Red Bump on Areola: When to See a Doctor for Painful Symptoms

There is a lump on the edge of the areola?

Hello doctor, I recently noticed a red, swollen, bean-shaped lump on my areola that is painful to the touch.
Which specialty should I consult?

Niming, 10~19 year old female. Ask Date: 2016/06/21

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, I recommend that you consult a breast surgeon for an examination.
Thank you! Wishing you peace and health, Dr.
Chang.

Reply Date: 2016/06/21

More Info

When it comes to a red bump on the areola that is painful to the touch, it is important to take this symptom seriously. The areola is the pigmented area surrounding the nipple, and any changes in this area, especially those that involve pain, redness, or swelling, should be evaluated by a healthcare professional.
In your case, the first step would be to see a primary care physician or a dermatologist. These specialists are well-equipped to assess skin-related issues, including those affecting the breast area. A dermatologist specializes in skin conditions and can provide a thorough examination of the bump to determine its nature. They can also rule out common conditions such as folliculitis, which is an inflammation of the hair follicles, or other benign skin lesions.
If the bump is accompanied by other symptoms such as discharge from the nipple, changes in the appearance of the breast, or if you have a history of breast issues, it may be advisable to see a breast specialist or a gynecologist. These specialists can perform a more comprehensive evaluation, including imaging studies like a mammogram or ultrasound if necessary, to rule out any serious conditions such as infections or tumors.

Painful symptoms associated with a bump on the areola can arise from various causes, including:
1. Infections: Conditions like mastitis, which is an infection of the breast tissue, can cause redness, swelling, and pain. This is more common in breastfeeding women but can occur in others as well.

2. Cysts or Abscesses: A sebaceous cyst or an abscess can form in the breast tissue, leading to a painful, swollen area. These may require drainage or other treatment.

3. Folliculitis: This is an inflammation of the hair follicles that can occur anywhere on the body, including the areola. It can cause red, painful bumps.

4. Skin Conditions: Conditions such as eczema or psoriasis can also affect the areola, leading to redness and discomfort.

5. Paget's Disease of the Nipple: This is a rare form of breast cancer that can present as a red, scaly rash on the nipple and areola. It is crucial to rule this out, especially if the bump persists or worsens.

In any case, it is essential to avoid self-diagnosing and to seek professional medical advice. Early evaluation and treatment can prevent potential complications and provide peace of mind.
In summary, if you notice a painful red bump on your areola, it is advisable to consult with a primary care physician or a dermatologist first. Depending on the findings, you may be referred to a specialist for further evaluation. Remember, timely medical attention is key to addressing any health concerns effectively.

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