Dear Dr Donahue on nipple discharge and migraines
Reader asks about a sticky nipple discharge and examination steps given risks of cancer. The doctor outlines possible causes from benign to malign, tests like Pap smear mammogram and breast exam, plus cautions on drug effects and inflammation. In a second letter the doctor discusses migraine management with cyproheptadine methysergide and propranolol, triggers, and ergotamine as an acute treatment, noting migraines are vascular in origin and that one may need to live with them.