharge from nipple 2.)associated with any smell or not 3.) swelling +/-area of nipple discharge 4.) any complaints of fever.
First possibility is seroma formation ,no need to get worried as is subside spontaneously in course of time.
second possibility is abscess ,if any foul smelling discharge or presence of fever with painful swelling is highly suggestive of abscess.But if you treating with appropriate antibiotic no need to get worried .In your son case and from history it is highly suggestive of seroma only,its post operative complication of surgery associated with nipple discharge . my advise is to wait and watch, if your 27 yr old son is not suffering from above mentioned symptoms.
I would be glad to provide answers to any further queries.
Thanks for using HMC Have a good day!
Regards ,
Dr. V.KUMARAGURU, general surgeon.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you very much!
The discharge was initially from both sides when rash first occurred. Now it is just the right side. It is a much smaller amount from initial discharge - Clear liquid. No foul odor, painful swelling (there is a small amount of swelling, but not painful). No fever.
So, it is my understanding that this is a common complication and should subside in time? We actually traveled out of state to have this done, so we can't just jump in the car and have someone look at it. :)
I appreciate your timely answer to my question.
Thanks again, XXXXXXX
The discharge was initially from both sides when rash first occurred. Now it is just the right side. It is a much smaller amount from initial discharge - Clear liquid. No foul odor, painful swelling (there is a small amount of swelling, but not painful). No fever.
So, it is my understanding that this is a common complication and should subside in time? We actually traveled out of state to have this done, so we can't just jump in the car and have someone look at it. :)
I appreciate your timely answer to my question.
Thanks again, XXXXXXX
Brief Answer:
greetings
Detailed Answer:
Thanks for your detailed history.
From your history its is clear and its highly suggestive of seroma (post op complication) . and as you mentioned the discharge completely ceases on left side with same history as right side ,nipple discharge from right will also subside .My advise is to continue with your antibiotic cream for 2 weeks as per your physician advise.
To consult your physician preferably plastic surgeon only if the symptoms persists i.e persistent discharge from left nipple or increase in size of swelling .
I would be glad to provide answers to any further queries.
Wishing your son a speedy recovery,
With regards,
Dr. V.KUMARAGURU, general surgeon
greetings
Detailed Answer:
Thanks for your detailed history.
From your history its is clear and its highly suggestive of seroma (post op complication) . and as you mentioned the discharge completely ceases on left side with same history as right side ,nipple discharge from right will also subside .My advise is to continue with your antibiotic cream for 2 weeks as per your physician advise.
To consult your physician preferably plastic surgeon only if the symptoms persists i.e persistent discharge from left nipple or increase in size of swelling .
I would be glad to provide answers to any further queries.
Wishing your son a speedy recovery,
With regards,
Dr. V.KUMARAGURU, general surgeon
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
THANK YOU VERY MUCH!!! YOU HAVE PUT OUR MINDS AT EASE! :)
Brief Answer:
greetings
Detailed Answer:
its my pleasure
greetings
Detailed Answer:
its my pleasure
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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