Breasts, nipple – to harden Health Dictionary

The small, sensitive prominence at the tip of each breast (see BREASTS) containing (in women) the small openings through which milk can pass from the milk glands in the breast tissue. The nipple and its surrounding area (the areola) are darker than the adjacent skin. The area becomes darker during pregnancy.... nipple

Breasts, or mammary glands, occur only in mammals and provide milk for feeding the young. These paired organs are usually fully developed only in adult females, but are present in rudimentary form in juveniles and males. In women, the two breasts over-lie the second to sixth ribs on the front of the chest. On the surface of each breast is a central pink disc called the areola, which surrounds the nipple. Inside, the breast consists of fat, supporting tissue and glandular tissue, which is the part that produces milk following childbirth. Each breast consists of 12–20 compartments arranged radially around the nipple: each compartment opens on to the tip of the nipple via its own duct through which the milk ?ows. The breast enlargement that occurs in pregnancy is due to development of the glandular part in preparation for lactation. In women beyond childbearing age, the glandular part of the breasts reduces (called involution) and the breasts become less ?rm and contain relatively more fat.

... breasts

Musician’s breast.

Alternatives:– External treatment. Lotion – few drops Tincture Arnica in eggcup of water. Aloe Vera or Comfrey cream. Marshmallow and Slippery Elm ointment. ... breast, guitar nipple

To soften. Creams: Calendula, Chickweed, Aloe Vera, Evening Primrose. Castor oil (cold compress). ... breasts, hard

Surgical operation for removal of the breast. Follow-up treatment to promote healing with minimum scarring. Marigold, St John’s Wort (Hypericum), Oil of Evening Primrose. Vitamin E. Fenugreek seeds.

Alternatives. Tea. Equal parts: Marigold petals, St John’s Wort, Mullein. 2 teaspoons to each cup boiling water; infuse 15 minutes. 1 cup 3 or more times daily.

Tissue regeneration. Fenugreek tea.

Capsules. Oil of Evening Primrose: 2 × 250mg, 3 times daily.

Liquid Extract Blue Cohosh BHP (1983) 7-15 drops (0.5-1ml).

Topical. Oil of Evening Primrose. Comfrey dusting powder. Aloe Vera juice. Vitamin E cream. Diet. Lacto-vegetarian.

Information. BCC, Free Help Line. UK telephone: 0500 245345. ... breasts, mastectomy

Inflammation of the breast. Maybe of the new born, of puberty; associated with mumps, abscess; or occurs during breastfeeding when a milk duct may become blocked and infected by bacteria – usually Staphylococcus aureus. Mothers should suckle the baby until the breast is completely empty. Chronic mastitis is known as fibro adenosis. Should acute mastitis get out of hand, abscess may form requiring more drastic treatment such as incision to release pus.

Symptoms. Local tenderness, feverishness, general agitation. Pain following mumps. Nipple discharge. Alternatives. Where there is feverishness add Elderflowers (one part).

Tea. Combine equal parts: Comfrey leaves. Wild Thyme. German Chamomile. Red Clover. 1 heaped teaspoon to each cup boiling water; infuse 5-15 minutes. Drink freely.

Tablets/capsules. Poke root. Red Clover. Echinacea.

Powders. Formula: Echinacea 2; Red Clover 1; Poke root 1. Mix. Dose: 500mg (two 00 capsules or one- third teaspoon) thrice daily.

Tinctures. Formula. Echinacea 2; Marigold 1; Agnus Castus 2; Poke root 1. Dose: 1-2 teaspoons thrice daily, in water.

Poultice: (1) Fresh Plantain leaves beaten in pestle and mortar, applied cold. (2) Comfrey powder or Slippery Elm powder (or both) sprinkled on suitable material wrung out in boiling water and applied. (3) German Chamomile and Comfrey leaves. (Arthur Hyde, MNIMH) (4) Bring to boil, equal parts Chamomile flowers and Marshmallow leaves in milk and water. Remove when boiling point is reached. Saturate linen or suitable material. Apply every 12 hours. (Rev. John Wesley) (6) Bathe with juice of Houseleek. (Traditional, Norfolk villages)

Evening Primrose oil: internally and externally.

Poke root. An important ingredient of prescription for acute condition. ... breasts, mastitis

To reduce.

