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Breast Problems
Overview
Breast lumps or changes are a common health worry. You may have many kinds of breast lumps and other breast changes throughout your life. This may include changes that occur with menstrual periods, pregnancy, and aging. Most breast lumps and breast changes are normal.
Non-cancerous breast changes
Common, non-cancerous (benign) breast changes include:
- Sacs filled with fluids (cysts).
- Generalized breast lumpiness.
- Painless, movable, and firm round lumps (fibroadenomas).
- Damaged fatty tissue (fat necrosis).
- Growths inside the ducts (intraductal papillomas).
- Enlargement of lymph nodes in the breast.
- Breast pain (mastalgia).
- Breast infections (mastitis) or abscesses.
- Inflamed blood vessels (thrombophlebitis).
If you have breast implants, there could be changes in the implant over time. Normal activity or an injury to the breast can damage the implant and cause it to leak, deflate, or rupture. The implant may harden, develop ripples, shift position, or change shape. The implant may need to be removed and replaced if any of these changes occur.
Breast changes that need follow-up
Many people with breast pain or breast lumps worry about breast cancer.
You might find a lump during a breast self-examination. Any breast symptoms can be checked by your doctor during a clinical breast examination or after a mammogram.
Early breast cancer is often seen on a mammogram before there are any symptoms. The most common symptom of breast cancer is a painless lump. But sometimes painful lumps are cancerous. Other symptoms of breast cancer include:
- Skin changes, such as dimpling or puckering.
- Nipple discharge.
- Darkening of the area around the nipple.
- A nipple being drawn inward.
- Any breast problem that lasts more than 2 weeks.
Breast changes in puberty
Breast development is the first sign of female puberty. In most cases, breasts begin as small, tender bumps under one or both nipples that will get bigger over the next few years. It's not unusual for one breast to be larger than the other or for one side to develop before the other. You may worry that a lump under the nipple isn't normal or that it's a sign of a serious medical problem when it's really a part of normal breast development.
During the rapid hormone changes of puberty, it's common for male breasts to develop extra breast tissue. This is called gynecomastia. The extra breast tissue usually goes away without treatment within a year or two. It can feel uncomfortable. But if it causes pain or worry, talk with your doctor. There are treatments that can help.
Check Your Symptoms
The medical assessment of symptoms is based on the body parts you have.
- If you are transgender or non-binary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
- If your symptoms aren’t related to those organs, you can choose the gender you identify with.
- If you have some organs of both sexes, you may need to go through this triage tool twice (once as "male" and once as "female"). This will make sure that the tool asks the right questions for you.
Many things can affect how your body responds to a symptom and what kind of care you may need. These include:
- Your age. Babies and older adults tend to get sicker quicker.
- Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
- Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, or natural health products can cause symptoms or make them worse.
- Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
- Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.
Try Home Treatment
You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.
- Try home treatment to relieve the symptoms.
- Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.
Many prescription and non-prescription medicines can cause breast problems, such as breast tenderness or nipple discharge. A few examples are:
- Some antidepressants.
- Some blood pressure medicines.
- Corticosteroids, such as prednisone.
- Medicines that contain hormones, such as birth control pills, hormone therapy, and infertility medicines.
- Migraine headache medicines, such as sumatriptan.
Cimetidine, such as Tagamet, may cause nipple discharge and breast enlargement in men.
Symptoms of a heart attack may include:
- Chest pain or pressure, or a strange feeling in the chest.
- Sweating.
- Shortness of breath.
- Nausea or vomiting.
- Pain, pressure, or a strange feeling in the back, neck, jaw, or upper belly, or in one or both shoulders or arms.
- Light-headedness or sudden weakness.
- A fast or irregular heartbeat.
For men and women, the most common symptom is chest pain or pressure. But women are somewhat more likely than men to have other symptoms like shortness of breath, tiredness, nausea, and back or jaw pain.
Other breast symptoms to pay attention to can include:
- Skin changes, such as dimpling or puckering.
- Nipple discharge.
- Darkening of the area around the nipple.
- A nipple being drawn inward.
- Any breast problem that lasts more than 2 weeks.
Symptoms of a breast infection may include:
- Increased pain, swelling, redness, or warmth around a breast.
- Red streaks extending from a breast.
- Drainage of pus from a breast.
- Fever.
Certain health conditions and medicines weaken the immune system's ability to fight off infection and illness. Some examples in adults are:
- Diseases such as diabetes, cancer, heart disease, and HIV/AIDS.
- Long-term alcohol and drug problems.
- Steroid medicines, which may be used to treat a variety of conditions.
- Chemotherapy and radiation therapy for cancer.
- Other medicines used to treat autoimmune disease.
- Medicines taken after organ transplant.
- Not having a spleen.
Certain health conditions and medicines weaken the immune system's ability to fight off infection and illness. Some examples in children are:
- Diseases such as diabetes, cystic fibrosis, sickle cell disease, and congenital heart disease.
- Steroid medicines, which are used to treat a variety of conditions.
- Medicines taken after organ transplant.
- Chemotherapy and radiation therapy for cancer.
- Not having a spleen.
Pain in adults and older children
- Severe pain (8 to 10): The pain is so bad that you can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain.
- Moderate pain (5 to 7): The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. Moderate can also mean pain that comes and goes even if it's severe when it's there.
- Mild pain (1 to 4): You notice the pain, but it is not bad enough to disrupt your sleep or activities.
Seek Care Today
Based on your answers, you may need care soon. The problem probably will not get better without medical care.
- Call your doctor today to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care today.
- If it is evening, watch the symptoms and seek care in the morning.
- If the symptoms get worse, seek care sooner.
Call 9-1-1 Now
Based on your answers, you need emergency care.
Call 9-1-1 or other emergency services now.
Sometimes people don't want to call 9-1-1. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 9-1-1 for medical transport to the hospital.
Make an Appointment
Based on your answers, the problem may not improve without medical care.
- Make an appointment to see your doctor in the next 1 to 2 weeks.
- If appropriate, try home treatment while you are waiting for the appointment.
- If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.
Seek Care Now
Based on your answers, you may need care right away. The problem is likely to get worse without medical care.
- Call your doctor now to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care in the next hour.
- You do not need to call an ambulance unless:
- You cannot travel safely either by driving yourself or by having someone else drive you.
- You are in an area where heavy traffic or other problems may slow you down.
Self-Care
Breast self-examinations are a simple way for you to learn what your breasts normally feel like. During a breast self-examination, you examine your own breasts to look and feel for changes each month. You learn how your breasts feel and what is normal for you. This can help you spot any changes early.
When to call for help during self-care
Call a doctor if any of the following occur during self-care at home:
- Skin changes, such as dimpling or puckering.
- Nipple discharge.
- Darkening of the area around the nipple.
- A nipple being drawn inward.
- A breast lump.
- New signs of an infection, such as redness, warmth, swelling, pus, or a fever.
- Symptoms occur more often or are more severe.
Learn more
Preparing For Your Appointment
You can help your doctor diagnose and treat your condition by being prepared for your appointment.
Related Information
Credits
Current as of: August 2, 2022
Author: Healthwise Staff
Medical Review:
William H. Blahd Jr. MD, FACEP - Emergency Medicine
Adam Husney MD - Family Medicine
Kathleen Romito MD - Family Medicine
Current as of: August 2, 2022
Author: Healthwise Staff
Medical Review:William H. Blahd Jr. MD, FACEP - Emergency Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine
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