Is this your symptom?
- Breast pain, swelling or lump(s)
- Change in appearance or feel of the breast or nipple
- Discharge or bleeding from the nipple
Causes of Breast Symptoms
- Breast lump: may be a fibroadenoma (not cancer), fluid filled cyst (not cancer) or cancer
- Nipple discharge: can be milk, blood, pus or clear fluid
- Infection: short term breast pain with redness on one side
- Pregnancy: short term breast pain and full-feeling without redness on both sides
- Cyclic Mastalgia: repeat breast pain with menstrual cycles. See more info below.
- Shingles(nerve pain from past chickenpox) in the upper chest area
- Fibroadenoma, cyst or marijuana use: long-term breast pain on one side. Not related to menstrual periods.
Cyclical Breast Pain and Swelling(with menstrual cycles)
- Caused by extra body fluid from female hormone cycles
- Mainly noticed in the week before menstrual periods
- Gets better during menstrual periods and goes away between periods
- Often begins 2 years after periods start
- Other symptoms are headache and swollen feet
- Treatment:
- Ibuprofen
- Support bra
- Exercise
- Getting enough sleep
- Birth control pills
Causes of Breast Lumps; Most are Not Dangerous
- Cysts are round, smooth and hard lumps. Common in women older than 35 years. Less common after menopause. They can be different sizes and change size during your period. Most go away on their own. If they are large and/or painful, a doctor might be able to drain fluid from the cyst. Always see a doctor if you find a lump.
- Fibroadenomas / Fibrocystic Breast Disease causes lumps in the breasts. These are not cancer. The lumps can be moved and do not hurt when touched. Common in young women in their early 20s. Always see a doctor if you find a lump.
- Injury to the Breast can cause bad bruising that forms a lump.
- Mastitis (breast infection) happens in a collection of fluid in the breast or in the breast tissue itself. It can cause an abscess (pocket of pus) to form. The area will likely be red, warm, swollen and painful to touch. Most common in breast-feeding women. You may have a fever, chills and feel sick. You do not need to stop breast feeding if you have this infection. Ask your doctor if an antibiotic is needed.
- Breast Cancer
can happen in men and women. Lumps may feel hard or different that the rest of the breast. They can be odd shaped, red or dimpled. Often not painful. Always see your doctor if you find a lump. Many breast cancers can be treated if found early. Common symptoms can include:
- Lump in the breast or underarm
- Dimpling or puckering of the skin
- Thicker skin, like an orange peel texture
- Rash around nipple
- Hard nipple
- Nipple that is pulled in
- Nipple leaks fluid
- Different looking breasts
- Paget's Disease of the Breast is a rare form of breast cancer. Most common in women older than 50 years. Early signs are red, dry and flaky nipple. Nipple may leak bloody fluid. Nipple becomes flattened or drawn in. The area under the nipple may feel thick or lumpy. Cancer can spread to other parts of the breast.
Causes and Risk Factors of Breast Cancer
The causes of breast cancer are not fully known. These may raise your risk:
- Older age
- Someone in your family had breast cancer
- You had breast cancer in the past
- Having lumps that were not cancer in the past
- Being tall or overweight
- Drinking alcohol
Non-Cyclical Breast Pain
- This pain is not related to periods
- Infection / Mastitis in the breast tissue. It can occur within the breast or could follow an injury or insect bite. There may be redness and or a lump with the infection. An abscess may also form which need drainage.
- Chest wall pain from the muscles, breastbone and ribs that lies beneath the breast tissue. The pain and tenderness may feel like breast pain.
- Breast changes with pregnancy and breastfeeding
- Shingles may cause breast pain, tingling and burning before the rash appears. The rash is also very painful.
- Fluid filled cysts can cause breast pain, but it is unusual for breast cancer to cause pain without there being a lump.
- Enlarged Breasts in Men is not serious and may go away on its own. One or both breasts may grow due to hormone changes, other health problems, street drugs or alcohol. It can affect the male breasts unevenly, so one breast can be larger than the other. The breast tissue may be painful. Can happen at any age.
