[44F] Experiencing breast tenderness and ovarian pain

Patient Description

A 44-year-old female presents with symptoms of swollen, lumpy, sore, and warm breasts, lower to mid back pain, and sharp pain and cramps in the ovaries, particularly on the lower left side. The ovarian pain has persisted for about 8 days, with an intensity of 6-7 out of 10, while the breast tenderness is rated at a 4 out of 10 and is exacerbated by touch. The patient has a history of a lumpectomy and biopsy performed approximately 7 months ago due to a diagnosis of precancer. She is currently taking Topamax (25 mg twice daily), Methadone (100 mg once daily), and Lamasil (once daily), and reports an allergy to Keflex. No fever, chills, unusual nipple discharge, changes in menstrual cycle, nausea, or vomiting have been reported. There is no mention of recent injuries, and the patient has been following up post-lumpectomy. No other pre-existing conditions or chronic illnesses have been noted.

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Arora's Assessment

What might be happening

Based on the information provided, possible explanations for your symptoms include:

  • Mastitis: This is an infection of the breast tissue that results in breast pain, swelling, warmth and redness. It can also cause flu-like symptoms such as fever and chills, but you have not reported these. Mastitis most commonly affects women who are breast-feeding, but it can happen in any woman.

    • Treatment typically involves antibiotics, pain relievers and home remedies like warm compresses and drinking plenty of fluids.
  • Hormonal fluctuations: Hormonal changes can cause breast tenderness and swelling, especially during certain times in your menstrual cycle. However, this would not typically cause your breasts to feel hot to the touch.

    • Treatment can include over-the-counter pain relievers and lifestyle changes like reducing caffeine and salt intake.
  • Ovarian cyst: Given your history of ovarian cysts and the sharp, cramp-like pain you're experiencing in your lower left side, it's possible you have another ovarian cyst. These are fluid-filled sacs that form on the ovaries and are generally harmless, but can cause pain if they rupture or twist.

    • Treatment can range from watchful waiting to medication or surgery, depending on the size and severity of the cyst.
  • Musculoskeletal pain: Your back pain could be due to a variety of causes, including muscle strain, poor posture, or underlying conditions like osteoporosis or arthritis.

    • Treatment can include physical therapy, pain relievers, and exercises to strengthen the back muscles.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

You should make an appointment to see your healthcare provider as soon as possible to discuss your symptoms. They may want to do further testing to determine the cause of your symptoms. In the meantime, you can try over-the-counter pain relievers to help manage your pain.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe pain
  • Fever or chills
  • Nausea or vomiting
  • Difficulty breathing or shortness of breath
  • Any other symptoms that concern you

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, diagnosis, and treatment.

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1 yr ago

People Also Ask


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

Mastitis is an infection of the breast tissue that can cause symptoms such as breast pain, swelling, warmth, redness, and sometimes flu-like symptoms like fever and chills. Treatment usually involves antibiotics, pain relievers, and home remedies like warm compresses and staying hydrated.


Can hormonal fluctuations cause breast tenderness and what can be done to alleviate it?

Hormonal fluctuations, especially during certain times in the menstrual cycle, can cause breast tenderness and swelling. To alleviate these symptoms, over-the-counter pain relievers can be used, and lifestyle changes such as reducing caffeine and salt intake may help.


What are ovarian cysts and how are they typically managed?

Ovarian cysts are fluid-filled sacs that form on the ovaries. They are generally harmless but can cause pain if they rupture or twist. Management can range from watchful waiting to medication or surgery, depending on the cyst's size and severity.


What could be the causes of lower to mid back pain and how can it be treated?

Lower to mid back pain can be caused by muscle strain, poor posture, or underlying conditions like osteoporosis or arthritis. Treatment options include physical therapy, pain relievers, and exercises to strengthen the back muscles.


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