Should I Worry About Possible Breast Inflammation at 18?

Do I have mastitis?

I am an 18-year-old male and recently noticed that my right nipple has a slight sharp pain when pressed.
I visited a nearby pediatrician who suggested it might be mastitis and said it’s nothing to worry about, that it will heal on its own without medication.
He advised that if it gets larger or swollen in the future, I should go to a larger hospital for further examination.
I’m very concerned about the possibility of a misdiagnosis.
However, the pediatrician was very nice and seemed experienced.
Do I need to go to a larger hospital for an examination?

Niming, 10~19 year old female. Ask Date: 2009/10/19

Dr. Xie Wenhuai reply Breast and Thyroid

I agree with the pediatrician's opinion to proceed with observation first.

Reply Date: 2009/10/19

More Info

At 18 years old, it's understandable to have concerns about any changes in your body, including breast health. Given your situation, it’s important to clarify a few points regarding breast inflammation and the likelihood of serious conditions such as breast cancer.

Firstly, breast pain or tenderness, especially in young males, is often related to hormonal changes that occur during puberty. This is a normal part of development and can result in temporary conditions such as gynecomastia, which is the enlargement of breast tissue in males. Gynecomastia can cause tenderness or pain, particularly when pressure is applied, and it is usually self-limiting, meaning it often resolves on its own without the need for treatment.

The fact that you have been evaluated by a pediatrician who suggested that your symptoms might be due to breast inflammation is reassuring. Inflammation can occur for various reasons, including hormonal fluctuations, physical irritation, or even minor injuries. If the pediatrician did not find any alarming signs and suggested monitoring your condition, it is likely that they assessed your situation adequately.

However, it’s crucial to remain vigilant. If you notice any significant changes, such as an increase in size, persistent pain, or the development of new symptoms (like swelling, redness, or discharge), it would be wise to seek further evaluation. While breast cancer is rare in young males, it is not impossible, and any concerning changes should be investigated.

In terms of your worry about misdiagnosis, it’s always reasonable to seek a second opinion if you feel uncertain. If you are still feeling anxious about your condition, consider scheduling an appointment with a specialist, such as a breast surgeon or an endocrinologist, who can provide a more detailed examination and possibly recommend imaging studies if necessary.

Additionally, maintaining a healthy lifestyle, including a balanced diet and regular exercise, can help manage any weight-related issues and overall health, which may indirectly affect hormonal balance and breast tissue changes.

In summary, while it’s normal to feel concerned about changes in your body, especially at your age, the likelihood of serious conditions like breast cancer is low. Continue to monitor your symptoms, and don’t hesitate to seek further medical advice if you feel it’s necessary. Your health and peace of mind are important, and proactive management is key to addressing any health concerns.

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