[54F] Experiencing breast pain, swelling, and fatigue

Patient Description

A 54-year-old female presents with a 5-day history of a burning pain in the left breast, rated 6-7 out of 10 in severity, along with moderate tenderness and swelling, making it larger than the right breast. The patient also reports a pink coloration on the top and middle of the affected breast, which has been present for 4 days, and a palpable mass in the left breast. The patient denies any nipple discharge, skin changes, new lumps under the arm, fever, chills, recent injuries, or trauma to the breast. The patient is experiencing fatigue but has no history of chronic illnesses or conditions. The patient's current medications include Estrodiol, Phentermine, Sertraline, and a women's multivitamin. The patient has an allergy to iodine. No other medications or supplements are reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've shared, here are some possible conditions:

  • Mastitis: This is an infection of the breast tissue that results in breast pain, swelling, warmth, and redness. You might also have flu-like symptoms, such as fever and chills.

    • Treatment typically involves antibiotics. In some cases, an abscess might form, which would need to be drained.
  • Inflammatory Breast Cancer: This is a rare type of breast cancer that causes changes to the skin of the breast, such as redness and warmth. Other symptoms include swelling and tenderness, which you've mentioned.

    • Treatment typically involves chemotherapy, followed by surgery and radiation therapy.
  • Breast Abscess: This is a painful collection of pus that forms in the breast. Symptoms can include pain, swelling, and redness.

    • Treatment typically involves draining the abscess, either with a needle or through a small cut in the skin.
  • Breast Cyst: This is a fluid-filled sac within the breast, which can cause a noticeable lump, along with pain and tenderness.

    • Treatment might involve fine-needle aspiration, which removes the fluid and can reduce symptoms.

Please note that these are possibilities based on the symptoms you've shared, and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Given the symptoms you've described, it's important to seek medical attention promptly. Here are some steps you can take:

  1. Schedule an appointment with your primary care provider or a specialist, such as a gynecologist or breast specialist, as soon as possible.
  2. Write down any symptoms you're experiencing, even if they seem unrelated to your current condition.
  3. Make a list of all medications, vitamins, or supplements that you're taking.
  4. Consider bringing a family member or friend along to help you remember the information you're given during your appointment.

What you should look out for

If you notice any of the following symptoms, seek immediate medical attention:

  • A sudden increase in the size of your breast
  • Dimpling on the skin of your breast
  • A newly inverted nipple
  • Peeling, scaling, crusting, or flaking of the skin around your nipple or breast
  • Redness or pitting of the skin over your breast, like the skin of an orange

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 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, and sometimes flu-like symptoms such as fever and chills. Treatment typically involves antibiotics, and in some cases, an abscess may need to be drained.


How can inflammatory breast cancer be distinguished from other breast conditions?

Inflammatory breast cancer is characterized by redness, warmth, swelling, and tenderness of the breast, along with changes to the skin such as dimpling or pitting. It is important to consult a healthcare provider for a proper diagnosis, as these symptoms can overlap with other conditions.


What is a breast abscess and what are the treatment options?

A breast abscess is a painful collection of pus that forms in the breast, often causing pain, swelling, and redness. Treatment usually involves draining the abscess, either with a needle or through a small incision, and sometimes antibiotics are prescribed.


What should I do if I find a lump in my breast?

If you find a lump in your breast, it's important to schedule an appointment with a healthcare provider for evaluation. They may perform a physical exam, imaging tests, or a biopsy to determine the nature of the lump and recommend appropriate treatment.


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