[21F] Experiencing recurrent breast lumps with oozing

Patient Description

A 21-year-old female reports experiencing recurrent lumps on her breasts over the past few months, with some lumps becoming infected and oozing daily. The pain associated with these cysts is rated at 6-7 out of 10 when they pop. The patient notes discoloration around the affected areas, with one lump being larger than the nipple tip. There is no history of hormonal medication use, but the patient has an inconsistent menstrual cycle, with periods becoming heavier this year after a four-month absence. The patient has a family history of breast conditions. Her medical history includes childhood asthma, which resolved with environmental changes, and a long-standing history of anxiety, depression, PTSD, and a recent diagnosis of borderline personality disorder. She is overweight and has no known allergies to medications, although she has had adverse reactions to Sumatriptan, Sertraline, and a steroid in the past. The patient expresses concern about her symptoms but has not sought medical attention yet.

Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

Breast Cysts: These are fluid-filled sacs within the breast, which can sometimes become painful or infected, leading to oozing. They are common and can fluctuate with hormonal changes, which might explain the changes in your menstrual cycle and the lumps' behavior.
- Treatment typically involves monitoring the cysts, but if they become painful or infected, a healthcare provider might recommend draining them or prescribing antibiotics.
Fibrocystic Breast Changes: This condition involves lumpy or rope-like breast tissue and is quite common. It can cause breast pain, tenderness, and lumps, especially before your menstrual period.
- Management often includes over-the-counter pain relief and supportive bras. Reducing caffeine and dietary fat may also help some individuals.
Hormonal Imbalance: Irregular menstrual cycles and changes in breast tissue can sometimes be linked to hormonal imbalances. Stress and mental health conditions can also impact hormone levels.
- A healthcare provider might suggest lifestyle changes, stress management techniques, or hormonal treatments to help regulate your cycle.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

Monitor Your Symptoms: Keep a journal of your symptoms, including when the lumps ooze, any changes in size, and your menstrual cycle. MDandMe can help you track these details and share them with your healthcare provider.
Manage Stress: Since stress can impact your symptoms, consider incorporating stress-reduction techniques such as mindfulness, meditation, or yoga into your routine.
Supportive Care: Wear a supportive bra to minimize discomfort and consider using warm compresses to alleviate pain from the lumps.
Diet and Lifestyle: Maintain a balanced diet and stay hydrated. Some people find that reducing caffeine and dietary fat can help with breast discomfort.

What you should look out for

It's important to seek medical attention if you experience any of the following:

Increased Pain or Swelling: If the pain becomes severe or the lumps significantly increase in size, it's important to see a healthcare provider.
Signs of Infection: If you notice redness, warmth, or pus, or if you develop a fever, these could be signs of an infection that requires medical treatment.
Changes in Nipple or Skin: Any new or unusual changes in your nipple or breast skin should be evaluated by a healthcare provider.

Remember, while this information can be helpful, it's not a substitute for professional medical advice. Please consult with a healthcare provider for a thorough evaluation and personalized care plan.

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1 mo ago

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