
Having Discharge From Nipple. Mammogram And Ultrasound Normal. Is This Due To Celexa Or Something In The Duct?

My PCP is referring me to an Endocronologist.
Considerations
Detailed Answer:
hello and thank you for sending the question.
I would recommend that you see a breast surgeon for a vibration. I think you should have the fluid evaluated as well. The discharge can be sent to a local pathologist who can evaluate the discharge under the microscope to see if there is anything other then simple duct secretions going on. The pathologist can also evaluate to see if there are any abnormal cells involved in causing the symptoms which you've experienced.
this may simply be a problem involving blockage of normal secretions from your breast tissue. I do think that you should continue to have this evaluated. It is reasonable to see an endocrinologist. I would recommend that you see a breast surgeon however and this surgeon can possibly recommend a procedure which might help alleviate your symptoms.
dr. Galamaga


Followup
Detailed Answer:
hello again.
I don't think the antidepressant has anything to do with the discharge. I also don't think having a prior mastectomy has contributed to this.
I apologize about the comment regarding the surgeon. This was a typographical error. what I meant to communicate was that I think a surgeon can perform a good physical examination to help determine what the possible contributing factors might be. sometimes minor procedures can be done to help remove a block or inflamed memory duct.
again I think it would be reasonable for your doctors to send some of the fluid to a pathologist for examination just to make sure there are no abnormal cells within the secretions.
Thanks again for sending your question. Let me know if I can be of any additional assistance.
Dr. Galamaga


I think my doctors will be weening me off my Wellbutrin and Celexa though. Only because they might have something to do with my neurological issues. They can't seem to figure out where my symptoms are coming from. Could be the medications ?? At least another avenue we can test out.
Thank you again. XXXXXXX
Followup
Detailed Answer:
Thanks for the followup,
I think I misinterpreted your followup when you referred to "it being only one breast." Nonetheless - this is occurring in only one breast as you have detailed here and I think it deserves adequate and thorough followup.
It is reasonable to get an opinion from the endocrinologist as a starting point. The endocrinologist may be able to request a cytology analysis of the fluid.
It is remotely possible the serotonin reuptake inhibitor medication could be playing a role. The only true way to rule this out is to wean you down from them and go from there to see if the secretion stops.
I can appreciate that this is a frustrating situation requiring alot of followups and testing/imaging but I think in the hands of thorough, detail-oriented physicians that we can get to a satisfactory conclusion about the cause and potentially the solution in your case.
Please keep me posted regarding your progress,
Sincerely,
Dr. Galamaga

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