Breast Sensitivity: When to Seek Further Evaluation

Q: Breast Sensitivity: When to Seek Further Evaluation

Hello Ms. <br>Lin： Sometimes it is a sensory nerve issue, not a problem with the breast itself. <br>Everyone has axillary lymph nodes; as long as they do not become hard or enlarged, regular check-ups are sufficient.

Pressing on the breast may cause a sensation of itching?

Hello, I have been experiencing a deep pressure sensation in my right breast (specifically on the sternum) accompanied by a very sensitive itching feeling inside (not on the surface).
Could this be a breast issue? I have undergone an ultrasound examination, but the doctor did not provide much information.
Should I consider any further tests? Additionally, during the breast ultrasound, the doctor mentioned that a lymph node was observed in my left breast.
When I inquired about what that meant, the doctor simply said it was nothing to worry about and suggested a follow-up in six months before quickly moving on to the next patient.
I have been increasingly anxious about this since then, and I would appreciate your clarification.
Thank you.
Ms.
Lin

Miss Lin, 40~49 year old female. Ask Date: 2015/12/12

Dr. Zhou Jiazhen reply Breast and Thyroid

Hello Ms.
Lin: Sometimes it is a sensory nerve issue, not a problem with the breast itself.
Everyone has axillary lymph nodes; as long as they do not become hard or enlarged, regular check-ups are sufficient.

Reply Date: 2015/12/12

More Info

When it comes to breast sensitivity and discomfort, it is essential to understand the various factors that could contribute to these sensations. Your experience of feeling a deep, sensitive itch in your right breast, especially when pressure is applied, could be indicative of several underlying conditions. While you have already undergone an ultrasound examination, which is a good first step, it's understandable to have lingering concerns, especially given the complexity of breast health.

Breast sensitivity can arise from a variety of causes, including hormonal fluctuations, which are common during menstrual cycles, pregnancy, or menopause. Hormones such as estrogen and progesterone can influence breast tissue, leading to increased sensitivity or discomfort. Additionally, conditions such as fibrocystic breast changes, which are characterized by lumpy or painful breasts, can also lead to heightened sensitivity. These changes are typically benign but can cause anxiety for those experiencing them.

The mention of lymph nodes in your left breast during the ultrasound is also noteworthy. Lymph nodes are part of the body's immune system and can become enlarged due to various reasons, including infections, inflammation, or, in some cases, malignancy. The fact that your doctor indicated that it was not a concern and suggested follow-up in six months is a positive sign, but it is entirely reasonable for you to seek further clarification. It is crucial to ensure that you feel comfortable and informed about your health.

If you continue to experience discomfort or if the sensitivity worsens, it is advisable to seek further evaluation. You might consider asking for additional imaging studies, such as a mammogram, especially if you are over the age of 40 or have a family history of breast cancer. A mammogram can provide a more comprehensive view of breast tissue and help identify any abnormalities that may not be visible on an ultrasound.

Moreover, if you notice any changes in your breast, such as new lumps, changes in size or shape, or any discharge from the nipple, these should be reported to your healthcare provider promptly. Regular breast self-exams can also help you become familiar with your breast tissue, making it easier to identify any changes that may occur.

In addition to medical evaluations, lifestyle factors can also play a role in breast health. Maintaining a balanced diet, staying hydrated, and managing stress levels can contribute positively to overall well-being. While hydration has been mentioned in relation to breast cancer risk, the evidence is not definitive. However, staying well-hydrated is essential for overall health and can help with various bodily functions.

In summary, while your current symptoms may not indicate a severe issue, it is crucial to remain vigilant about your breast health. If you have ongoing concerns or if your symptoms change, do not hesitate to seek further evaluation from a healthcare professional. Open communication with your doctor about your worries and symptoms is key to ensuring your peace of mind and health. Remember, your health is a priority, and being proactive is an essential part of managing it.

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