Sore breast with burning sensation and itching on one side of the breast could be because of discharge coming from the breast, if it is bilateral, it could be because of a skin condition called eczema arising from the breast and the areolar complex. So in these woman, I prefer that they go to a dermatologist to check first if it is a skin related problem. if it is ruled out, then it could be related to the discharge coming from the breast itself which is a very common condition these days called as the fibrocystic disease of the breast and it is a very common condition these days because of some inflammation or infection in the breast called as mastitis. So we do an ultrasound of the breast to see fibrocystic disease of the breast or there is a mastitis of the breast. We also do a cytology of the discharge from the breast to see what are the types of cells that are present in this discharge or if there us any inflammation finding. Then we treat them accordingly. Some people with mastitis with inflammation and discharge from the breast, then we treat them with antibiotic. Normally minocycline is the drug of choice for breast infection because this penetrates very well into the breast tissue.
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