[26F] Experiencing breast pain and unilateral nipple discharge

What might be happening

Based on the symptoms you've described, here are a few possible conditions:

• 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, but it can occur in women of any age.

  • Treatment typically involves antibiotics, and in some cases, drainage of the breast abscess, if present.

• Intraductal papilloma: These are small, benign (non-cancerous) tumors that grow in the milk ducts of the breast. They can cause nipple discharge, as well as breast pain and lumps. The nipple discharge is often clear or bloody.

  • Treatment often involves surgically removing the papilloma and the affected part of the milk duct.

• Breast cyst: This is a fluid-filled sac within the breast, which can cause breast pain and nipple discharge. The discharge caused by a breast cyst can be clear or yellowish in color.

  • Treatment can involve draining the cyst or monitoring it for changes.

• Breast Cancer: Although less likely, given your age and the nature of your symptoms, certain types of breast cancer can present with nipple discharge and breast pain. A family history of breast cancer can increase your risk.

  • Treatment can involve surgery, radiation, hormone therapy, chemotherapy, or a combination of these treatments.

What you can do

Given the symptoms you've described, it's important to seek medical attention. A healthcare provider can conduct a thorough evaluation, which may include a physical exam, a mammogram, or an ultrasound, to determine the cause of your symptoms.

In the meantime, over-the-counter pain relievers such as ibuprofen or acetaminophen may help reduce your breast pain. Wearing a supportive bra may also provide some relief.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• A lump or thickening in your breast or underarm area
• Changes in the size or shape of your breast
• Dimpling or puckering of the skin on your breast
• Redness or flaky skin on your nipple or breast
• A newly inverted nipple
• Unexplained weight loss

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare provider for an accurate diagnosis and treatment.