Treatments for Gynecomastia
Treatments for Gynecomastia
The list of treatments mentioned in various sources
for Gynecomastia
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
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Differential diagnosis list for Gynecomastia may include:
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Book Excerpts: Treatment of Gynecomastia
Treatments of Gynecomastia: Online Medical Books
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Review excerpts from medical books online, free, without registration,
for more information about the treatments of Gynecomastia.
Breast Pain & Discharge:
Treatment
(In a Page: Signs and Symptoms)
-
Fibrocystic changes
–Caffeine avoidance is often effective in decreasing pain
–Aspirate cysts or medical therapies (e.g., danazol, oral contraceptives, tamoxifen, bromocriptine, evening primrose oil, GnRH agonists, vitamin E) for pain relief
–Routine follow up is sufficient unless cytologic atypia is present
Breast cancer: Surgery, radiation, chemotherapy, and/or hormonal therapy as indicated by stage
Mastitis: Warm compress, antibiotics to cover Staphylococcus aureus and streptococci (e.g., cephalexin); consider inflammatory breast cancer if no response after 5 days in a nonlactating female
Abscess: Incision and drainage, antibiotics
Cyst: Aspiration; cytology of aspirated fluid if bloody or recurrent
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Gynecomastia:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Pubertal
–No treatment if pubertal development and physical
exam are normal
–Re-evaluation in 6 months
-
Cessation of drugs when implicated
-
Testosterone replacement if indicated for hypogonadism
-
Weight loss for pseudogynecomastia
-
Surgery (reduction mammoplasty) if severe and psychologically distressing
-
Persistent pubertal gynecomastia
–Therapy is investigational; no large trials completed
yet
–Antiestrogens (clomiphene and tamoxifen)
–Aromastase inhibitors (testolactone)
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Enlarged Anterior Fontanelle:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
For hypothyroidism, the treatment is thyroid replacement therapy, typically determined by endocrinologist
-
Hydrocephalus is treated, if needed, with neurosurgery and ventriculoperitoneal shunting
-
Rickets is prevented with adequate vitamin D intake and moderate sun exposure; treated with calcium, calcitriol and/or vitamin D
-
Although no specific treatment exists for the multiple genetic disorders, genetic counseling is important for the family regarding the patient's prognosis and future pregnancies
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Mastitis and breast engorgement:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Antibiotic therapy, the primary treatment for mastitis, generally consists of oral cephalosporins, cloxacillin, or dicloxacillin to combat staphylococcus; azithromycin may be used in patients allergic to penicillin. Although symptoms usually subside 2 to 3 days after treatment begins, antibiotic therapy should continue for 10 days. Other appropriate measures include analgesics for pain and, rarely, when antibiotics fail to control the infection and mastitis progresses to breast abscess, incision and drainage of the abscess.
The goal of treatment of breast engorgement is to relieve discomfort and control swelling, and may include analgesics to alleviate pain, and ice packs and an uplift support bra to minimize edema. Rarely, oxytocin nasal spray may be necessary to release milk from the alveoli into the ducts. To facilitate breast-feeding, the mother may manually express excess milk before a feeding so the infant can grasp the nipple properly.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Breast nodule [Breast lump]:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
When teaching patients how to perform breast self-examination, advise them to do the examination 5 to 7 days after the first day of their last menstrual period.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Gynecomastia:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Because gynecomastia may alter the patient’s body image, provide emotional support. Reassure the patient that treatment can reduce gynecomastia. Be sure to explain all treatments and procedures to the patient.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Breast nodule:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
When teaching patients how to perform breast self-examination, advise them to do the examination 5 to 7 days after the first day of their last menses.
Advise the patient with mastitis to pump her breasts to prevent further milk stasis, to discard the milk, and to substitute formula until the infection responds to antibiotics.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Gynecomastia:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Apply cold compresses to the breasts and administer analgesics as needed for pain and discomfort.
▪ Prepare the patient for diagnostic tests, including chest and skull X-rays and blood hormone levels.
▪ Because gynecomastia may alter the patient's body image, provide emotional support.
▪ Administer tamoxifen, an antiestrogen, or testolactone, an inhibitor of testosterone-to-estrogen conversion, as ordered.
▪ Prepare the patient for surgical removal of breast tissue, as indicated, if drug treatment fails.
Patient teaching
▪ Reassure the patient that treatment can reduce gynecomastia.
▪ Explain all treatments and procedures to the patient.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Breast nodule [Breast lump]:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Provide a simple explanation of your examination, and encourage the patient to express her feelings.
▪ Prepare the patient for diagnostic tests, which may include transillumination, mammography, thermography, needle aspiration or open biopsy, and cytologic examination of nipple discharge.
▪ Postpone teaching the patient how to perform breast self-examination until she overcomes her initial anxiety at discovering a nodule.
▪ Although most nodules occurring in the breast-feeding patient result from mastitis, the possibility of cancer demands careful evaluation.
Patient teaching
▪ Advise the patient with mastitis to pump her breasts to prevent further milk stasis, to discard the milk, and to substitute formula until the infection responds to antibiotics.
▪ Explain the importance of clinical breast examination and mammography following the American Cancer Society guidelines.
▪ Teach the patient how to perform breast self-examination.
▪ Explain how to treat mastitis.
▪ Teach the patient about the cause of the breast nodule and the treatment plan after a diagnosis is established.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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