[29F] Experiencing breast swelling, hip pain, and mood changes

Patient Description

A 29-year-old female presents with breast swelling, tenderness, and sharp nipple pain. She reports a twinge-like pain in her hips that comes and goes, and has been experiencing this for about a week. The patient has noticed weight gain primarily in her breasts and swelling in her legs. Her menstrual cycle has been irregular following a miscarriage a few months ago, with her last period occurring last month. She has not taken a pregnancy test since her last period. Additionally, she reports the recent onset of acne, hair loss, and teeth pain over the past two weeks. She has been experiencing nausea for about a week and reports mood swings and depression affecting her daily life. The patient has historically heavy periods but no other pre-existing conditions, allergies, or current medications.

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Arora's Assessment

What might be happening

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

  • Hormonal Changes: The combination of breast tenderness, swelling, acne, mood swings, and irregular periods could be related to hormonal fluctuations. This is common after a miscarriage as your body adjusts. Hormonal imbalances can also cause nausea and changes in weight distribution.

    • Treatment often involves monitoring symptoms and, if necessary, hormone therapy prescribed by a healthcare provider.
  • Pregnancy: Given your symptoms and recent history, it's possible that you could be pregnant again. Breast changes, nausea, and mood swings are common early signs of pregnancy.

    • A home pregnancy test can help determine if this is the case. If positive, follow up with a healthcare provider for confirmation and prenatal care.
  • Polycystic Ovary Syndrome (PCOS): This condition can cause irregular periods, acne, weight gain, and hair loss due to hormonal imbalances.

    • Management typically involves lifestyle changes and medications to regulate hormones and manage symptoms.
  • Nutritional Deficiencies or Stress: Hair loss and teeth pain can sometimes be linked to deficiencies in vitamins or minerals, or high stress levels.

    • A balanced diet and stress management techniques can be beneficial. A healthcare provider can offer specific advice based on blood tests.

What you can do

  1. Take a Pregnancy Test: This will help rule out or confirm pregnancy as a cause of your symptoms.
  2. Track Your Symptoms: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider.
  3. Maintain a Balanced Diet: Ensure you're getting enough nutrients, which can help with hair health and overall well-being.
  4. Manage Stress: Consider relaxation techniques such as yoga or meditation to help with mood swings and stress-related symptoms.
  5. Consult a Healthcare Provider: It's important to discuss these symptoms with a doctor, especially given your recent miscarriage and the severity of your breast pain.

What you should look out for

  • Seek Immediate Care If: You experience severe abdominal pain, heavy bleeding, or any other concerning symptoms.
  • Monitor for Changes: Keep an eye on any new or worsening symptoms, and report these to your healthcare provider.
  • Follow Up on Test Results: If you take a pregnancy test or have any other tests done, make sure to follow up with your healthcare provider for next steps.

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

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2 mo ago

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People Also Ask


What could be causing breast swelling and tenderness?

Breast swelling and tenderness can be caused by hormonal changes, which are common after a miscarriage or during early pregnancy. It can also be related to conditions like PCOS.


How can I determine if I might be pregnant again?

To determine if you might be pregnant, you can take a home pregnancy test. If the test is positive, follow up with a healthcare provider for confirmation and prenatal care.


What are the symptoms of Polycystic Ovary Syndrome (PCOS)?

Symptoms of PCOS include irregular periods, acne, weight gain, hair loss, and hormonal imbalances. It is important to consult a healthcare provider for diagnosis and management.


Can stress or nutritional deficiencies cause hair loss and teeth pain?

Yes, stress and nutritional deficiencies can contribute to hair loss and teeth pain. Ensuring a balanced diet and managing stress through relaxation techniques can help alleviate these symptoms.


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