6 minute read

Deciphering breast rashes

With Dr Mary Ling, Central Coast Breast and General Surgeon

The causes of a breast rash range from the harmless and annoying to the seriously sinister. Dr Mary Ling deciphers them. 1 Intertrigo Intertrigo is a fancy name for a rash under your breasts. It is caused by a combination of moisture, heat, lack of air circulation and friction between skin folds, and often accompanied by a fungal or bacterial infection. Common symptoms include a reddish-brown rash, raw, itchy or oozing skin and unpleasant odour. Self-care tips to prevent intertrigo include: ƒ Wash under y our breasts morning and night with a gentle soap or soap substitute. ƒ Dry the skin under your breasts thoroughly – try using hairdryer on a cool setting. ƒ Wear a supportive bra made from natural material such as cotton. ƒ Lose weight to limit skin against skin rubbing. 2 Breast Infection Mastitis is inflammation of the breast that occurs most often in breastfeeding mums, but can also occur in older women. Untreated mastitis can result in a breast abscess, which is a walled-off area of pus and bacteria in the breast. Common symptoms include pain, swelling, redness, warmth and fevers. 3 Other Rashes The skin on the breast is prone to many common non-cancerous rashes, including: ƒ Allergic reactions ƒ Skin conditions such as eczema, dermatitis or psoriasis ƒ Shingles, which causes a painful rash that appears as a stripe of blisters. 4 Breast Cancer Inflammatory breast cancer (IBC) is a rare and aggressive form of breast cancer more common in younger women. Unlike other breast cancers that form a lump, IBC spreads along and blocks the lymphatic vessels in the skin of the breast causing the breast to become red, swollen and tender (similar to an infection). The skin on the breast can also appear dimpled, like an orange peel. Paget’s disease of the nipple is another rare form of breast cancer that affects the nipple-areolar complex. Most people with Paget's disease also have a breast cancer somewhere else in the same breast, either an invasive cancer or preinvasive cancer known as ductal carcinoma in situ (DCIS). The main sign of Paget's disease is a change in the nipple and/or areola. Make an appointment with your doctor if your breast rash is persistent or accompanied by any of these signs.

Dr Mary Ling is a Breast and General Surgeon who consults at Gosford, Woy Woy and Kanwal.

& 02 4321 0302 www.drmaryling.com.au @drmaryling Sign up to Coastal Health News, a quarterly newsletter inspiring Coasties to make healthy normal. Use the camera on your phone to scan the QR code.

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New podcast for families

Are you preparing to send your little one off to big school soon? Do you have a tween-ager who is more interested in their device than in engaging with you? Perhaps you have questions about the use of technology in schools and the role it plays. Maybe you’ve noticed emotional and physical changes in your teenager recently and you’re not sure what to do. The new Let’s Ask Better Questions podcast series from Central Coast Grammar School aims to provide families in our local community, and beyond, with practical insights and advice. We’ve connected with families and experts in our community to find out the burning parental and educational questions, topics and issues facing us all in today’s fast paced and busy modern world.

Throughout 2020, we’ll answer your questions and help you cut through the noise, advice and information out there. We’ll get under the hood of some of the biggest issues facing young people today and go behind the scenes of life at home, at school and in the playground.

Leading experts and psychologists as well as teachers, parents and students will join together to have an open and honest conversation on the issues relevant to you. Plus, we’ll share links to resources and websites to help you further.

In the first three episodes of Let’s Ask Better Questions, we tackle school readiness, managing technology at home and school, and teenage wellbeing. Visit www.ccgs.nsw.edu.au/podcasts to download free episodes today or subscribe on iTunes.

EPISODE 1: Is there a right age to start school? A kindy mum, school psychologist and kindergarten teacher help you decide if your child is ready to start school. Simone, Ros and Tracey explore the importance of age, skill-set and emotional development in school readiness, as well as the do’s and don’ts when it comes to preparing your child to start Kindergarten.

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