When to Call for Breast Symptoms
Go to ER Now
Call Doctor or Seek Care Now
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Contact Doctor Within 24 Hours
Contact Doctor During Office Hours
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Self Care at Home
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Go to ER Now
- Breast injury from assault or an accident, such as a fall or car crash
Call Doctor or Seek Care Now
- Breast is painful to touch
- Fever and red area or red lump
- Nipple discharge that is pus (thick green or yellow) or bloody
- You feel weak or very sick
- You think you need to be seen, and the problem is urgent
Contact Doctor Within 24 Hours
- Red area or red lump without fever
- Breast implants have changed in size or causing pain
- You think you need to be seen, but the problem is not urgent
Contact Doctor During Office Hours
- Other breast lumps
- Changes to the nipple - crusting, flaking, discharge, nipple drawn in (inverted) or flattened
- Could be pregnant (breast fullness/tenderness and missed menstrual period)
- Change in shape or appearance of breast
- Change in the skin on the breast - puckering, dimpling, pitting
- Nipple discharge that is clear or milky (except just after you had a baby)
- Breast pain and cause is unknown (not just before your period or with vigorous exercise)
- Red, moist, raw skin underneath breasts (in women with larger breasts)
- You have other questions or concerns
Self Care at Home
- Breast pain in both breasts occurs monthly before menstrual periods
- Breast pain after exercise
- Breasts are not the same size, questions about (normal breast asymmetry)
Care Advice for Stomach Pain
What You Should Know About Stomach Pain:
- Mild stomach pain can be caused by something simple. It could be from gas pains or eating too much.
- Sometimes, stomach pain signals the start of a viral infection. This will lead to vomiting or loose stools.
- Watching your child for 2 hours will help tell you the cause.
- Here is some care advice that should help.
Lie Down:
- Have your child lie down and rest until feeling better.
Clear Fluids:
- Offer clear fluids only (such as water, flat soft drinks or half-strength Gatorade).
- For mild pain, offer a regular diet.
Prepare for Vomiting:
- Keep a vomiting pan handy.
- Younger children often talk about stomach pain when they have nausea. Nausea is the sick stomach feeling that comes before they throw up.
Pass a Stool:
- Have your child sit on the toilet and try to pass a stool.
- This may help if the pain is from constipation or diarrhea.
- Note: for constipation, moving a warm wet cotton ball on the anus may help.
Do Not Give Medicines:
- Any drug (like ibuprofen) could upset the stomach and make the pain worse.
- Do not give any pain medicines or laxatives for stomach cramps.
- For fever higher than 102° F (39° C), acetaminophen (such as Tylenol) can be given.
What to Expect:
- With harmless causes, the pain is most often better or gone in 2 hours.
- With stomach flu, belly cramps may happen before each bout of vomiting or diarrhea. These cramps may come and go for a few days.
- With serious causes (such as appendicitis), the pain worsens and becomes constant.
Call Your Doctor If:
- Pain becomes severe
- Constant pain lasts more than 2 hours
- Mild pain that comes and goes lasts more than 24 hours
- You think your child needs to be seen
- Your child becomes worse
Extra Help - Worried Stomach:
- Help your child talk about events that trigger the stomach pain. Talk to your child about how to cope with these the next time around.
- Help your child worry less about things she can't control.
- To treat the pain, help your child get very relaxed. Lying down in a quiet place and taking slow deep breaths may help. Make the belly go up and down with each breath. Then try to relax all the muscles in the body. Think about something pleasant. Listening to audios that teach how to relax might also help.
- Make sure your child gets enough sleep.
- Make sure that your child doesn't miss any school because of stomach pains. Stressed children tend to want to stay home when the going gets rough.
- Caution: your child should see her doctor for an exam. Do this before concluding frequent stomach pains are from worrying too much.

