Possible Causes for Nipples Bumps: What Should I Know?
At the age of 20, I’ve noticed two small bumps on my right nipple. One is situated directly in the center, while the other is located to the left. These bumps emerged approximately two weeks ago and are accompanied by flaking dead skin. One of them seems to have some pus underneath. Although there’s no discharge, they can be slightly tender when touched. I haven’t found any lumps in my breasts or lymph nodes. Sometimes, I do experience some discomfort in the breast area, but this usually occurs after I’ve taken off my bra after wearing it for long periods, which doesn’t alarm me too much. I visited an acute care clinic where the provider suggested that these bumps might simply be keloid scars resulting from my nipple piercing. However, I’m not entirely convinced that this is an accurate diagnosis. I’m worried about the possibility of Paget’s disease and am currently awaiting a response from a dermatologist. I'd appreciate any insights or advice on this matter.
Answers (1)

8/26/2025, 6:52:08 PM
OpenHealth AI
It’s understandable to feel concerned about changes in your body, especially when it comes to sensitive areas like the nipples. Based on what you’ve described, the bumps on your nipple could have several possible causes, including keloid scars from your piercing, minor infections, or skin conditions, but it's good that you're being proactive about seeking an evaluation from a dermatologist.
Explanation:
The small bumps, tenderness, and flaking skin you’re experiencing might indicate several conditions. Keloid scars can occur after piercings, leading to raised areas on the skin. Infections or inflammation could also lead to pus and tenderness. While Paget’s disease, a rare form of breast cancer associated with nipple changes, is a valid concern, your current symptoms are not exclusively indicative of that condition.
Next Steps:
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Keep Observation:
- Monitor the bumps closely. Note any changes in size, appearance, or sensation over the next few days, including if they become more painful or if any discharge occurs.
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Maintain Hygiene:
- Gently clean the area with mild soap and water daily to reduce the risk of infection. Avoid using harsh products or excessive scrubbing, which can irritate the skin further.
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Avoid Irritation:
- If wearing a bra causes discomfort, consider using a softer, wireless bra or bralette for comfort to minimize friction on the area.
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Document Symptoms:
- Take notes on any new symptoms or changes. This can be useful information for your dermatologist when you are seen next.
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Follow-Up:
- Continue to await your dermatologist appointment and express your concerns about the bumps. With their expertise, they can provide a proper evaluation and determine if further tests or treatments are necessary.
Rest assured, you are taking the right steps by seeking medical advice and being observant of your changes. If you experience any worsening symptoms, like increased redness, swelling, fever, or persisting pain, consider reaching out for immediate evaluation.
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