[41F] With breast tenderness and increased appetite

Patient Description

A 42-year-old female reports experiencing constant breast tenderness for almost two months, rated as 8 out of 10 in severity, primarily in the outer region of the breasts. The tenderness does not improve with any specific activity or rest. The patient also notes an increased appetite and is currently four days late for her menstrual period. There have been no changes in the color, appearance, size, or shape of the breasts, and no nipple discharge has been observed. The patient is currently taking Seroquel (125mg at bedtime) and Buspirone (15mg three times a day). She reports that these medications are not effectively managing her symptoms and that Seroquel causes significant morning drowsiness. No known drug allergies and no other medications or supplements are being taken.

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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:

  • Pregnancy: Given that you are four days late for your period and experiencing breast tenderness and increased appetite, pregnancy is a potential cause. Early pregnancy symptoms often include missed periods, breast tenderness, and increased hunger.

    • Testing: A home pregnancy test can help determine if you are pregnant. If positive, follow up with a healthcare provider for confirmation and prenatal care.
  • Hormonal Changes: Hormonal fluctuations, particularly around the time of your menstrual cycle, can cause breast tenderness and changes in appetite. This can occur even if your period is late.

    • Treatment: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage breast tenderness. Warm compresses and supportive bras may also provide relief.
  • Medication Side Effects: Both Buspirone and Seroquel can have side effects, although breast tenderness is not commonly associated with these medications. However, they can affect your overall hormonal balance and appetite.

    • Consultation: Discuss your symptoms with your healthcare provider to see if your medications could be contributing to your symptoms. They may adjust your dosage or switch medications if necessary.

What you can do

  1. Take a Pregnancy Test: Given your missed period and other symptoms, taking a home pregnancy test can help determine if you are pregnant.
  2. Manage Breast Tenderness: Use over-the-counter pain relievers, warm compresses, and supportive bras to alleviate breast tenderness.
  3. Monitor Your Symptoms: Keep track of your symptoms and any changes in your menstrual cycle. This information will be useful for your healthcare provider.
  4. Consult Your Doctor: Discuss your symptoms and medication side effects with your healthcare provider. They can provide a more accurate diagnosis and adjust your treatment plan if necessary.

What you should look out for

  • Persistent or Worsening Symptoms: If your breast tenderness or other symptoms worsen or do not improve, consult your healthcare provider.
  • New Symptoms: If you develop new symptoms such as nipple discharge, significant changes in breast size or shape, or severe pain, seek medical attention.
  • Positive Pregnancy Test: If you take a pregnancy test and it is positive, schedule an appointment with your healthcare provider for prenatal care.

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult with a healthcare provider to receive a formal diagnosis and appropriate treatment.

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11 mo ago

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People Also Ask


Can breast tenderness be a sign of pregnancy?

Yes, breast tenderness can be an early sign of pregnancy, along with other symptoms like a missed period and increased appetite. Taking a home pregnancy test can help determine if you are pregnant.


What are some common causes of breast tenderness?

Common causes of breast tenderness include hormonal changes related to the menstrual cycle, pregnancy, and sometimes side effects from medications. Stress and dietary factors can also contribute.


How can I manage breast tenderness at home?

To manage breast tenderness at home, you can use over-the-counter pain relievers like ibuprofen or acetaminophen, apply warm compresses, and wear supportive bras to alleviate discomfort.


Could my medications be causing my symptoms?

While breast tenderness is not a common side effect of Seroquel or Buspirone, these medications can affect hormonal balance and appetite. It's important to discuss your symptoms with your healthcare provider to determine if your medications might be contributing to your symptoms.


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