[38F] Experiencing underarm and breast pain with itchiness

Patient Description

A 38-year-old female reports a few days of constant pain under the right armpit and side of the breast, rated as a 4 out of 10 in severity, with tenderness to touch but no associated lump, rash, or lesions. The pain is constant and causes itchiness on the breast, which started today. The patient has a history of endometriosis, adenomyosis, PCOS, and low vitamin D, with a recent diagnosis for all except PCOS, which was diagnosed many years ago. The patient has an allergy to Amoxicillin but is not currently on any medications. There have been no recent injuries, changes in breast shape or size, nipple discharge, fever, unintentional weight loss, or swelling or redness in the area of pain. No new personal care products have been used that could have caused an allergic reaction, and there is no known family history of breast disease.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are several possibilities for what might be causing your symptoms:

  • Musculoskeletal pain: This is a common cause of localized pain and can occur due to strain, overuse, or minor injuries. This would not typically cause itchiness, however.

    • Treatment usually involves rest, over-the-counter pain relievers, and time to heal.
  • Mastitis or breast infection: This is an infection of the breast tissue that results in breast pain, swelling, warmth and redness, and can also cause flu-like symptoms such as fever and chills. However, you did not report any redness, swelling, or flu-like symptoms.

    • Treatment typically involves antibiotics, and in some cases, drainage of the infected area.
  • Allergic reaction or dermatitis: This could cause both pain and itchiness, but would typically also involve redness or a rash, which you did not report.

    • Treatment involves identifying and avoiding the allergen, and medications to reduce symptoms.
  • Rarely, breast cancer can present as skin changes or pain, but this is not the most common presentation and there are no other signs or symptoms you mentioned that would suggest this. It's important to have regular screenings and to report any changes in your breasts to your doctor.

What you can do

  1. Over-the-counter pain relievers such as ibuprofen or acetaminophen may help with the pain.
  2. A warm or cold compress may also provide some relief.
  3. Avoid scratching the itchy area as this can lead to further irritation or infection. Over-the-counter creams or ointments containing hydrocortisone may help with the itchiness.
  4. Keep the area clean and dry.

What you should look out for

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

  • The pain becomes severe or unbearable
  • You notice a lump in your breast
  • You develop a fever or chills
  • The skin on your breast changes, such as dimpling or puckering
  • You notice any discharge from your nipple

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a doctor. It's important to consult with a healthcare professional who can examine you and provide a formal diagnosis.

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10 mo ago

People Also Ask


What could be causing pain under the armpit and side of the breast without a lump or rash?

Pain under the armpit and side of the breast without a lump or rash could be due to musculoskeletal pain, an allergic reaction, or less commonly, a breast infection. It's important to monitor for any additional symptoms and consult a healthcare provider for a proper diagnosis.


Can endometriosis or adenomyosis cause breast pain or itchiness?

Endometriosis and adenomyosis typically affect the pelvic region and are not directly associated with breast pain or itchiness. However, hormonal changes related to these conditions might indirectly affect breast tissue.


What are the signs that breast pain might be related to a more serious condition like breast cancer?

Signs that breast pain might be related to a more serious condition like breast cancer include the presence of a lump, changes in breast shape or size, skin dimpling or puckering, nipple discharge, and persistent pain that does not resolve. Regular screenings and reporting any changes to a doctor are important.


How can I manage breast pain and itchiness at home?

To manage breast pain and itchiness at home, you can use over-the-counter pain relievers like ibuprofen or acetaminophen, apply warm or cold compresses, and use hydrocortisone cream for itchiness. Keeping the area clean and dry and avoiding scratching can also help.


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