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Painful lump under left breast post injury - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
User :   I have a pain full lump behind my left nipple that does not seem to go away i am a 35 year old male, should i get it checked out?
Doctor :   hi
User :   Hi
Doctor :   Dr. XXXXXXXX here. let me read what you have typed.
Doctor :   is the breast size different on both sides?
Doctor :   is there any discharge associated on the left side?
User :   no the same size, i only noticed it when my son jumped on me, i had a shooting pain, i then felt it and there was a lump there.
Doctor :   is there any discharge associated on the left side?
User :   no, i would have to say that it is prob slightly to the left side of the nipple.
Doctor :   ok. so do you mean to say that the lump is not directly under the left nipple?
User :   yep
Doctor :   ok. Then it could be due to the injury.
Doctor :   is there any change in the skin texture or color over the lump?
Doctor :   does it pain when touched?
Doctor :   does the pain increase when you move your left arm?
User :   i dont think so that was 2 months ago and my sons only 20 months old, yes there is a slight pain when i touch it, no pain when moving my left arm.
Doctor :   have you tried applying topical medications? or taken any tablets for lump?
User :   none at all, it really does not bother me day to day, its only if it takes a knock when my son stands on my chest or is playing around and knocks me
Doctor :   ok.
Doctor :   i would suggest you to get it examined once by your doctor to rule out any inflammatory swelling due to teh last injury
Doctor :   the recurrent hurt over it can make it persistent
Doctor :   apply topical analgesic cream for immediate relief, or take Tab Motrin 2 times a day when pain increases.
User :   no probs, thank you
Doctor :   have you followed what I have said?
User :   yes i will see my docter, i dont think its anything to do with the knock i had of my son, because the lump was immediate, and has not gone away the knock just brought it to my attention
Doctor :   ok.
Doctor :   i can understand that. the immediate hurt could have caused the first appearance of the lump and the pain
Doctor :   the recurrent injuries over it will make it persistent
Doctor :   and it will not go away.
Doctor :   is there anything else I can help you with?
User :   its not like a swelling doc more of a hard small lump
Doctor :   ok. then I would advise you to examine both the breast once again, this time focus on the part below the nipples
Doctor :   what you need to do is try to hold the tissue below your breast between thumb and index finger
Doctor :   and look and feel for any difference in size and intensity of pain/discomfort.
Doctor :   if the size remains the same on both sides, then you do need to worry, if the size differs, then the examination by your doctor would be necessary
Doctor :   you can go ahead with taking Motrin tablets as suggested for the discomfort that you have after getting knocked over it.
Doctor :   have you followed what I have said so far?
User :   yes its to the left of my nipple, about the size of a marble and is wider than it is long, i think
Doctor :   ok. did you compare with the right side?
User :   yes, nothing there.
Doctor :   ok. then it will need to be examined to make sure that there is nothing serious
User :   thanks you have been very helpful doc, will get an appointment with my Doc.
Doctor :   sure. is there anything else I can help you with?
User :   no thanks
Doctor :   please get back to me if you have further queries.
User :   no probs
Doctor :   thanks for consulting me. Bye for now.
User :   bye
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