[21F] Experiencing breast pain and discharge

What might be happening

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

• 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. Mastitis most commonly affects women who are breast-feeding (lactation mastitis), but it can happen in women who aren't breast-feeding and in men.

  • Treatment typically involves antibiotics. In some cases, an abscess might form that requires surgical drainage.

• Intraductal papilloma: These are small, benign (non-cancerous) tumors that grow in the milk ducts of the breast. They are a common cause of clear or bloody nipple discharge in a single duct.

  • Treatment typically involves surgical removal.

• Fibrocystic breasts: This is a very common condition characterized by benign (non-cancerous) changes in the tissues of the breast. Symptoms can include breast pain and tenderness, and sometimes, nipple discharge.

  • Treatment is aimed at relieving symptoms and can include over-the-counter pain relievers and wearing a supportive bra.

• Breast abscess: This is a pocket of pus that causes inflammation and a painful lump in the breast. Other symptoms can include fever and chills. Breast abscesses are often a complication of mastitis.

  • Treatment typically involves antibiotics and draining the abscess.

Please note that these are potential explanations for your symptoms, but there could be other reasons for your symptoms. It's also important to remember that breast cancer can sometimes present with these symptoms, so it's important to get checked out by a healthcare provider.

What you can do

Here are some things you can do to manage your symptoms:

1. Over-the-counter pain relievers: Non-prescription medications such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin IB, others) can help relieve pain.

2. Heat or cold therapy: Applying a hot or cold compress to your breasts might help ease pain.

3. Wear a supportive bra: This can help reduce discomfort.

4. Avoid caffeine: Some women feel that their breast pain improves if they avoid caffeine.

However, given the nature and duration of your symptoms, I strongly recommend that you seek medical attention as soon as possible.

What you should look out for

Here are some signs that you should seek medical attention immediately:

• If your breast pain is severe or continues for longer than a few weeks
• If you notice a new, distinct lump in your breast
• If you have bloody, yellow or green nipple discharge
• If the skin on your breasts appears dimpled or puckered
• If you have persistent, unexplained breast pain

Please remember that while I strive to provide accurate and helpful health information, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.