Nipple pain

14 Year old male.. Complaint of bilateral nipple pain since 1 year. Stitching pain in both nipple, on touch retracts and ameliorated by cold applications. Please advice, Diagnosis and management Physical Examination Prominent veins around nipple. On touch benign tumors like growth inside nipple Diagnosis Suspected gynecomastia.

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Due to breast bud formation during puberty... Stitching pain < by touch > by cold -- Bryonia seems indicated

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It's a age of Puberty...where in this age Hormal changes occur ..... puls can work nicely in such type of cases...

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Pulsatilla 30 TDs

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Silica 200

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Bryonia alb 30 tds for 15 days

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Phytolecca Q Will be Helpful , Thanks

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Silecea 200

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Calc.flour 6x bd *15days Carcinosin 1m od HS *5doses alternate days

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Pulse 30 tds phytolecca200 od

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