[18F] Experiencing intermittent breast soreness and firmness

Patient Description

An 18-year-old female has been experiencing intermittent soreness and firmness in her right breast for a few years. The soreness, which rates as a 4 on a pain scale of 1-10, is most pronounced in the nipple area and deeper within the breast when touched or moved in certain ways. Accompanying the soreness is a firm, non-hard knot in the same breast, noticeable only when the breast is sore. There is no associated nipple discharge or skin changes, but slight swelling is present. The patient has a history of scoliosis diagnosed six years ago and a severe allergy to penicillin. No medications are currently being taken.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible explanations for your symptoms include:

  • Hormonal changes: Hormonal fluctuations related to your menstrual cycle can cause breast tenderness and swelling. These symptoms can vary in intensity and may not follow a regular pattern.

    • Treatment typically involves over-the-counter pain relievers and lifestyle changes such as wearing a supportive bra and reducing caffeine and salt intake.
  • Fibrocystic breast changes: This is a common condition characterized by lumpiness and discomfort in one or both breasts. The pain and lumpiness can fluctuate with the menstrual cycle.

    • Treatment often involves over-the-counter pain relievers. In severe cases, your doctor may prescribe hormone therapy.
  • Breast cysts: These are fluid-filled sacs that can form in the breasts, leading to breast discomfort.

    • Treatment may involve a fine-needle aspiration to drain the fluid and relieve symptoms.
  • Mastitis: This is an infection of the breast tissue that results in breast pain, swelling, warmth, and redness. You might also have fever and chills.

    • Treatment typically involves antibiotics. In some cases, an abscess might need to be drained.

Please note that it's important to get any new breast lump checked by a healthcare provider, especially if it doesn't go away after your next menstrual cycle.

What you can do

  1. Monitor your symptoms: Keep track of your symptoms and see if they follow a pattern related to your menstrual cycle.
  2. Over-the-counter pain relievers: Non-prescription medications such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin IB) may help relieve the pain.
  3. Wear a supportive bra: This can help reduce discomfort.
  4. Limit caffeine and salt: Some women find that their breast symptoms improve when they avoid caffeine or reduce the amount of salt in their diet.
  5. Warm or cold compress: Applying a warm or cold compress to the sore area may provide some relief.

What you should look out for

Reasons to see a doctor more urgently:

  • If the lump in your breast gets bigger or doesn't go away after your next menstrual cycle
  • If you notice other changes in the breast, such as redness, dimpling or puckering of the skin, or changes in the nipple
  • If you develop a fever and chills

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare provider if you're worried about your symptoms.

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10 mo ago

People Also Ask


What are fibrocystic breast changes and how are they treated?

Fibrocystic breast changes are a common condition characterized by lumpiness and discomfort in the breasts, often fluctuating with the menstrual cycle. Treatment typically involves over-the-counter pain relievers, and in severe cases, hormone therapy may be prescribed by a doctor.


How can hormonal changes affect breast soreness and firmness?

Hormonal changes, particularly those related to the menstrual cycle, can cause breast tenderness and swelling. These symptoms can vary in intensity and may not follow a regular pattern. Managing these symptoms often involves lifestyle changes such as wearing a supportive bra and reducing caffeine and salt intake.


What are the symptoms of breast cysts and how are they managed?

Breast cysts are fluid-filled sacs that can form in the breasts, leading to discomfort. They are often managed by a procedure called fine-needle aspiration, which drains the fluid and relieves symptoms.


When should I see a doctor about a breast lump?

You should see a doctor if the lump in your breast gets bigger or doesn't go away after your next menstrual cycle, or if you notice other changes such as redness, dimpling, or changes in the nipple. Additionally, if you develop a fever and chills, it's important to seek medical attention.


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