Breast Pain: 10 Possible Causes & When to See a Doctor
Breast Pain: 10 Possible Causes & When to See a Doctor
Breast pain (mastalgia) is a common concern among women, and while it is usually not a sign of serious illness, persistent pain may require medical attention.
At Indrayani Multispeciality Hospital, Charholi, Pune, Dr. Pravin Sumbe & Dr. Priyanka Sumbe specialize in women's health, offering expert diagnosis and treatment for various breast-related conditions.
1. Hormonal Changes & Breast Pain
Cause:
Hormonal fluctuations before your menstrual period can lead to swelling and tenderness.
Breast soreness may continue during early pregnancy due to increased estrogen and progesterone levels.
What You Can Do:
- Reduce caffeine and salt intake
- Maintain a low-fat diet
- Consider switching birth control methods (consult your doctor)
- Take an over-the-counter pain reliever if needed
2. Breast Injury or Trauma
Breasts can suffer bruising or internal damage from accidents, sports injuries, or surgery.
Seek medical attention if you notice:
- Severe swelling or persistent pain
- A lump forming at the injury site
- Signs of infection (redness, warmth, pus)
3. Poorly Fitted Bras & Breast Discomfort
A lack of proper support can strain breast ligaments, causing pain, especially during physical activity.
Solution: Wear a properly sized, supportive bra, particularly during workouts.
4. Breastfeeding & Breast Pain
Breastfeeding may cause discomfort due to:
- Improper latch (baby's suction technique)
- Nipple dryness, cracks, or infections
- Mastitis (breast infection)
Tip: If you experience severe nipple pain, redness, or fever, consult a lactation specialist or doctor.
5. Breast Infections (Mastitis)
Symptoms include:
- Pain and swelling in one breast
- Redness and warmth
- Fever
Treatment:
- Antibiotics (if bacterial infection is present)
- Pain relievers to reduce discomfort
6. Medication Side Effects
Certain medications can cause breast pain, including:
- Birth control pills and hormone therapy
- Diuretics (water pills) used for blood pressure
- Mental health medications (chlorpromazine)
Tip: If you suspect a medication is causing pain, discuss alternatives with your doctor.
7. Breast Cysts
If a sudden, tender lump appears, it may be a fluid-filled cyst. While harmless, all lumps should be evaluated by a doctor.
Diagnostic Tests:
- Ultrasound or mammogram
- Fluid drainage (aspiration) if the cyst is painful
8. Breast Implant Complications
Women with breast implants may experience capsular contracture (scar tissue tightening) or implant rupture, leading to pain.
Solution: If you have persistent discomfort after breast augmentation, consult your surgeon for an evaluation.
9. Chest Wall Pain (Not True Breast Pain)
Pain that feels like it's in the breast may actually be from the chest wall, caused by:
- Muscle strain
- Inflammation of the ribs (costochondritis)
- Chest trauma or fractures
Tip: If pain worsens when pressing on your chest, it may not be related to the breast tissue itself.
10. Could Breast Pain Be Cancer?
While breast cancer rarely causes pain, inflammatory breast cancer (IBC) may present symptoms such as:
- Redness, swelling, or warmth
- Skin thickening or dimpling
If you experience these symptoms, consult a doctor immediately.
When to See a Doctor
- Pain lasts more than two weeks
- Lump, swelling, or skin changes
- Fever, redness, or discharge from the nipple
Book an Appointment at Indrayani Multispeciality Hospital, Charholi, Pune
Location: Charholi, Pune
Contact: +91 8424006872