Pain of the nipple - Altmeyers Encyclopedia

Synonym(s)

Nipple pain; pain of the nipple; Pain of the nipples; Sore nipples; Thelalgia

Definition
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Unusual, miest chronic pain syndrome affecting only the nipple region. Painful nipples can have many causes.

Basically, one must distinguish between:

hormonal

and

non-hormonal nipple pain.

Manifestation
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Women>Men

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Clinical features
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Hormonal (hormonal changes during menopause can also cause nipple pain) and pregnancy-related nipple pain, or nipple pain during breastfeeding, belongs in the hands of a gynecologist.

Non-hormonal nipple pain also affects men. Here one distinguishes the nipple pain

with and
without visible or palpable changes in the nipple region.

It is not uncommon for the nipple region to be sensitive to touch but clinically unchanged. This constellation is most frequently due to rough or abrasive textiles. The atopically predisposed patient may also be affected in this way.

In case of visible changes of the nipples, e.g. redness, permanent scaling or permanent oozing, the findings must be clarified in time. Eczematous changes are most frequent (see nipple eczema). In particular, atopic nipple eczema may remain isolated to this region. DD. Paget's disease of the nipple must be excluded. Eczematous changes of the nipple can also be an expression of a scabies mite infection.

Nipple adenoma or leiomyoma may also cause nipple pain.

Case report(s)
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Treatment optionsThe treatment is analogous to the cause. In the case of sore, irritated nipples, the compatibility of different clothing and underwear can be observed. The nipples should be kept supple with oil or ointments, occasionally nursing pads can also be used. For men it is also recommended to apply a caring, greasing ointment under a protective cover with cotton wool pads.