Pain near the right nipple?
A male patient has been experiencing a dull pain near the right nipple, specifically in the upper right area close to the armpit.
This discomfort is not constant; it occurs occasionally throughout the day, but it is not described as soreness.
The pain has persisted for three to four weeks, occurring daily.
Topical analgesics and oral pain relievers have not provided relief.
The pain becomes more pronounced when sleeping on the side, especially if the arm compresses the area near the right chest, but it is less noticeable when lying flat.
There has been no trauma to the area, and earlier this year, the patient was hospitalized and underwent a chest X-ray, which showed only scoliosis without any other issues.
The patient is seeking advice on which medical specialty to consult.
Would it be inappropriate for a male to see a breast surgeon? Thank you.
Ken, 30~39 year old female. Ask Date: 2022/10/22
Dr. Yuan Tianmin reply Breast and Thyroid
Actually, in my breast surgery clinic, there are sometimes male patients who come in for an ultrasound examination, and there's nothing to be embarrassed about.
Reply Date: 2022/10/22
More Info
Experiencing pain in the right nipple area, especially in men, can be concerning and warrants careful consideration. The symptoms you've described—a sporadic, non-continuous pain that has persisted for several weeks—could be attributed to a variety of causes. It's important to approach this situation with a clear understanding of potential underlying issues and the appropriate steps to take.
First and foremost, it’s crucial to understand that nipple pain in men, while less common than in women, can occur due to several reasons. These may include hormonal changes, trauma, infections, or even conditions such as gynecomastia (enlargement of breast tissue in men). Given that you have not experienced any trauma to the area and that the pain has persisted for several weeks, it is advisable to seek medical attention.
In terms of which specialist to consult, starting with a primary care physician (PCP) is a good option. They can perform an initial assessment and determine if further evaluation by a specialist is necessary. If your PCP feels it is appropriate, they may refer you to a breast specialist or a general surgeon who has experience with male breast conditions. It is not uncommon for men to seek help from breast specialists, and it should not feel awkward. Medical professionals are trained to handle a variety of conditions, and they will approach your concerns with professionalism and confidentiality.
In addition to consulting a physician, it may be helpful to keep a detailed record of your symptoms. Note when the pain occurs, its intensity, any associated symptoms (such as swelling, redness, or discharge), and any activities that seem to exacerbate the pain. This information can provide valuable insights to your healthcare provider.
Regarding the treatments you have already attempted, such as topical pain relievers and over-the-counter pain medications, it’s important to recognize that these may not always address the underlying cause of the pain. If the pain persists despite these measures, it further emphasizes the need for a thorough medical evaluation.
In some cases, imaging studies such as an ultrasound or MRI may be warranted to assess the underlying structures and rule out any significant abnormalities. Your previous chest X-ray did not indicate any issues, but it’s possible that more targeted imaging could provide additional information.
Lastly, while it’s understandable to feel apprehensive about seeking help, especially for a condition that may seem unusual, it’s essential to prioritize your health. Ignoring persistent pain can lead to complications or missed diagnoses. Early intervention often leads to better outcomes, so don’t hesitate to reach out to a healthcare provider.
In summary, if you are experiencing persistent pain in the right nipple area, it is advisable to consult a primary care physician who can guide you through the next steps. They may refer you to a specialist if necessary. Keeping a symptom diary and being open about your concerns will aid in the diagnostic process. Remember, seeking medical help is a proactive step towards understanding and addressing your health issues.
Similar Q&A
Understanding Right Testicular Pain: Causes and When to Seek Help
I apologize, but I would like to ask you about the sharp pain in my right testicle that started last night. I can feel it clearly when sitting, but it doesn't bother me much when standing. Please advise.
Dr. Fu Shizhang reply Urology
There are many possibilities, including torsion, orchitis, hernia, varicocele, and even post-ejaculation discomfort. If you continue to feel unwell, it is advisable to consult a urologist. Online consultations cannot replace an in-person examination and physical assessment by a p...[Read More] Understanding Right Testicular Pain: Causes and When to Seek Help
Understanding Testicular Discomfort: When to Seek Medical Attention
Hello doctor, today when I was swimming, I felt a sensation of my right testicle being pulled upwards towards the groin area. However, when I gently pressed on it, the sensation went away. Is there any issue with this? Do I need to seek medical attention?
Dr. Xu Weikai reply Urology
Hello, it's difficult to determine. It could be testicular torsion or neuropathic pain. If you're concerned, it's advisable to seek medical attention as soon as possible. If there are any unclear points, feel free to ask again, and we can discuss and research furth...[Read More] Understanding Testicular Discomfort: When to Seek Medical Attention
Understanding Post-Erection Pain: When to Seek Medical Advice
A month ago, after masturbating, I noticed a tingling sensation on the right side of my penis the next day. I visited a urologist and underwent a urine test, which showed no signs of inflammation. The doctor advised me not to overthink it, suggesting that it was just an abnormal ...
Dr. Xu Weikai reply Urology
Hello, if you feel unwell, please see a doctor. If you can tolerate it, just observe. If there are any unclear points, feel free to ask again, and we can discuss and research further. Answers found online should only be used as a reference; if necessary, you should seek medical c...[Read More] Understanding Post-Erection Pain: When to Seek Medical Advice
Understanding Right Groin Pain: When to Seek Medical Attention
About a week ago, I started experiencing pain near the right groin close to the genital area (when pressed). Initially, it was a mild pain, but in the last two to three days, the pain has become more pronounced, and the area of discomfort seems to be increasing. The pain also occ...
Dr. Chen Sirong reply Oncology
Pearl Tapioca Girl / 34 years old / Female 1. Which department should I see? A: General Surgery or Obstetrics and Gynecology are both acceptable. 2. Is there any specific issue? A: Please consult a physician in person for a proper evaluation. Thank you for your inquiry. ...[Read More] Understanding Right Groin Pain: When to Seek Medical Attention
Related FAQ
(Breast and Thyroid)
Nipples(Breast and Thyroid)
Hyperthyroidism(Breast and Thyroid)
Areola(Breast and Thyroid)
Areola Itching(Breast and Thyroid)
Breast Cyst(Breast and Thyroid)
Armpit(Breast and Thyroid)
Fibroadenoma(Breast and Thyroid)
Breast Examination(Breast and Thyroid)
Nipple Lump(Surgery)