Tea. Rosemary. 1 teaspoon to each cup boiling water; infuse 15 minutes; dose – half-1 cup thrice daily. Tea. Sage. 2 teaspoons to each cup boiling water; infuse 15 minutes; dose – half-1 cup thrice daily. Old hospital remedy: Epsom’s salts. ... breasts, milk excessive

To reduce.

Internal:– Nettles, Agnus Castus, Poke root, Pipsissewa leaves. Teas, powders or tinctures thrice daily. External:– Engorgement from breast-feeding – massage with Calendula cream or Almond oil. ... breasts, over large

To increase size and firm, native women of Costa Rica use Saw Palmetto berries. The traditional combination of Saw Palmetto, Kola and Damiana are available in tablet or capsule form.

Peruvian bark. Liquid Extract, BPC (1954), 0.3-1ml in water, thrice daily.

Diet. Adequate protein is essential for a healthy-looking bust. Fenugreek seed tea. Favourable results reported. ... breasts, underdeveloped

 Aloe Vera. From time immemorial women of Northern Ethiopia have applied to their nipples raw juice of Aloe Vera to discourage the child from suckling. European tradition favours Rosemary, internally and externally. ... breasts, weaning

Cancer of the mammary ducts (rare). Nipple: encrusted, red, inflamed. See: CANCER OF THE BREAST. ... paget’s disease of the nipple

The popular term for atherosclerosis.... hardening of the arteries

The female breasts may be expected to undergo hormone-controlled enlargement at puberty, and later in pregnancy, and the glandular part of the breast undergoes evolution (shrinkage) after the menopause. The breast can also be affected by many di?erent diseases, with common symptoms being pain, nipple discharge or retraction, and the formation of a lump within the breast.

Benign disease is much more common than cancer, particularly in young women, and includes acute in?ammation of the breast (mastitis); abscess formation; and benign breast lumps, which may be ?broadenosis – di?use lumpiness also called chronic mastitis or ?brocystic disease – in which one or more ?uid-?lled sacs (cysts) develop.

Women who are breast feeding are particularly prone to mastitis, as infection may enter the breast via the nipple. The process may be arrested before a breast abscess forms by prompt treatment with antibiotics. Non-bacterial in?ammation may result from mammary duct ectasia (dilatation), in which abnormal or

blocked ducts may over?ow. Initial treatments should be with antibiotics, but if an abscess does form it should be surgically drained.

Duct ectasia, with or without local mastitis, is the usual benign cause of various nipple complaints, with common symptoms being nipple retraction, discharge and skin change.

Breast lumps form the chief potential danger and may be either solid or cystic. Simple examination may fail to distinguish the two types, but aspiration of a benign cyst usually results in its disappearance. If the ?uid is bloodstained, or if a lump still remains, malignancy is possible, and all solid lumps need histological (tissue examination) or cytological (cell examination) assessment. As well as having their medical and family history taken, any women with a breast lump should undergo triple assessment: a combination of clinical examination, imaging

– mammography for the over-35s and ultrasonagraphy for the under-35s – and ?ne-needle aspiration. The medical history should include details of any previous lumps, family history (up to 10 per cent of breast cancer in western countries is due to genetic disposition), pain, nipple discharge, change in size related to menstrual cycle and parous state, and any drugs being taken by the patient. Breasts should be inspected with the arms up and down, noting position, size, consistency, mobility, ?xity, and local lymphadenopathy (glandular swelling). Nipples should be examined for the presence of inversion or discharge. Skin involvement (peau d’orange) should be noted, and, in particular, how long changes have been present. Fine-needle aspiration and cytological examination of the ?uid are essential with ULTRASOUND, MAMMOGRAPHY and possible BIOPSY being considered, depending on the patient’s age and the extent of clinical suspicion that cancer may be present.

The commonest solid benign lump is a ?broadenoma, particularly in women of childbearing age, and is a painless, mobile lump. If small, it is usually safe to leave it alone, provided that the patient is warned to seek medical advice if its size or character changes or if the lump becomes painful. Fibroadenosis (di?use lumpiness often in the upper, outer quadrant) is a common (benign) lump. Others include periductal mastitis, fat NECROSIS, GALACTOCELE, ABSCESS, and non-breast-tissue lumps – for example, a LIPOMA (fatty tissue) or SEBACEOUS CYST. A woman with breast discharge should have a mammograph, ductograph, or total duct excision until the cause of any underlying duct ectasia is known. Appropriate treatment should then be given.

