Painful Lump Under Nipple: What Could It Be? - Breast and Thyroid

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The presence of a painful lump under the nipple, especially in a male, can be concerning and warrants careful consideration. While I cannot provide a definitive diagnosis without a physical examination and further medical history, I can outline some potential causes and the steps you should take.

One of the most common causes of a lump under the nipple in males is a condition known as gynecomastia. Gynecomastia is characterized by the enlargement of breast tissue in males, which can sometimes present as a firm lump beneath the nipple. This condition can be caused by hormonal imbalances, particularly an increase in estrogen or a decrease in testosterone. Other factors that can contribute to gynecomastia include certain medications (like anti-androgens, anabolic steroids, or some antidepressants), health conditions (such as liver or kidney disease), and lifestyle factors (like obesity).

Another possibility is a benign cyst or fibroadenoma, which are non-cancerous lumps that can develop in breast tissue. These lumps can be painful and may fluctuate in size. In some cases, they can become tender, especially if they are inflamed or infected.

In rare cases, a lump under the nipple could indicate a more serious condition, such as male breast cancer. Although breast cancer is significantly less common in men than in women, it can occur, and any new lump should be evaluated by a healthcare professional.

Given that the lump is painful and you have noticed it recently, it is important to take the following steps:
1. Consult a Healthcare Provider: Schedule an appointment with a doctor, preferably one who specializes in breast health or urology. They will perform a physical examination and may order imaging tests, such as an ultrasound or mammogram, to assess the lump further.

2. Provide a Detailed History: Be prepared to discuss any other symptoms you may be experiencing, your medical history, any medications you are taking, and any recent changes in your health or lifestyle.

3. Follow-Up Tests: Depending on the initial examination, your doctor may recommend further tests, such as blood tests to check hormone levels or a biopsy if there is any concern about the nature of the lump.

4. Monitor Symptoms: Keep track of any changes in the lump, such as changes in size, shape, or pain level, and report these to your doctor.

5. Avoid Self-Diagnosis: While it is helpful to gather information, avoid jumping to conclusions based on online research. Each case is unique, and only a healthcare professional can provide an accurate diagnosis.

In summary, while a painful lump under the nipple can have several benign causes, it is essential to seek medical advice to rule out any serious conditions. Early evaluation and intervention can lead to better outcomes and peace of mind. Remember, your health is paramount, and addressing concerns promptly is always the best course of action.