16years male with breast enlargement left more then right on hormonal report serum prolactine is high. suggest treatment further opinion

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Hyperprolactinemia can also be caused by anorexia nervosa, liver disease, kidney disease, and hypothyroidism. ... High levels of prolactin can also be caused by pituitary tumors.

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Disparity may be due to gynaecomastia, whether there is any discharge from any breast on squeezing? Palpation & examination of testicles n scrotum. Ask about morning erections, if not explained properly do stamp test. MRI of Brain especially focusing on Pituitary gland to r/o adenoma. Mammogram of Left breast.

Gynaecomastia/ B /l Further evaluation is required Usg breast Mammogram breast Scanning of pituitary gland

Suggest MRI brain, to rule out pituitary tumour. Suggest Thyroid profile ,since hypothyroidism can be associated with increase in prolactin levels. Rule out use of anti psychotics, antiemetics etc . If all are normal, suggest observation

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Lt breast gynaecomastia with marginally high prolactine level CT of brain with special interest to pituitary Any h/o intake antiemitic or prokinetics,antipsychotic drugs Reassurance

RULE OUT PITUATORY ADENOMA HIGH PROLACTIN LEVEL IS ASSOCIATED WITH BREAST ENLARGEMENT

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Any drug history is important in this case , report shows hyperprolactemia,tsh report awaited ,do mri for pituitary adenoma etc

Gyanecomastia left >right R/O pituitary adenoma

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C/o gynaecomastia b/l Relatively lt is more than rt Treatment is to based on usg memography

Thanx dr Dinesh Gupta
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Gynacomastia

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