Breast Abscess, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
This book describes Breast Abscess, Diagnosis and Treatment and Related Diseases
A few years ago I had a menopausal Malay woman who has a breast swelling about the size of a grape on the left breast near the nipple.
Her husband had passed away and she had 3 grown up children.
She had seen the Government Doctor who advised her to have the lump removed and biopsied.
Being a Muslim she is reluctant to have it removed.
She consulted me for the treatment of the breast swelling which has been there for 1 week.
I palpated the breast swelling.
It was hard but has some warmth suggesting a possible infection.
There was mild pain.
I also advised her to have the breast swelling removed for biopsy because it was deep and a bit hard.
She also refused my referral to go for an ultrasound of the breast.
I was worried about a possible cancer.
She refused any operation and asked for treatment medically.
She would rather die than to go for an operation.
I decided to treat it as an infection
I gave her 2 antibiotics (ciprofloracin and metronidazole) and a non-steroidal anti-inflammatory drug (NSAID) to reduce swelling and inflammation and an antibiotic ointment to apply on the nipple and the lump.
Within 3 days the swelling started to subside and disappeared after 1 week.
It never recurs again.
A breast abscess is a collection of pus due to an infection in the tissue of the breast.
Breast examination reveals unilateral edema, erythema in a wedge-shaped area, and tenderness.
The affected area feels firm and hot
Causes
Breast infections are normally caused by common bacteria (Staphylococcus aureus) found on normal skin.
The bacteria enter through a break or crack in the skin, normally on the nipple.
The infection happens in the breast ducts and fatty tissue of the breast and causes swelling.
This swelling presses on the milk ducts.
The result is some pain and a lump in the infected breast.
Breast infections normally occur in women who are breastfeeding.
The normal infecting organism is Staphylococcus aureus while it may also be Staphylococcus albus and streptococci
Symptoms
Breast Abscess normally presents as a swelling ≥1 week after infection normally in only one breast.
Symptoms of a breast abscess may be:
1.Breast enlargement on one side only
2.Breast lump
3.Breast pain
4.Fever and flu-like symptoms, such as nausea and vomiting
5.Itching
6.Nipple discharge (may contain pus)
7.Swelling, tenderness, redness, and warmth in breast tissue
8.Tender or enlarged lymph nodes in armpit on the same side
9.Skin infection
Diagnosis:
For infections that continue to recur, milk from the nipple may be cultured.
In women who are not breastfeeding, tests done may be done to exclude cancer:
1.Breast biopsy
2.Breast MRI
3.Breast ultrasound
Treatment
Self-treatment may be applying moist heat to the infected breast tissue for 15 to 20 minutes four times a day.
The patient may also need to take pain relievers.
Antibiotics are very efficient in treating a breast abscess or infection.
If the patient takes antibiotics, the patient must continue to breastfeed or pump to alleviate breast swelling from milk production.
Also if the abscess does not go away, needle aspiration under ultrasound guidance is done, along with antibiotics.
If this method does not respond, then incision and drainage is the treatment of choice.
Antibiotics, normally flucloxacillin or erythromycin, should be given.
Treatment should be based on bacterial cultures and antibiotic resistance.
Parenteral antibiotics should be given at the same time, with added coverage for anaerobic bacteria.
Painkiller or NSAID is given for pain and inflammation.
TABLE OF CONTENT
Introduction
Chapter 1 Breast Abscess
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagno
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Breast Abscess, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Breast Abscess,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2018 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Breast Abscess, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What The patient Need to Treat Breast Abscess)
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Breast Abscess
A few years ago I had a menopausal Malay woman who has a breast swelling about the size of a grape on the left breast near the nipple.
Her husband had passed away and she had 3 grown up children.
She had seen the Government Doctor who advised her to have the lump removed and biopsied.
Being a Muslim she is reluctant to have it removed.
She consulted me for the treatment of the breast swelling which has been there for 1 week.
I palpated the breast swelling.
It was hard but has some warmth suggesting a possible infection.
There was mild pain.
I also advised her to have the breast swelling removed for biopsy because it was deep and a bit hard.
She also refused my referral to go for an ultrasound of the breast.
I was worried about a possible cancer.
She refused any operation and asked for treatment medically.
She would rather die than to go for an operation.
I decided to treat it as an infection
I gave her 2 antibiotics (ciprofloracin and metronidazole) and a non-steroidal anti-inflammatory drug (NSAID) to reduce swelling and inflammation and an antibiotic ointment to apply on the nipple and the lump.
Within 3 days the swelling started to subside and disappeared after 1 week.
It never recurs again.
What is Breast Abscess?
A breast abscess is a collection of pus due to an infection in the tissue of the breast.
Breast examination reveals unilateral edema, erythema in a wedge-shaped area, and tenderness.
The affected area feels firm and hot.