[22F] With right breast pain and redness

Patient Description

A 22-year-old female reports experiencing sudden onset of right breast pain for a couple of days, rated at 7 out of 10 in severity. The pain worsens with touch. Accompanying symptoms include redness above the areola resembling a rash, swelling, warmth, low-grade fever, fatigue, and back pain. The patient stopped breastfeeding months ago and has noticed some residual breastmilk but no other nipple discharge. The last menstrual period ended a week ago. The patient has no pre-existing conditions, chronic illnesses, or recent medication use.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Mastitis: This is an infection of the breast tissue that can cause pain, redness, swelling, and warmth. It often occurs in breastfeeding women but can happen even after stopping. A low-grade fever and fatigue are also common.

    • Treatment typically involves antibiotics prescribed by a doctor. Warm compresses and pain relievers can help alleviate symptoms.

  • Breast Abscess: This is a collection of pus that can form in the breast, often as a complication of mastitis. It can cause severe pain, swelling, and redness.

    • Treatment may require drainage by a healthcare provider and antibiotics.

  • Blocked Milk Duct: Even after stopping breastfeeding, milk ducts can become blocked, leading to pain and swelling.

    • Warm compresses and gentle massage can help relieve the blockage.

What you can do

  • Warm Compresses: Apply a warm compress to the affected area several times a day to help reduce pain and swelling.
  • Pain Relief: Over-the-counter pain relievers like ibuprofen can help manage pain and reduce inflammation.
  • Rest and Hydration: Ensure you get plenty of rest and stay hydrated to support your body's healing process.
  • Monitor Symptoms: Use MDandMe to journal your symptoms, track progress, and share notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Worsening pain or swelling
  • High fever or chills
  • Any new lumps or changes in the breast
  • Persistent or worsening symptoms despite home care

Remember, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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2 mo ago

People Also Ask

What are the common symptoms of mastitis and how is it treated?

Common symptoms of mastitis include breast pain, redness, swelling, warmth, low-grade fever, and fatigue. Treatment typically involves antibiotics prescribed by a doctor, along with warm compresses and pain relievers to alleviate symptoms.

Can mastitis occur even after stopping breastfeeding?

Yes, mastitis can occur even after stopping breastfeeding. It is an infection of the breast tissue that can happen due to blocked milk ducts or residual milk.

What is a breast abscess and how is it treated?

A breast abscess is a collection of pus that forms in the breast, often as a complication of mastitis. It can cause severe pain, swelling, and redness. Treatment may require drainage by a healthcare provider and antibiotics.

How can a blocked milk duct be relieved after stopping breastfeeding?

A blocked milk duct can be relieved by applying warm compresses to the affected area and gently massaging the breast to help clear the blockage. Ensuring proper rest and hydration can also support the healing process.

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