[46F] With painful lumps in left breast and armpit
Patient Description
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Arora's Assessment
What might be happening
Based on the information you've provided, here are some possible explanations for your symptoms:
1. Breast Infection (Mastitis)
- Rationale: The sudden onset of a painful, hard lump with redness could indicate an infection in the breast tissue, known as mastitis. This is more common in breastfeeding women but can occur in others as well.
- Typical Treatments: Antibiotics are usually prescribed to treat the infection. Warm compresses and over-the-counter pain relievers can also help alleviate symptoms.
2. Breast Abscess
- Rationale: If an infection is left untreated, it can lead to an abscess, which is a collection of pus. This could explain the hard, painful lump.
- Typical Treatments: Treatment often involves antibiotics and drainage of the abscess, either through needle aspiration or surgical drainage.
3. Lymphadenopathy
- Rationale: The lump in your armpit could be an enlarged lymph node, which can occur due to infections, inflammation, or more serious conditions like cancer.
- Typical Treatments: Treatment depends on the underlying cause. If it's due to an infection, antibiotics may be prescribed. If cancer is suspected, further diagnostic tests like a biopsy may be needed.
4. Breast Cancer
- Rationale: Given your family history of cancer and the presence of a hard, painful lump, breast cancer cannot be ruled out. The redness and rapid growth are concerning signs that warrant immediate medical attention.
- Typical Treatments: Diagnostic tests such as a mammogram, ultrasound, or biopsy are essential to determine if the lump is cancerous. Treatment options vary widely and may include surgery, radiation, chemotherapy, or targeted therapies.
What you can do
Immediate Steps
- Seek Medical Attention: Given the severity and rapid progression of your symptoms, it's crucial to see a healthcare provider as soon as possible. They will likely perform diagnostic tests to determine the cause of the lumps.
- Monitor Symptoms: Keep a detailed record of any changes in the size, shape, or pain level of the lumps. Note any new symptoms that may arise.
At Home
- Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain. Follow the dosage instructions carefully.
- Warm Compresses: Applying a warm compress to the affected area can help alleviate pain and reduce swelling.
- Avoid Irritants: Refrain from using deodorants or lotions that could irritate the skin further.
Using MDandMe
- Journal Your Symptoms: Use the MDandMe app to track your symptoms, including the size and pain level of the lumps, any redness, and other associated symptoms.
- Share with Your Provider: The app allows you to share your symptom journal and medical history with your healthcare provider, which can be helpful for diagnosis and treatment planning.
What you should look out for
Given the potential seriousness of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:
- Rapid Growth: If the lumps continue to grow quickly.
- Increased Pain: If the pain becomes unbearable or significantly worse.
- Fever: If you develop a fever, which could indicate an infection.
- Nipple Changes: Any changes in the nipple, such as discharge or inversion.
- Systemic Symptoms: Unexplained weight loss, severe fatigue, or night sweats.
Remember, while I can provide information and suggestions, it's essential to consult a healthcare professional for a formal diagnosis and appropriate treatment.
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5 mo ago