Unexplained Bump on My Left Nipple
Age: 39, Weight: 200 lbs Medical History: - Hypothyroidism (taking 25mg of levothyroxine) - Polycystic Ovary Syndrome (PCOS) managed with 1000mg of Metformin Lifestyle: Non-smoker and non-drinker This past Monday, while I was working in the yard, I spent some time trimming tree branches with a pocket chainsaw. Later on, I finished painting my guest room, completing the task last night. However, as I was preparing to shower, I suddenly noticed a pimple-like bump on my left nipple. After searching online, my anxiety levels skyrocketed. The bump appears shiny and is extremely sensitive when touched. My last mammogram took place in the first week of January. I have an appointment scheduled for next week, but I am feeling quite anxious about it.
Answers (1)
3/20/2025, 10:40:34 PM
OpenHealth AI
It’s understandable to feel anxious about an unexplained bump, especially in a sensitive area like your nipple. Given your medical history and the recent activities you’ve engaged in, we can explore possible causes and focus on steps you can take until your appointment.
Main Points:
- A pimple-like bump on the nipple can result from various causes, including irritation from activities, infections, or dermatological issues.
- It's good that you have an appointment soon, as a healthcare professional can provide a complete evaluation.
Explanation:
The bump you described could be due to a few reasons:
- Irritation or Trauma: Activities like trimming branches and painting might have caused skin irritation or friction, leading to a bump.
- Infection: If the bump is shiny and sensitive, it could also represent a minor skin infection or even a clogged pore.
- Other Dermatological Issues: Conditions like cysts, warts, or even benign growths can develop in this area.
Although it’s natural to feel concerned, many nipple bumps are benign and resolve on their own.
Next Steps:
- Avoid Irritation: Try not to touch or irritate the bump further. Loose clothing might help prevent friction.
- Monitor Symptoms: Keep an eye on the bump over the next week. Note if any redness, swelling, or pain increases, or if it changes size.
- Hydrate and Moisturize: Keeping the area hydrated can support skin health. You may apply a gentle moisturizer if it feels dry.
- Stay Calm: Anxiety can often worsen feelings of discomfort. Engage in calming activities like reading or deep breathing exercises until your appointment.
Your scheduled appointment is a crucial next step, so be prepared to discuss any changes you’ve noticed since the bump appeared. Be reassured that most such bumps are not serious, but your doctor will ensure a thorough assessment. Feel free to reach out if you have more questions or concerns!
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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Cons: Surgical scar, longer recovery time (7-14 days in hospital) - Duration: 2-4 hours ### Option 3: **Liver Transplantation** - We have been advised this is not necessary as the portal vein is functional and liver health is improving. --- ## SPECIFIC QUESTIONS TO CONSIDER: 1. **With a functional portal vein (6.1 mm) and improving liver function (ALT normalized), is it advisable to pursue endovascular closure as the preferred treatment?** 2. **Despite ALT levels improving, the bilirubin remains consistently high (242). Should this be a cause for concern? Is there a prospect for it to normalize post shunt closure?** 3. **Are the hemangiomas/nodules (11.6×20.7 mm) linked to the shunt? Will they likely resolve following shunt repair?** 4. **How urgent is the proposed intervention? Is immediate action required, or is there flexibility to wait a few months?** 5. **What complications should we be vigilant for during the waiting period?** 6. **Regarding endovascular closure - what is the average success rate for infants aged 7 months? Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.