They are the most common reason women experience abnormal nipple discharge. Type in what you see: Finally, breasts must be examined to check symmetry, dimpling of the skin, erythema, swelling, changes in color of nipples and skin, crusting, ulceration and retraction of nipples. It will also depend on how severe the condition is. I amd 15 yrs old and i had a small lump under my left nipple. Considering the history of present condition, it is important to determine whether the discharge is bilateral or unilateral, what color of the discharge is, when it started to appear, is it spontaneous or results from nipple stimulation and if lump or pain exists. Abscesses are accompanied by symptoms such as skin redness, pain, skin tenderness, burning sensation and fever.