Left Breast Pain: Causes, Concerns, and Treatments - Pulmonology

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Left breast pain?


Doctor, for the past two to three days, I've been experiencing intermittent sharp pain in my left breast.
I've tried searching online but couldn't find a clear answer.
I've also taken pain medication for neuropathy (600 mg of Ibuprofen) and my current guess is that it might be a symptom related to my menstrual cycle (even though I've never experienced this before).
Alternatively, it could be related to my anxiety disorder (I've seen a doctor and I'm currently taking medications like Escitalopram, Lithium, and Lamotrigine), which might be causing issues with my autonomic nervous system.
A few months ago, I frequently went to the hospital for chest X-rays, and everything was fine, but I'm still worried that I might have a serious illness like breast cancer.
I live in constant fear of dying at any moment, and it's very distressing.

Yao, 20~29 year old female. Ask Date: 2020/11/21

Dr. Lu Mingzhi reply Pulmonology


Hello: You have already undergone an X-ray, which showed no abnormalities, essentially ruling out the possibility of lung issues.
It is recommended that you arrange for cardiac-related examinations (such as an electrocardiogram or echocardiogram) to rule out the possibility of heart disease.
You may also consider scheduling a detailed examination with a breast surgeon or in obstetrics and gynecology for potential breast conditions.

Reply Date: 2020/11/21

More Info


Understanding left breast pain can be a complex issue, as it can arise from a variety of causes, both physical and psychological. Based on the symptoms you've described, it seems that your left breast pain may be linked to several factors, including hormonal changes, anxiety, and possibly musculoskeletal issues.

Firstly, breast pain, or mastalgia, is a common condition that many women experience at some point in their lives. It can be cyclical, often related to the menstrual cycle due to hormonal fluctuations, or it can be non-cyclical, which may be associated with other factors such as stress or injury. Given that you mentioned the pain occurs in conjunction with your menstrual cycle, it is plausible that hormonal changes could be contributing to your symptoms. Hormones such as estrogen and progesterone can cause breast tissue to swell and become tender, leading to discomfort.

Additionally, your mention of anxiety and the medications you are taking for it could also play a significant role in your experience of pain. Anxiety can manifest physically in various ways, including muscle tension and heightened sensitivity to pain. The fear of serious conditions like breast cancer can exacerbate anxiety, leading to a cycle of worry and increased perception of pain. It's important to address both the physical and psychological aspects of your symptoms.

You also noted that you have previously undergone imaging studies, including chest X-rays, which did not reveal any significant issues. This is reassuring, as it suggests that there are no immediate concerns such as tumors or infections. However, if the pain persists or worsens, it may be beneficial to consult a breast specialist or undergo further evaluation, such as a breast ultrasound or MRI, to rule out any underlying conditions.

In terms of treatment, since you have already tried pain relief medications, consider non-pharmacological approaches as well. Techniques such as heat therapy, gentle massage, and relaxation exercises can help alleviate discomfort. Additionally, lifestyle modifications, including regular exercise, a balanced diet, and stress management techniques such as mindfulness or cognitive-behavioral therapy, may also be beneficial in managing both anxiety and breast pain.

If you find that your symptoms are significantly impacting your quality of life, it may be worthwhile to discuss your concerns with your healthcare provider. They can help you explore additional treatment options, including therapy for anxiety, which may help reduce the physical manifestations of your stress.

In summary, while left breast pain can be concerning, it is often related to benign causes such as hormonal changes or anxiety. Continuing to monitor your symptoms and maintaining open communication with your healthcare providers will be key in managing your health and alleviating your fears. Remember, it’s essential to take care of both your physical and mental well-being, as they are closely interconnected.

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