Malignant disease most commonly – but not exclusively – occurs in post-menopausal women, classically presenting as a slowly growing, painless, ?rm lump. A bloodstained nipple discharge or eczematous skin change may also be suggestive of cancer.

The most commonly used classi?cation of invasive cancers has split them into two types, ductal and lobular, but this is no longer suitable. There are also weaknesses in the tumour node metastases (TNM) system and the International Union Against Cancer (UICC) classi?cation.

The TNM system – which classi?es the lump by size, ?xity and presence of affected axillary glands and wider metastatic spread – is best combined with a pathological classi?cation, when assessing the seriousness of a possibly cancerous lump. Risk factors for cancer include nulliparity (see NULLIPARA), ?rst pregnancy over the age of 30 years, early MENARCHE, late MENOPAUSE and positive family history. The danger should be considered in women who are not breast feeding or with previous breast cancer, and must be carefully excluded if the woman is taking any contraceptive steroids or is on hormone-replacement therapy (see under MENOPAUSE).

Screening programmes involving mammography are well established, the aim being to detect more tumours at an early and curable stage. Pick-up rate is ?ve per 1,000 healthy women over 50 years. Yearly two-view mammograms could reduce mortality by 40 per cent but may cause alarm because there are ten false positive mammograms for each true positive result. In premenopausal women, breasts are denser, making mammograms harder to interpret, and screening appears not to save lives. About a quarter of women with a palpable breast lump turn out to have cancer.

Treatment This remains controversial, and all options should be carefully discussed with the patient and, where appropriate, with her partner. Locally contained disease may be treated by local excision of the lump, but sampling of the glands of the armpit of the same side should be performed to check for additional spread of the disease, and hence the need for CHEMOTHERAPY or RADIOTHERAPY. Depending on the extent of spread, simple mastectomy or modi?ed radical mastectomy (which removes the lymph nodes draining the breast) may be required. Follow-up chemotherapy, for example, with TAMOXIFEN (an oestrogen antagonist), much improves survival (it saves 12 lives over 100 women treated), though it may occasionally cause endometrial carcinoma. Analysis in the mid-1990s of large-scale international studies of breast-cancer treatments showed wide variations in their e?ectiveness. As a result the NHS has encouraged hospitals to set up breast-treatment teams containing all the relevant health professional experts and to use those treatments shown to be most e?ective.

As well as the physical treatments provided, women with suspected or proven breast cancer should be o?ered psychological support because up to 30 per cent of affected women develop an anxiety state or depressive illness within a year of diagnosis. Problems over body image and sexual diffculties occur in and around one-quarter of patients. Breast conservation and reconstructive surgery can improve the physical effects of mastectomy, and women should be advised on the prostheses and specially designed brassieres that are available. Specialist nurses and self-help groups are invaluable in supporting affected women and their partners with the problems caused by breast cancer and its treatment. Breast Cancer Care, British Association of Cancer United Patients (BACUP), Cancerlink, and Cancer Relief Macmillan Fund are among voluntary organisations providing support.... breasts, diseases of

To promote milk production: Alfalfa, Aniseed, Borage, Caraway, Centuary, Balm, Dill, Fennel, Goat’s Rue, Holy Thistle, Nettles, Burnet Saxifrage, Bitter Milkwort, Marshmallow root, Raspberry leaves, Vervain. John Parkinson (1640) recommended Agnus Castus. Formula (1). Fenugreek seeds 2; Aniseeds 1. Mix. 2 teaspoons to each cup water gently simmered 2 minutes in a covered vessel. Dose: 1 cup 3 or more times daily. Consume seeds.

Formula (2). Equal parts: Goat’s Rue, Raspberry leaves. Mix. 1 heaped teaspoon to each cup boiling water; infuse 5-10 minutes. Dose: 1 cup 3 or more times daily.

Tablets/capsules. Agnus Castus, Fenugreek, Borage. ... breasts, milk scanty

Due to a number of causes. Unlike colostrum secreted during breast-feeding after delivery. A pathological nipple discharge is non-milky, recurs from time to time, and is usually only from one nipple. It may be watery or a sticky yellow, staining being detected on bra or pyjamas. When blood-flecked it should be promptly investigated by a competent authority.

When the discharge is yellow, indicating pus, an infection is suspected which may develop into an abscess. Herbal treatment can be effective but if, after a week, the condition has not improved surgical exploration may be necessary to remove the affected duct.

