[42F] Experiencing severe breast pain, swelling, and discharge

Patient Description

A 42-year-old female presents with severe pain, swelling, itchiness, and discharge in her left breast, starting significantly today with itchiness noted for a week prior. She rates the pain as 9 out of 10, worsening upon bending over. Additionally, a lump approximately the size of a quarter, non-mobile, was identified in the same breast, near the bottom left of the nipple. The discharge described is clear and recently started. The patient also reports redness, swelling, and warmth in the affected area, alongside a fever, chills, and a severe headache persisting for the past three days. She experiences migraines, particularly in the past year, characterized by pain behind the right eye, sensitivity to light, nausea, and extreme pain, rating them 8-9 out of 10 in severity. The patient is currently on Suboxone 3mg daily, having switched from Zubsolv last month, with no other medications or known chronic conditions reported.

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Arora's Assessment

What might be happening

Based on the information you provided, here are a few possibilities:

  • Mastitis: This is an infection of the breast tissue that results in breast pain, swelling, warmth, and redness. You might also have fever and chills. Mastitis most commonly affects women who are breast-feeding (lactation mastitis), but it can occur in women who aren't breast-feeding and in men.

    • Treatment typically involves antibiotics, and in some cases, draining the infected area.
  • Breast Abscess: This is a complication of mastitis and involves a collection of pus in the breast tissue. The symptoms are similar to mastitis and there is usually a lump that can be felt.

    • Treatment often involves antibiotics and draining the pus from the abscess.
  • Inflammatory Breast Cancer: This is a rare type of breast cancer that causes symptoms similar to mastitis. It's called inflammatory because the breast often looks swollen and red, or inflamed.

    • Treatment for inflammatory breast cancer usually involves chemotherapy to help shrink the tumor, followed by surgery to remove the tumor, then radiation therapy.

Please note that these are just possibilities and not a definitive diagnosis. It's important to see a healthcare provider for an accurate diagnosis.

What you can do

Given the severity of your symptoms, it's important to seek medical attention as soon as possible. If you can't get an appointment with your primary care doctor, consider going to an urgent care center or the emergency department.

What you should look out for

If your symptoms worsen or if you develop new symptoms such as increased redness or swelling, increased pain, or a high fever, seek medical attention immediately.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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8 mo ago

People Also Ask


What are the common symptoms of mastitis and how is it treated?

Common symptoms of mastitis include breast pain, swelling, warmth, redness, fever, and chills. It is typically treated with antibiotics and sometimes requires draining the infected area.


How can you differentiate between a breast abscess and mastitis?

A breast abscess is a complication of mastitis and involves a collection of pus in the breast tissue, often presenting as a palpable lump. While both conditions share symptoms like pain and swelling, an abscess usually requires drainage in addition to antibiotics.


What are the signs of inflammatory breast cancer and how is it treated?

Inflammatory breast cancer is characterized by symptoms such as swelling, redness, and warmth in the breast, often resembling an infection. Treatment usually involves chemotherapy to shrink the tumor, followed by surgery and radiation therapy.


What should I do if I experience severe breast pain and fever?

If you experience severe breast pain and fever, it is important to seek medical attention immediately. These symptoms could indicate an infection or other serious condition that requires prompt treatment.


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1 Comments


Leo#3962

8 mo ago

I work with multiple breast doctors at a major hospital in Boston. Based on what you're saying it's likely that this is an infection rather than a cancer, but all the same the infection could spread and become dangerous or life-threatening. You should try to see a doctor as soon as possible to see if you need antibiotics and possibly drainage/removal of the lump. Given that you also have a fever and chills, which suggests a whole-body reaction, please go to the emergency room.

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