One sided nipple discharge age 14

[WhisperingAngelisnotbad]

Hi, quite concerned about teenage daughter. She just started periods, on about 4th cycle now.

She had a very small amount of crusting on nipples ? a year ago, we did see the GP, but it was thought to be within normal experience.

About 3 weeks ago, she had a lot of redness on 1 breast, looked infected, we went to the Urgent Treatment Centre out of hours, she got a course of flucloxacillin, it cleared up a bit.

We went to the GP 1 week later as advised and then got topical fucidin cream, advised to use for 1 week.

We saw a GP for review this week, recommended prolactin tests, but we can only get this in 1 place apparently, and have to wait until the end of May for a slot.

Meanwhile, I had a look this morning and the skin is looking redder and infected, and there has been a brown discharge.

I guess we need to rule out a prolactinoma and the very small risk of cancer and treat the infection, but I am trying to work out the best way how. I could call III and see if I can get a GP appointment this weekend, maybe?

Apart from the potential of concerning conditions, it isn't very nice for her.

Does anyone have any similar experience at all?

i have my prolactin levels tests at the GP super regularly (as I have a prolactinoma). Did they say why it needs to be done at a specific place?

It is because she is 14. She can't go to the adult phlebotomy service till she is at least 16. Children's bloods are only done on the children's ward at the general hospital, and there is no way to expedite children's bloods ordered by the GP, apparently.

I think you go back to the GP and say that the only reason she hasn't been referred to the breast clinic on the two week wait is her age. While unlikely, it's not impossible to get breast cancer at her age and the other symptoms would mean a fast referral if she was an adult. The fact it's one sided is more of a concern than if it was both breasts. You're going to have to push quite hard, but this needs speeding up.

Thanks for the replies!

Do the NICE guidelines say that she should have a 2 week wait referral?

Do they only apply to over 18s?

I think that my daughter would not enjoy me talking about the possibility of cancer with her there, and also would not like to watch me making a fuss, especially as it is a bit embarrassing already.

I have bought her another box of Lansinoh breast pads today. Doesn't seem ideal.

I will try phoning the surgery on Monday and see if I can get a call back to advise further, first off.

I will ask whether someone at the surgery could do the blood test for her, as well.