Pain Under Left Nipple: Which Specialist to Consult? - Pulmonology

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If you experience pain when lightly pressing below the left nipple and feel a sensation of pressure or a foreign object in that area during physical activity, it is advisable to see a specialist in breast health or a general surgeon.
They can evaluate your symptoms and determine the appropriate course of action.
Thank you.

Benson, 30~39 year old female. Ask Date: 2009/05/09

Dr. Yang Zhiyun reply Pulmonology


Based on your description, it seems more like a musculoskeletal issue related to the thoracic region, but other possibilities cannot be ruled out.
Please first consult a pulmonologist for evaluation.

Reply Date: 2009/05/09

More Info


When experiencing pain under the left nipple, it is essential to approach the situation with caution and seek appropriate medical advice. Given the symptoms you describe—pain upon light pressure and a sensation of pressure during physical activity—there are several potential causes that could be at play. These may range from musculoskeletal issues to more serious conditions that require immediate attention.

Firstly, it is advisable to consult a primary care physician or a general practitioner. They can perform an initial assessment, including a physical examination, to determine the nature of your pain. Based on their findings, they may refer you to a specialist if necessary.
If the pain is determined to be musculoskeletal in nature, a referral to an orthopedic specialist or a sports medicine physician may be appropriate. These specialists can evaluate for conditions such as costochondritis (inflammation of the cartilage connecting a rib to the sternum), muscle strain, or other related issues. They may recommend imaging studies, such as X-rays or MRIs, to rule out any underlying structural problems.

On the other hand, if there are concerns regarding potential cardiac issues—especially given that the left side of the chest is involved—it may be prudent to consult a cardiologist. Symptoms such as pain under the nipple can sometimes be associated with heart-related conditions, particularly in individuals with risk factors such as a family history of heart disease, high blood pressure, or high cholesterol.

Additionally, if there are any signs of breast-related issues, such as lumps or changes in breast tissue, a visit to a breast specialist or a gynecologist may be warranted. They can conduct a thorough examination and may recommend imaging studies such as a mammogram or ultrasound to assess the breast tissue.

In summary, the best course of action is to start with a visit to your primary care physician. They can help determine the most appropriate specialist based on your symptoms and medical history. It is crucial not to ignore these symptoms, especially if they persist or worsen, as early intervention can lead to better outcomes.

In the meantime, it may be helpful to keep track of any additional symptoms you experience, such as changes in appetite, weight loss, or any other unusual sensations. This information can provide valuable context for your healthcare provider and aid in the diagnostic process.
Remember, while online resources can provide general information, they cannot replace professional medical advice tailored to your specific situation. Always consult with a healthcare professional for concerns regarding your health.

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