Mothering Forum banner

1 - 9 of 9 Posts

·
Registered
Joined
·
146 Posts
Discussion Starter · #1 ·
Hi, I am almost 33 weeks pregnant with our first and planning on breast feeding.<br><br>
Unfortunately, yesterday out of the blue I had a small amount of blood come out of my left nipple. I called my midwives and they said this is never normal. They are currently working on a referral to a breast specialist. They think the most likely cause is an Intraductal Papilloma which is some sort of benign tumor.<br><br>
I actually cannot find too much info on it but it does seem like it will require surgery.<br><br>
So, assuming the problem is this (and hopefully not something even more serious like breast cancer) what does one do if you have to have breast surgery in one breast while breastfeeding?<br><br>
Do I just start feeding with one breast from that point on? Will I ever be able to get my operated on breast to resume milk production after it heals?<br><br>
Also, just as an aside, the blood came in little beads from the side (not the top) of my nipple. At a breastfeeding class last week the lacatation consultant said that there are numerous openings on the nipple. I was assuming yesterday that this included the sides of the nipple. But now I cannot find anything that gives me a detailed description. Is it possible that this beading of blood on the underside was actually due to a tiny cut or crack? Or are there nipple openings on the sides. I assumed the blood was coming from inside because my nipples do not seem dry or cracked at all and they have not suffered any trauma that would cause a cut. Still, I thought I'd ask as I am unsure of the actual placement of nipple openings.<br><br>
Thanks for any insights.<br><br>
-Joanne
 

·
Registered
Joined
·
1,599 Posts
I am not sure about your particular problem howeve I am going to be having surgury on my one breast while tandem nursing my kids. It is really important to find a breastfeeding friendly surgeon and to stress the importance of continuring to BF and doing the least ammount of damage to your milk ducts. In my case I have a lump at the top of my breast that needs to be removed.<br>
For asthetic purposes they would usually make the incision through the nipple so as to avoid leaving a visable scar. This often results in alot of damaged milk ducts. I made sure that she knew how important BF is to me and that I care much more about my supply than a scar. When I go they will be making an incision directly over the lump so as to avoid as many milk ducts as possible. Also do your own research. Don't let a doctor try to tell you that you will not be able to nurse after an anasthetic or other medications. Check them in Hales book and if there are contradiction with BF and a certain medication ask them to find something compatable to use. Also yes you would continue to nurse on that side. If you get ingorged that can cause problems of it's own.<br>
Krista
 

·
Registered
Joined
·
146 Posts
Discussion Starter · #3 ·
Thank you for that information. I would never have thought of that. If I do have to have surgery I will make sure they know I care more about my milk duct than a scar. And also the info on asking about and looking up what anesthetics are okay with BF.<br><br>
I have an appt with a breast specialist this coming Monday. It will be a three hour visit! Here is hoping I get good news and it is something easy to fix.<br><br>
-Joanne
 

·
Registered
Joined
·
1,289 Posts
I wonder if it could be "rusty pipe syndrome"?<br><br><a href="http://parenting.ivillage.com/baby/bbreastfeed/0,,3x3g,00.html" target="_blank">http://parenting.ivillage.com/baby/b...,,3x3g,00.html</a>
 

·
Registered
Joined
·
146 Posts
Discussion Starter · #5 ·
I could be related I am not sure. I am only at 33 weeks with my first so I have not started breastfeeding. And it was pure blood that came out, it wasn't mixed with anything.<br><br>
My midwives said bloody nipple discharge was never normal but I have read online in a few places (dept of surgery at U of Iowa) that it can be so I don't know what to believe.
 

·
Registered
Joined
·
2,140 Posts
has there been any type of injury to your nipple at all? once when my partner was getting out of bed he put his hand over my nipple not realizing it to support his weight and um it hurt a lot my screaming really startled him. but i had blood coming out like how you describe for quiet a while after. when i went to the doctor she acted like she didn't believe me when i told her how it happened which sucked. they took a sample of the discharge and tested it and said i was fine.
 

·
Registered
Joined
·
6,190 Posts
I had that at exactly that stage of pregnancy with my first baby, not long before I started seeing colostrum. Just little beads of blood. Are you squeezing? You might just have a tiny injury that needs to heal. In my case it was absolutely nothing.
 

·
Registered
Joined
·
146 Posts
Discussion Starter · #8 ·
Moonfroggy, I don't remember having any kind of injury. I had just gone swimming and got home to shower. The only thing that even jostled my breast was when I pulled my sports bra off. But I did not feel any scraping or pain of any type. The bleeding started directly after that.<br><br>
RachelGS, thank you for sharing your experience. That makes me feel a little better. I was not squeezing my breast but maybe it got squeezed as I tried to pull the sports bra off? It is a little on the tight side and a non-fastening one so I have to pull it up over my head.<br><br>
I just had an imaging appt today and they did not find any papillomas. I guess papillomas are the most common non-serious cause. Now I have to see what my midwives want to do next. The ultrasound tech said the next step if I weren't pregnant would be a mammogram to rule of cancer.<br><br>
I guess I am a little more worried now that the most common benign cause has been ruled out.<br><br>
But again, I keep getting conflicting info on whether bloody nipple discharge is common in pregnancy with no serious cause. Some info says it can happen in pregnancy in the last trimester and then some places (including my midwives) say it is never normal.<br><br>
This is what is most frustrating. I just want answers so we can move forward with whatever we need to.
 

·
Registered
Joined
·
1 Posts
hi,<br>
i'm 20 weeks pregnant but since a few days / occassionaly have found tiny dot-sized dried blood on my nipples<br>
when i showed it to my gynac today she pressed both my nipples & there was some bleeding.<br>
she decided to do a blood test & has sent the sample for testing.<br>
results are due in 2 days.<br>
But i am so worried & was hoping that during this torturous waiting period if i could get some more info on this ... whether it is normal or whether anyone had similar symptoms & what & why & ....<br>
tks.
 
1 - 9 of 9 Posts
Top