Q: Please Dr, my friend is restless, she pressed her breast and a clear watery liquid came out. She is sure that she is not pregnant. This happens when she pressed her breast. It doesn’t come out on its own. Please what do you think?
A: Some women who are not pregnant may have milky fluid come out of their breasts when they are not breastfeeding or even in women who have never been pregnant. This is called galactorrhea (pronounced gulactoria). This is not a disease on its own but a symptom of a problem. The hormone, prolactin which is responsible for lactation in nursing mothers, is usually produced in these cases.
This milky fluid can be expressed by pressing or it can spontaneously come out on its own. It can affect one or both breasts and usually there are no blood stains involved.
Sometimes, the cause of this discharge may not be known but some causes could be some medications, some drugs like cocaine, spinal cord injuries, some birth control pills, stress and even excessive stimulation during sexual intercourse.
Galactorrhea can also happen in men and new born babies! In new born babies this can happen if the mother has a high level of estrogen which crosses over into the baby and stimulates the formation of breast tissue and sometimes, some milky white discharge. Please note: this is NOT witchcraft! :D
If you notice this, please visit your doctor who may try to express this discharge to study. The discharge may also be clear (as in your friend’s case), bloody or even tinged yellow. These need further evaluation and the presence of lumps should also be checked for. The level of prolactin will also be assessed. This may, however, be normal in people who are overly sensitive to prolactin. In this class of people, prolactin level is normal but there is still milky discharge from the nipples.
Treatment is focused on the underlying cause if one can be found. If the problem is medication, please stop or switch to something else under the supervision of your physician (doctor). If there is a tumour producing prolactin, drugs can be taken to shrink it or surgery can be done. If no cause is found, drugs that reduce prolactin level are prescribed. Remember, that your friend could be pregnant and so a pregnancy test may not be out of place.
In the meantime, breast pads can be worn to prevent the embarrassing leaks from staining clothes, limit manipulation of breasts either by self breast examination or during sexual activity and try not to wear clothes in which there would be friction between the nipples and the material.
Have a great weekend everyone. Happy ‘Good Friday’ and … remember the reason why we celebrate :)
You take for granted the fact that when you have an injury, you may bleed but your body quickly acts to stop the bleeding by forming clots. Have you ever wondered how all that stuff that forms in front of wounds (the wound scabs) get there? I’m sure you’ve not. These are all things we take for granted…like breathing, until there comes a time when one can’t breathe! Okay, let’s not get too morbid :D
The gist today is on those people who do not take for granted the fact that when they bleed, the bleeding will stop because their bodies will release clotting factors that ensure they don’t bleed to death. For this group of people, their bodies lack clotting factors and thus, when they bleed, this could go on for a long time. There is no known cure for this yet and so, the emphasis is on self care so that these people can live long, normal and productive lives.
This ailment is called Haemophilia (pronounced himofilia) and today is the World Haemophilia Day. It is passed on from parent to child. There are three types Haemophilia A, B and C. Haemophilia A and B are can only be passed on from mothers to their sons but Haemophilia C can be passed on from either parent to their children, boy or girl.
Depending on the level of deficiency (shortage) of the clotting factors, the bleeding could be spontaneous (severe shortage of clotting factors) or it could happen after injuries or surgery.
Spontaneous bleeding includes bleeding after immunizations, nose bleeds, urine in blood, unexplained bruising and bleeding etc. This could also manifest as internal bleeding, bleeding into joints, adverse (unwanted) reactions to blood transfusions as these people are likely to get a lot of blood transfusions in their life time.
Depending on the type of Haemophilia and the severity of bleeding, treatment could involve transfusion of lacking clotting factors or injection of the hormone (Desmopressin) that stimulates the production of clotting factors. Mild injuries may require only pressure and cold packs to stop bleeding. Physiotherapy has been found useful for people with joint complications.
For people with this ailment, focus is on ensuring that they limit injuries as much as possible. So, I know we all love football and would love to have children who play like pros! :D These children should limit the contact sports as much as possible. However, exercise is a great way of also ensuring joint mobility and so activities like swimming etc may be better fits. Drugs like aspirin and ibuprofen which can worsen bleeding should be avoided etc.
Ensure that the children with this ailment understand their condition and in cases of accidents or emergencies can inform the adults around about this. Ensure that class teachers, PE instructors and all other relevant authorities know and understand this.
And that’s it :D
Have a great evening, fabulous people.
Q: Good afternoon, Dr. Can you please, help me with my children’s daily time table for eating because my five years old boy is looking very smallish in stature and he hates eating fruits.
A: I’m sure this resonates with a lot of people! But guess what? Your son is not the boss. You are! And your job is to ensure that he eats nourishing foods as opposed to all the sweets that he would love to.
Try blending the fruits and feeding him. If you’ve got a smoothie maker, use that. It’s fruit juice…only this time without the refined sugars. That’s one way of encouraging him to take fruits. You can cut up or mash bananas and add to his cereal for breakfast and milk, of course. Focus on complex carbohydrates like Ofada/brown/local rice, sweet potatoes, oats, whole wheat meals, beans etc. Make your beans delicious and if you’re not a specialist at this, you can cook it white and then serve it with fish or egg stew. You can boil sweet potatoes and on top of the pot, put a stainless steel plate with one egg, some tomatoes and a drop of oil. When the potatoes are nice and soft, mash all together and season with salt and then serve. Always include veggies. This is the right time to start. In fact, when he starts taking the blended fruits, sneak in some veggies into it like carrots, spinach, pumpkin leaves (ugu) etc. Remember to try one at a time and then build from there.
All foods served should have some colour…that’s one quick and easy way of being sure it’s balanced :D
For more information, please click on the link below: http://chatwithdrketch.com/2014/02/01/daily-health-tips-should-my-children-be-on-a-diet/
Hello everyone. I hope you’re all. Having having a great day.
For everyone in NIgeria, especially those in Abuja affected by the bomb blast of yesterday and indeed all other parts of Nigeria where bombing has become a regular way of life, my heart goes out to you. Our prayers are with you all. For those who lost their lives, may their souls rest in peace. Such a senseless loss of lives! :(
The injured people who are in the hospitals need blood. Please if you’re in Abuja and can do so, please go over to any of the centers where the victims are and help save a life: General Hospital Nyanya, National Hospital and General Hospital Maitama.
Remember that the life you save by donating blood, may very well be yours or that of someone close to you or just someone you know. Let’s help out.
For more on blood donation, please click on the link below for my blog post on it: http://chatwithdrketch.com/2013/07/15/can-you-give-the-gift-of-life/
Be safe, people :(
Sound check. Are we good to go? :D