Breast Symptoms-Child

When To Call

Go to ER Now

• Fever in baby less than 12 weeks old. Caution: do NOT give your baby any fever medicine before being seen.

Call Doctor or Seek Care Now

• Breast is painful to touch
• Nipple discharge that is pus (thick green or yellow) or bloody
• Your child looks or acts very sick
• You think your child needs to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

• Red area or red lump
• You think your child needs to be seen, but the problem is not urgent

Contact Doctor During Office Hours

• Breast lump. Exception: lump right under the areola; most likely a breast bud.
• Nipple discharge. Exception: normal milky discharge in newborn.
• Newborn breast buds last more than 6 months
• Breast buds or tissue with onset before 8 years old. Exception: during the newborn period.
• Age 13 or older with no breast buds or breast tissue
• Breast tissue only on 1 side lasts more than 3 months
• You have other questions or concerns

Self Care at Home

• Normal breast buds in a newborn
• Milky discharge from nipples in a newborn
• Normal breast buds and onset of puberty (age 8 or later)
• Breast bud or tissue only on 1 side

Care Advice

Normal Breast Buds in a Newborn

What You Should Know:

• Breast buds are always normal in newborns.
• Swollen breasts are present during the first week of life in many girl and boy babies. The nipple area is always firm.
• Cause: the passage of the mother's hormones across the placenta.
• Normal course: swollen breasts can last for 2 to 4 weeks. In breast-fed babies, some breast swelling can last for 6 months.
• Caution: never squeeze or massage the breast or nipple. Reason: this can cause a serious infection that needs antibiotics.

Call Your Doctor If:

• Redness or red streaks occur
• Fever occurs
• Swelling lasts more than 6 months
• You think your child needs to be seen

Normal Milky Discharge from Nipples in a Newborn

What You Should Know:

• Swollen breasts are present during the first week of life in many girl and boy babies. The nipple area is always firm.
• Cause: the passage of the mother's hormones across the placenta.
• Newborn milk: sometimes, the nipples leak a few drops of milkish discharge. This is normal and can last a few weeks. Rarely lasts longer.
• Normal course: swollen breasts can last for 2 to 4 weeks. In breast-fed babies, some breast swelling can last for 6 months.
• Caution: never squeeze or massage the breast or nipple. Reason: this can cause a serious infection that needs antibiotics.

Call Your Doctor If:

• Redness or red streaks occur
• Fever occurs
• Milk leakage lasts more than 2 months
• You think your child needs to be seen

Normal Breast Buds with Onset of Puberty (age 8 or older)

What You Should Know:

• Breast buds are normal, small disc-shaped rubbery lumps felt under the nipple.
• Age: they normally occur in 8 to 12 year old girls. They are the first sign of puberty. Sometimes, they are even normal in 7 year olds.
• Importance: the entire breast develops from the breast bud, taking 2 or 3 years to completion.
• The first menstrual period (menarche) usually occurs 2 years after breast buds appear.
• Symptoms: breast buds can be somewhat tender. This is normal.
• Risks: none. Breast buds have no risk of turning into cancer.
• Breast development is considered delayed if it has not started by age 13.
• Have your child's doctor check the breast bud at the next regular office visit.

Call Your Doctor If:

• No breast buds or breast development by age 13
• You have other questions or concerns
• You think your child needs to be seen

Breast Bud Only on One Side

What You Should Know:

• Breast buds often start on 1 side first.
• Breast tissue may even appear on that side. This can happen before you can feel a breast bud on the other side.
• Most often, the breast bud will appear on the other side within 3 months.
• The breast that has a later start will slowly catch up with the other.
• After breasts are mature, it's normal for 25% of women to have a slight difference in breast size.
• Risks: none. Breast buds have no risk of turning into cancer.
• Have your child's doctor check the breast bud at the next regular office visit.

Call Your Doctor If:

• No breast bud on other side by 3 months
• You have other questions or concerns
• You think your child needs to be seen

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