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Dacryocystogram Nasolacrimal Duct
My daughter, 5 months old, has nasolacrimal duct obstruction. Is it recommended to "massage" her nose? In what age surgical intervention is needed?
General rules: Tear sac compression uses the tip of a finger, rolled from the nose down over the inner corner of the eye. As the kids head grows, the tear duct size increases and at some point debris blocking the duct is pushed out of the way and drainage improves. If the kid is getting constant lid infections or approaches 9 mo without improvement, i sent them to my local eye docs for probing under anesthesia.See 1 more doctor answer
NLD blockage: Usually ENT, some oculoplastic surgeonsGet a more detailed answer ›
Yes: and see below: Apply moist heat before nursing (compresses, warm shower or bath, or leaning over a sink full of warm water). A heating pad on a low between feedings, especially during the night can help dissolve the clog.Pain medication if you need it. Advil (ibuprofen) or Motrin or tylenol- for pain and fever. Encourage nursing frequently (at least every two hours) and vary the nursing positions so pressure will be varied.
Blocked Saliva Duct: A blocked saliva duct is caused by a mucus plug or a stone. Either occurs slowly, over time, and may lead to sudden blocking or plugging of the saliva duct. This will cause sudden swelling of the salivary gland. The two largest salivary glands are located in front of each ear, the parotid salivary gland. Drink plenty of fluids, massage the affected salivary gland, and suck on sour candy.See 3 more doctor answers
Often needs surgery: The tear duct is in the corner of the bottom eyelid near the nose and drains tears into the nose. It can be blocked at birth creating watering eyes with discharge, or occur later from other causes. Sometimes that needs surgery to open.
Yes, but...: All males technically have ducts in their nipples and areola but they are not usually functional. Without the proper hormonal stimulation, the breast tissue and ducts do not develop to the point of milk production. There are situations where male breasts can be stimulated to produce milk. You should see your doctor for advise regarding your particular situation.See 1 more doctor answer
An unusual sign: Bleeding from the tear duct is unusual if there has been no trauma to that area. If you are sure it is coming from the tear duct you should have an eye exam by an ophthalmologist. Calculi (sharp stones) and tumors of the duct can occur are rare but may cause bleeding from the duct.
Depends: Depends in whom you want to treat it and what caused it. In babies, gentle pressure and rubbing may help, although, if small and not infected, it usually resolves on its own. In adults, pretty much the same. May apply a warm washcloth. If infection is present, you will need to treat that. In some cases, surgical approach is recurred to when the conservative ones fail.See 1 more doctor answer
Galactorrhea: Men and women both have "milk ducts, " but a different hormonal environment leads to milk production in women only. Lactation is the true production of milk that occurs during pregnancy when Progesterone levels are high and stimulate maturation of the milk producing glands. Outside this setting, we worry about tumors and hormonal imbalances (prolactin) that lead to galactorrhea (nipple discharge).
Intraductal : Carcinoma. Most cancers of the breast arise from the lining of milk ducts. These may remain localized to the ducts for a while before breaking out and invading rest of the breast. Some intraductal carcinomas present as paget disease, due to cancer cells spreading through the ducts to the skin of the nipple and areola.See 1 more doctor answer
Thyroglossal cyst: The cystic cavity may drain its contents to the skin at any time. This in effect may cause it to "shrink" although the cyst itself is still present and the abnormal tissue cavity will likely refill itself. Most of these aren't found until adult life, and most present as infections. This cyst can extend from the tongue down into the neck and must be carefully evaluated and possibly removed.See 1 more doctor answer