[28F] With sharp pain, itching, and burning sensation in left breast

Patient Description

A 28-year-old female presents with a sharp pain in the left breast, rated 7 out of 10 in severity, persisting for about two weeks. The pain developed gradually and is accompanied by itching and a burning sensation in the same area. The patient reports no noticeable lumps, changes in size or shape, or skin changes such as redness or dimpling in the breast. There is no nipple discharge, redness, swelling, or warmth observed. The patient feels generally unwell but denies fever, recent weight loss, or loss of appetite. There is a family history of breast conditions, specifically in the maternal grandmother and maternal aunt. The patient has not had a recent mammogram or breast ultrasound and reports no changes in the menstrual cycle or hormonal changes. Medical history includes depressive disorder and migraines, with an allergy to doxycycline. Current medications are Venlafaxine and Topiramate.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Mastitis or Breast Infection: Although you haven't noticed redness or warmth, mastitis can sometimes present with pain and a burning sensation. It's more common in breastfeeding women but can occur in others due to infection or blocked ducts.

    • Treatment typically involves antibiotics if an infection is present. Warm compresses and over-the-counter pain relief can help alleviate symptoms.
  • Hormonal Changes: Even without noticeable changes in your menstrual cycle, hormonal fluctuations can cause breast pain and discomfort. This is often cyclical and related to your menstrual cycle.

    • Treatment usually involves managing symptoms with over-the-counter pain relief and supportive bras.
  • Costochondritis: This is an inflammation of the cartilage connecting a rib to the breastbone, which can cause sharp pain in the breast area.

    • Treatment includes rest, anti-inflammatory medications, and applying heat or ice to the affected area.
  • Breast Cyst or Fibrocystic Changes: These are benign conditions that can cause pain and tenderness in the breast.

    • Treatment may not be necessary unless the cysts are painful, in which case aspiration or surgery might be considered.

Given your family history of breast conditions, it's important to consider these possibilities and seek medical evaluation.

What you can do

  1. Consult a Healthcare Provider: It's important to see a doctor for a formal assessment, especially given your family history. They may recommend imaging tests like a mammogram or ultrasound to rule out any serious conditions.

  2. Symptom Management: You can try over-the-counter pain relievers like ibuprofen or acetaminophen to manage the pain. Wearing a supportive bra and applying warm compresses may also help alleviate discomfort.

  3. Track Your Symptoms: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider. This can help in identifying patterns or triggers.

What you should look out for

Seek medical attention if you experience any of the following:

  • New lumps or changes in the breast tissue
  • Persistent or worsening pain
  • Nipple discharge, especially if it's bloody or clear
  • Redness, swelling, or warmth in the breast
  • Any other concerning changes in your breast

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a proper diagnosis and treatment plan.

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3 mo ago

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People Also Ask


What could be causing sharp breast pain without noticeable lumps or skin changes?

Sharp breast pain without noticeable lumps or skin changes could be due to several factors, including mastitis, hormonal changes, costochondritis, or benign breast conditions like cysts or fibrocystic changes. It's important to consult a healthcare provider for a proper evaluation.


Can hormonal changes cause breast pain even if there are no changes in the menstrual cycle?

Yes, hormonal changes can cause breast pain even if there are no noticeable changes in the menstrual cycle. Hormonal fluctuations can lead to breast discomfort, which is often cyclical and related to the menstrual cycle.


What is costochondritis and how is it related to breast pain?

Costochondritis is an inflammation of the cartilage connecting a rib to the breastbone, which can cause sharp pain in the breast area. It is not directly related to breast tissue but can be felt in the breast region due to its proximity.


How important is family history in assessing breast pain and potential conditions?

Family history is important in assessing breast pain and potential conditions because it can indicate a higher risk for certain breast conditions, including breast cancer. A family history of breast conditions should prompt a more thorough evaluation by a healthcare provider.


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