Breast Pain: Causes and Concerns for New Mothers

Breast issues

Recently, I have been frequently carrying and holding my child with my left arm, and I often go to bed late at night.
For the past week, I have been experiencing a dull ache in my chest that extends to my armpit (note: it’s not very painful, more like a sore, tingling sensation).
Last night while showering, I noticed that pressing on my left breast and nipple causes a bruised pain.
I would like to ask if these issues are related to carrying and holding my child, or if it could be mastitis, or perhaps a sign that my menstrual period is approaching, or if it’s due to changes in my sleep schedule, or something else concerning.
I am quite anxious and would appreciate your help in addressing my concerns.

Yun, 20~29 year old female. Ask Date: 2020/09/26

Dr. Wu Xianghui reply Obstetrics and Gynecology

It is recommended to visit a breast surgeon for an examination.

Reply Date: 2020/09/26

More Info

Breast pain, particularly in new mothers, can be a multifaceted issue influenced by various factors, including hormonal changes, physical strain, and even lifestyle adjustments. Based on your description, it seems that your breast pain and discomfort may be related to several potential causes.

1. Hormonal Fluctuations: As a new mother, your body is undergoing significant hormonal changes, especially if you are breastfeeding. Hormones such as estrogen and progesterone fluctuate throughout your menstrual cycle and can lead to breast tenderness or pain. This is often more pronounced in the days leading up to your menstrual period, but it can also occur due to the hormonal changes associated with breastfeeding and postpartum recovery.

2. Physical Strain from Carrying Your Child: The act of carrying and holding your child, especially if done predominantly with one arm (in your case, the left), can lead to muscle strain and discomfort in the chest area. This strain can manifest as soreness or a dull ache that may radiate to the armpit. The muscles and connective tissues in the chest can become fatigued or strained from repetitive use, leading to discomfort that may feel like breast pain.

3. Breastfeeding-Related Issues: If you are breastfeeding, it’s essential to consider the possibility of conditions such as mastitis or blocked milk ducts. Mastitis is an infection of the breast tissue that can cause pain, swelling, and sometimes fever. Blocked ducts can also lead to localized pain and tenderness. If you notice any redness, warmth, or swelling in addition to the pain, or if you develop flu-like symptoms, it would be prudent to consult a healthcare provider.

4. Bruising or Trauma: You mentioned experiencing tenderness and a bruised feeling when pressing on your left breast. This could indicate some form of trauma or bruising, possibly from carrying your child or from pressure during sleep. If you have been sleeping in a position that puts pressure on your breast, this could lead to discomfort and a sensation of bruising.

5. Sleep Disruption: Changes in sleep patterns, especially common in new parents, can also contribute to overall discomfort and sensitivity in the body. Lack of sleep can exacerbate pain perception and lead to increased sensitivity in areas that are already strained or tender.

6. When to Seek Medical Attention: While many of these causes are benign and related to normal postpartum changes, it’s essential to monitor your symptoms. If the pain persists, worsens, or is accompanied by other concerning symptoms such as fever, significant swelling, or discharge from the nipple, it would be wise to seek medical evaluation. A healthcare provider can perform a thorough examination and may recommend imaging studies if necessary to rule out any serious conditions.

In summary, the breast pain you are experiencing is likely a combination of hormonal changes, physical strain from carrying your child, and possibly some minor trauma or bruising. It is essential to listen to your body, practice good posture while carrying your child, and ensure you are taking care of yourself during this demanding time. If you have any doubts or if your symptoms change, do not hesitate to reach out to a healthcare professional for personalized advice and reassurance.

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