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What causes breast pain and tenderness in a person with cysts in the breasts and costochondritis?

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Posted on Tue, 20 Nov 2018
Question: Hello I am a 45 yr old women who has been experiwnceing breast ache since yesterday i do suffer from cysts in the breasts and fybromyalgia and costochondritis Ans muscle spasms I have had a complete cardiac work up done in December 2017 all is normal normal blood pressure quit smoking 11 months ago have put on 8 pds currently started low impact like walking just wondering if u can perhaps shed some light and maybe what I should request for test
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Answered by Dr. Panagiotis Zografakis (25 minutes later)
Brief Answer:

Clinical examination may help.

Detailed Answer:

Hello!

You haven't provide much clinical information about your symptom. Please answer the following questions being as descriptive as you can...
(1) Where is the location of the pain exactly? Does it radiate somewhere else?
(2) Is there anything that makes the pain reappear or get worse (like moving or lifting weights or anything)
(3) Is there anything that makes the pain go away partially or completely?
(4) Are there any associated symptoms (nausea, vomiting, cold sweating, etc)?
(5) Please say more about your medical history like diagnosed disorders and drugs.

I'll be waiting for your input...

Regards,

Dr. Panagiotis Zografakis,
Internal Medicine Specialist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (43 minutes later)
Hello
The ache is in the left breast near the nipple it comes and goes if I touch that area if move my left arm sometimes I feel a pull it is tender movement doesn’t really affect it no nausea or sweats I have not seen a dr yet
doctor
Answered by Dr. Panagiotis Zografakis (58 minutes later)
Brief Answer:

Clinical examination will help to clarify this issue.

Detailed Answer:

Hello!

Thanks for the additional information!

Breast pain or tenderness can be caused by hormonal fluctuations during the menstrual cycle (I'm sure you're familiar with it) but it may also become painful due to inflammation.

Inflammation usually means that a cyst has become infected for example. Very rarely - too rare to seriously consider - it may be the presenting symptom of a malignancy.

Your doctor may detect signs of inflammation with clinical examination.

Radiological tests can be helpful here. Both an ultrasound scan and an X-ray of the breasts (mammography) may detect the source of pain (but sometimes they don't).

An enlarged maxillary lymph node may be a sign of inflammation too.

So in conclusion, clinical examination data is crucial for the diagnosis. Certain tests (X-rays and Ultrasound scan) may help.

Hope I have answered your question.

Take care,

Dr. Panagiotis Zografakis,
Internal Medicine Specialist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3801 Questions

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What causes breast pain and tenderness in a person with cysts in the breasts and costochondritis?

Brief Answer: Clinical examination may help. Detailed Answer: Hello! You haven't provide much clinical information about your symptom. Please answer the following questions being as descriptive as you can... (1) Where is the location of the pain exactly? Does it radiate somewhere else? (2) Is there anything that makes the pain reappear or get worse (like moving or lifting weights or anything) (3) Is there anything that makes the pain go away partially or completely? (4) Are there any associated symptoms (nausea, vomiting, cold sweating, etc)? (5) Please say more about your medical history like diagnosed disorders and drugs. I'll be waiting for your input... Regards, Dr. Panagiotis Zografakis, Internal Medicine Specialist