[33F] With breast enlargement, pain, and rash

Patient Description

A 33-year-old female presents with sharp pain and warmth in the upper part of one breast for the past two months. The pain is rated as 5 out of 10 in severity. The affected breast has enlarged over the same period, with associated redness and swelling. There is no nipple discharge, lumps, or masses noted. The patient also reports unintentional weight loss, night sweats, and fatigue. Medical history includes a cyst in the breast, depression, anxiety, bipolar disorder, and insomnia diagnosed in 2015. The patient is currently taking 200mg of Seroquel (quetiapine) once at bedtime. There are no known drug allergies and no other medications or supplements being taken. Family history is significant for colon cancer in the patient's grandmother. The patient does not smoke or use tobacco products and has not traveled recently.

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Arora's Assessment

What might be happening

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

  • Mastitis: This is an infection of the breast tissue that results in breast pain, swelling, warmth, and redness. It is more common in breastfeeding women but can occur in non-breastfeeding women as well. Treatment typically involves antibiotics to clear the infection and pain relievers to manage discomfort.

  • Breast Abscess: This is a collection of pus that forms in the breast due to an infection. It can cause pain, swelling, and redness. Treatment usually involves draining the abscess and taking antibiotics.

  • Inflammatory Breast Cancer: This is a rare but aggressive form of breast cancer that can cause redness, swelling, and warmth in the breast, along with pain and changes in breast size. It is important to seek medical attention promptly for proper diagnosis and treatment, which may include surgery, chemotherapy, and radiation therapy.

  • Fibrocystic Breast Changes: This condition involves the development of cysts and fibrous tissue in the breast, which can cause pain, swelling, and changes in breast size. It is a benign condition but can be uncomfortable. Treatment may include pain relievers and lifestyle changes to manage symptoms.

What you can do

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

  1. Apply Warm Compresses: Applying a warm compress to the affected breast can help reduce pain and swelling.
  2. Over-the-Counter Pain Relievers: Medications like ibuprofen or acetaminophen can help manage pain and reduce inflammation.
  3. Wear a Supportive Bra: A well-fitting, supportive bra can help alleviate discomfort.
  4. Stay Hydrated: Drink plenty of fluids to stay hydrated, which can help your body fight off any potential infections.
  5. Monitor Symptoms: Keep track of your symptoms, including any changes in pain, swelling, or redness. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Seek medical attention promptly if you experience any of the following:

  • Fever or Chills: These could indicate an infection that requires antibiotics.
  • Rapid Increase in Pain or Swelling: This could be a sign of a more serious condition that needs immediate attention.
  • Nipple Discharge: Any new or unusual discharge from the nipple should be evaluated by a healthcare professional.
  • Lumps or Masses: If you notice any new lumps or masses in your breast, it is important to have them checked by a doctor.
  • Persistent or Worsening Symptoms: If your symptoms do not improve or worsen over time, seek medical advice.

Remember, while this information can help you understand your symptoms, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.

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6 mo ago

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People Also Ask


What are the common symptoms of mastitis in non-breastfeeding women?

In non-breastfeeding women, mastitis can present with symptoms such as breast pain, swelling, warmth, redness, and sometimes fever or chills. It is important to seek medical advice for proper diagnosis and treatment.


How is inflammatory breast cancer different from other types of breast cancer?

Inflammatory breast cancer is a rare and aggressive form of breast cancer that often presents with redness, swelling, and warmth in the breast, along with pain and changes in breast size. Unlike other types of breast cancer, it may not form a distinct lump and requires prompt medical attention.


What lifestyle changes can help manage fibrocystic breast changes?

To manage fibrocystic breast changes, lifestyle changes such as reducing caffeine and salt intake, wearing a supportive bra, and using over-the-counter pain relievers can be helpful. Regular monitoring and consultations with a healthcare provider are also recommended.


When should I seek medical attention for breast pain and swelling?

You should seek medical attention if you experience fever or chills, a rapid increase in pain or swelling, nipple discharge, new lumps or masses, or if your symptoms persist or worsen over time. These could indicate a more serious condition that requires immediate evaluation.


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