Painful Nodules Around the Areola: When to Seek Help

Lump on the areola?

I previously experienced occasional itching in both nipples, but it would resolve quickly.
This afternoon, I suddenly felt pain in the left areola (where it connects to the nipple).
At that moment, there was no swelling upon light pressure, but it was very painful and soft.
I have previously experienced breast engorgement, but it would resolve by the next day; this is the first time I have felt pain in this area.
That evening, I noticed three or four red, swollen areas about the size of mung beans on the outer half of the areola (a deeper red), and after showering, I have felt a slight warmth in the swollen areas for the past two hours (the inner side and nipple are not painful, swollen, or warm).
The pain has been continuous from the start until now, but unlike others, there has been no discharge.
Could this be related to the tightness of my bra? Given the current severe pandemic situation, I am hesitant to go to the hospital.
Should I seek medical attention, or will it resolve on its own?

Qin, 20~29 year old female. Ask Date: 2021/05/30

Dr. Yuan Tianmin reply Breast and Thyroid

The structures you feel on the areola are openings of some glands.
This is not a cause for concern; you can tolerate it for now and visit the hospital for an examination once the pandemic is over.

Reply Date: 2021/05/30

More Info

Experiencing painful nodules around the areola can be concerning, and it is essential to understand the potential causes and when to seek medical help. Based on your description, it seems you are dealing with discomfort and swelling in the area surrounding your left areola, which has persisted for a few hours. Here’s a comprehensive overview of what you might be experiencing and the steps you should consider taking.

Possible Causes of Painful Nodules Around the Areola
1. Folliculitis: This is an inflammation of the hair follicles, which can occur in the breast area. It may present as red, painful bumps and can be caused by bacteria, irritation, or blockage of the follicles.

2. Cysts: Sebaceous cysts can develop in the breast tissue and may feel soft and tender. They can become inflamed or infected, leading to pain and swelling.

3. Infection: Conditions such as mastitis, which is an infection of the breast tissue, can cause localized pain, swelling, and redness. This is more common in breastfeeding women but can occur in others as well.

4. Hormonal Changes: Hormonal fluctuations during menstrual cycles can lead to breast tenderness and swelling. This might explain the occasional itching and discomfort you’ve experienced.

5. Allergic Reaction or Irritation: Sometimes, irritation from clothing, soaps, or lotions can lead to localized inflammation and discomfort. If you suspect that your bra or other clothing might be too tight or irritating, consider adjusting your wardrobe.

When to Seek Medical Help
While some breast-related issues can resolve on their own, there are specific signs that indicate you should seek medical attention:
- Persistent Pain: If the pain continues or worsens over the next few days, it is advisable to consult a healthcare professional.

- Increased Swelling or Redness: If the area becomes more swollen, red, or warm to the touch, this could indicate an infection that requires treatment.

- Fever or Systemic Symptoms: If you develop a fever, chills, or other systemic symptoms, it is crucial to seek immediate medical attention.

- Changes in Breast Tissue: If you notice any new lumps, changes in the texture of the breast tissue, or discharge from the nipple, these should be evaluated by a healthcare provider.

- Duration: If the symptoms persist beyond a week without improvement, it is wise to consult a doctor.

Recommendations
Given the current pandemic situation, it is understandable to be cautious about visiting healthcare facilities. However, your health should always be a priority. Here are some steps you can take:
1. Monitor Symptoms: Keep track of any changes in your symptoms, including the size and tenderness of the nodules, and any new symptoms that may arise.

2. Home Care: You can apply a warm compress to the affected area to help reduce discomfort and swelling. Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, may also help alleviate pain.

3. Avoid Irritation: Ensure that your clothing, especially bras, are not too tight. Opt for loose-fitting clothing to minimize irritation.

4. Consult a Healthcare Provider: If symptoms do not improve or worsen, consider scheduling a telehealth appointment with a healthcare provider. Many clinics offer virtual consultations, which can be a safer alternative during the pandemic.

5. Self-Examination: Continue to perform regular breast self-exams to monitor for any changes in your breast tissue. Familiarizing yourself with your normal breast anatomy can help you identify any abnormalities early.

In conclusion, while some breast issues can resolve on their own, it is essential to remain vigilant and seek medical advice when necessary. Your health and well-being are paramount, and addressing any concerns promptly can lead to better outcomes. If you have any further questions or concerns, do not hesitate to reach out to a healthcare professional.

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