Alternatives. Clivers, Goldenseal, Fenugreek, Marigold, Poke root, Queen’s Delight, Wild Indigo. Taken as tea, powder, liquid extract or decoction.

Tea. Formula. Equal parts: Red Clover, Clivers, Gotu Kola. 2 teaspoons to each cup boiling water; infuse 15 minutes. Half-1 cup thrice daily.

Powders. Formula. Wild Indigo 1; Echinacea 2; Poke root 1. Dose: 500mg (two 00 capsules or one-third teaspoon) thrice daily.

Tinctures. Formula. Echinacea 2; Goldenseal 1; Poke root 1. Dose: 30-60 drops thrice daily.

Topical – for sore nipples. Wheatgerm oil, Evening Primrose oil. Lotions: Goldenseal, Marigold, distilled extract of Witch Hazel. Nipples to be washed before a child is again put to the breast. Cracked nipples: Comfrey – pulp from fresh plant, or equal parts powder and milk as a paste.

Minerals: magnesium, zinc. ... breasts, nipples, discharge

Inability to cope with incessant demands of the child. Heaviness of shoulders and back. Headache, pains, possible anaemia, lack of energy, insomnia, mental depression. Usually a combination of invigorating herb teas suffices. Alcohol-based tinctures, liquid extracts, etc, are contra-indicated. Bananas, to counter potassium deficiency. Oatmeal porridge. Alternatives. Teas. Oats. Raspberry leaves. Ginseng, Wood Betony, Vervain.

Gerard tea. Equal parts: Raspberry leaves, Lemon Balm leaves, Agrimony leaves. Mix. Made as ordinary tea: 2-3 teaspoons to small teapot; infuse few minutes. Drink freely.

Fenugreek tea: consume seeds as well as liquor.

Gentian root. 2 teaspoons to cup cold water left to steep overnight. Half-1 cup before meals.

Pollen..

Diet. Oatmeal porridge. Honey.

Supplements. Multivitamins, B-complex, B6, B12. ... breasts, nursing mother exhaustion

An indrawing of the nipple, which can be longstanding or may develop in later life as a result of changes in the breast.

Causes include normal changes associated with aging or, in some cases, an underlying cancer.... inverted nipple

Soreness of the nipple caused by clothing rubbing against it, usually during sports such as jogging or long-distance running. Both men and women can be affected. Prevention is by applying petroleum jelly to the nipple before prolonged running.

joint The junction between 2 or more bones. Many joints are highly mobile, while others are fixed or allow only a small amount of movement.

Joints in the skull are fixed joints firmly secured by fibrous tissue. The bone surfaces of mobile joints are coated with smooth cartilage to reduce friction. The joint is sealed within a tough fibrous capsule lined with synovial membrane (see synovium), which produces a lubricating fluid. Each joint is surrounded by strong ligaments that support it and prevent excessive movement. Movement is controlled by muscles that are attached to bone by tendons on either side of the joint. Most mobile joints have at least one bursa nearby, which cushions a pressure point.

There are several types of mobile joint. The hinge joint is the simplest, allowing bending and straightening, as in the fingers. The knee and elbow joints are modified hinge joints that allow some rotation as well. Pivot joints, such as the joint between the 1st and 2nd vertebrae (see vertebra), allow rotation only. Ellipsoidal joints, such as the wrist, allow all types of movement except pivotal. Ball-and-socket joints include the hip and shoulder joints. These allow the widest range of movement (backwards or forwards, sideways, and rotation).

Common joint injuries include sprains, damage to the cartilage, torn ligaments, and tearing of the joint capsule.

Joint dislocation is usually caused by injury but is occasionally congenital.

A less severe injury may cause subluxation (partial dislocation).

Rarely, the bone ends are fractured, which may cause bleeding into the joint (haemarthrosis) or effusion (build-up of fluid in a joint) due to synovitis (inflammation of the joint lining).

Joints are commonly affected by arthritis.

Bursitis may occur as a result of local irritation or strain.... jogger’s nipple

A rare type of breast cancer in which a tumour develops in the nipple.

The disease resembles eczema and can cause itching and a burning feeling.

A non-healing sore may develop.

Without treatment, the tumour may spread into the breast.

Diagnosis is made with a biopsy.... paget’s disease of the nipple