Brief Answer:
Gynaecomastia needs evaluation

Detailed Answer:
Hello and welcome to HealthcareMagic..
I thank you for posting your query here...

I will analyze your question..
Let me tell you that I have read your question completely and have understood it well enough..

Please note..

1. Sore nipples in men is due to many causes most importantly
A. Specific drug intake
B. Hormonal imbalance
C. Sign of malignancy especially in elderly male..
D. Infection..

We have to gain other history and clinical examination is must..
Because most of the times it will be normal and patient feels he's got enlarged breasts.

But if breast tissue is painful, I suggest to get a Soft tissue scan.
This will help us to come to the diagnosis and we can treat based on that..

Please, get back to me in case you have further questions..
I will be happy to help..
Or, you can close the question and rate..
Take care and God will bless you..

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