Painful Right Areola: Causes and When to Seek Medical Attention

There is some pain when touching the right areola?

Hello doctor, recently I've been experiencing some pain when touching the area around my right areola.
I'm not quite sure if there's a lump, as it's not very noticeable.
Additionally, my nipple has slightly inverted, but it returns to normal after touching it.
This has been going on for over a week.
Could this be inflammation or something else?

lucas, 10~19 year old female. Ask Date: 2020/03/30

Dr. Li Zhonghuai reply Surgery

Hello! It is recommended to visit a general surgery clinic for your safety.
Changhua Hospital cares about you!

Reply Date: 2020/03/30

More Info

When experiencing pain in the right areola, especially with accompanying changes such as a slightly inverted nipple and potential lumps, it is essential to approach the situation with caution. The areola is the pigmented area surrounding the nipple, and any changes or discomfort in this area can be concerning.
There are several potential causes for areolar pain, including hormonal changes, infections, cysts, or even more serious conditions such as breast cancer. Hormonal fluctuations, particularly those related to the menstrual cycle, can lead to tenderness and changes in breast tissue. This is often benign and resolves on its own. However, if the pain persists or worsens, it is crucial to investigate further.

Infections, such as mastitis, can occur, especially in breastfeeding women. Mastitis typically presents with localized pain, swelling, redness, and sometimes fever. If you suspect an infection, it is vital to seek medical attention promptly to receive appropriate treatment, which may include antibiotics.

Cysts or fibroadenomas, which are benign lumps in the breast tissue, can also cause discomfort. These are usually not serious but should be evaluated by a healthcare provider to confirm their nature and ensure they are not causing any complications.

The change in your nipple's appearance, particularly if it becomes inverted or if you notice any discharge, should not be overlooked. While temporary changes can occur, persistent alterations in the nipple's shape or texture warrant further evaluation.
Given that your symptoms have persisted for over a week, it is advisable to seek medical attention. A healthcare provider will likely perform a physical examination and may recommend imaging studies, such as a mammogram or ultrasound, to assess the breast tissue more thoroughly. These tests can help rule out any serious conditions and provide peace of mind.

In summary, while there can be benign explanations for areolar pain, the combination of symptoms you described—pain, potential lumps, and changes in the nipple—suggests that a medical evaluation is warranted. Early assessment is crucial in identifying any underlying issues and ensuring appropriate management. Do not hesitate to reach out to a healthcare professional for guidance and support.

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