Why is there yellow fluid coming out of my chest?

The situation of yellow water coming out of the chest may seem strange. In fact, it is normal for pregnant women or breastfeeding women to have yellow water coming out of their chests. However, it is not normal for non-pregnant or breastfeeding women or men to have yellow water coming out of their chests. So what is the matter with yellow water coming out of the chest? In fact, this is most likely caused by nipple discharge. The following editor will introduce the causes, diagnosis and treatment of nipple discharge.

1. Causes

1. Brain diseases or pituitary lesions, such as diencephalon and nearby tissue tumors, prolactin adenoma, pineal tumor, hyperpituitarism, acromegaly, etc.;

2. Endocrine system diseases, such as primary hypothyroidism, adrenal tumor, etc.;

3. Chest diseases, such as chronic mastitis, chest herpes zoster, etc.;

4. Side effects of drugs, such as chlorpromazine, morphine, reserpine, metoclopramide, metoclopramide and other hormone drugs such as birth control pills, can cause endocrine dysfunction in the human body, stimulate prolactin secretion, and lead to breast discharge;

5. Local stimulation of the breast and systemic stress response, such as frequent playing or sucking of nipples, severe mental trauma and other factors, can also lead to a transient increase in prolactin and cause breast discharge.

2. Diagnosis

1. Etiology diagnosis

When diagnosing the cause of nipple discharge in patients, in addition to a detailed medical history and physical examination, it is also necessary to carefully observe the type of discharge and whether it is a single-tube or multi-tube discharge. In addition, relevant auxiliary examinations should be performed to assist in diagnosis.

2. Assessment of the amount of fluid overflow

Except for the normal milk secretion during pregnancy and lactation, other nipple discharge is pathological. The amount of fluid discharged can be assessed in 5 levels. +++: No need to squeeze, just flow out naturally. ++: When lightly pressed, it sprays out in a thread-like shape. +: 2 to 3 drops flow out when strong pressure is applied. ±: Barely visible when strong pressure is applied. -: No discharge is observed even after compression. Evaluation of nipple discharge after treatment can also be used as a reference for evaluating the treatment effect.

Treatment

1. False discharge

When dealing with nipple discharge, you should first distinguish between true and false discharge. False discharge can be treated locally accordingly.

2. Treatment of true discharge

(1) Treatment of non-neoplastic discharge is often caused by mammary duct ectasia, cystic breast hyperplasia, etc. The former can be treated with drugs or surgery, and the latter can be treated with traditional Chinese medicine, drugs or surgery.

(2) Treatment of tumorous discharge is often caused by intraductal papilloma or intraductal papillary carcinoma. The former should undergo local segmental resection, while the latter should undergo radical mastectomy.