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Health Conditions Discover Plan Connect. Breast Cancer. Medically reviewed by Yamini Ranchod, Ph. Causes Treatment Diagnosis In breastfeeding Prevention Outlook We include products we think are useful for our readers. Overview There are many possible causes of sore nipples. Read on to learn about causes of nipple pain and what you can do to manage this symptom. Causes of sore nipples. Nipple pain and breastfeeding.
Tips for preventing sore nipples. Why Is My Nipple Burning? Read this next. Premenstrual Breast Swelling and Tenderness. Medically reviewed by Debra Rose Wilson, Ph. Medically reviewed by Deborah Weatherspoon, Ph. Steps you can take to minimize sore breasts include: Eliminate caffeine Eat a low-fat diet Reduce salt intake Avoid smoking Take an over-the-counter pain reliever Ask your doctor if switching birth control pills or hormone replacement therapy medications may help You have a breast injury.
Breast pain is really coming from your chest wall. Common causes of chest wall pain include: A pulled muscle Inflammation around the ribs Trauma to the chest wall getting hit in the chest Bone fracture Breastfeeding is causing breast tenderness. They can help you troubleshoot the problem while maintaining your milk supply.
You have a breast infection. Breast pain could be a medication side effect. Some drugs with this known side effect include: Oxymethone, used to treat some forms of anemia Chlorpromazine, used to treat various mental health conditions Water pills diuretics , drugs that increase urination and are used to treat kidney and heart disease and high blood pressure Hormone therapies birth control pills, hormone replacement or infertility treatments Digitalis, prescribed for heart failure Methyldopa, used to treat high blood pressure You have a painful breast cyst.
Learn more about breast cysts and other noncancerous breast lumps. Some women have complications with breast implants, whether made of silicone or saline.
One of the most common causes of pain after breast augmentation surgery is capsular contracture, when scar tissue forms too tightly around implants. Breast pain can also be an indication that one of your implants has ruptured.
Breast pain can sometimes be a sign of breast cancer. Just like friction burns, both breastfeeding and expressing pumping milk can lead to chapped, irritated, painful, and sometimes bleeding nipples.
The right breastfeeding technique can help avoid irritation. Atopic dermatitis is also known as eczema , a condition that leads to flaky, itchy skin. Atopic dermatitis can affect the nipples as well as the breasts. It's relatively common to find atopic dermatitis on the nipples and areolas. It can happen to one or both nipples.
Most patients who have atopic dermatitis of the nipple also have atopic dermatitis on other parts of their bodies. Eczema can be difficult to treat. There are some over-the-counter medications that can help, but a trip to the doctor might be necessary for particularly stubborn cases.
Some people develop allergies to soaps, laundry detergents, conditioners, or lotions that end up causing a rash, redness, or itching. Nipples are often the first to get irritated by new allergies.
And the first sign could be nipple pain. Sunburns can happen, especially for nipples that don't often see the light of day. This is a potential for both sexes when going topless. So don't forget the sunscreen. Some causes of nipple pain are less common, and most of these require a visit to the doctor for proper diagnosis. If nipple pain is accompanied by any change in shape or discharge stuff coming out of the nipple other than during breastfeeding , see a doctor.
Nipple pain that comes with an inverted nipple or a lesion on the nipple or areola can be Paget's disease. Paget's disease can affect the mammary gland or be extramammary outside the mammary gland. When the nipple is involved, it's considered mammary Paget's disease MPD. It is highly associated with cancer. Paget's disease can cause flaky, crusty skin on the nipple that looks similar to eczema. But atopic dermatitis that only affects the areola has no chance of being Paget's disease. That's because the nipple must be involved when you have this particular medical condition.
Paget's disease requires diagnosis by a doctor, usually after doing a biopsy. And Paget's disease only affects one side. Erosive adenomatosis of the nipple is a benign tumor of the nipple. It requires diagnostic tests to be able to rule out Paget's disease. Nipple pain by itself does not usually need a doctor's care. If the pain is unbearable or continues for more than 72 hours and the patient has stopped any activity that might be causing the nipple pain, see a doctor.
Breastfeeding mothers experiencing nipple pain should speak to a lactation consultant or the baby's pediatrician. In some cases, the baby could have a short frenulum , a thick bit of tissue attached to the base of the tongue. This can get in the way of the baby latching onto the nipple properly when breastfeeding.
If that's not the case, the doctor or lactation consultant can help with techniques to improve both feeding and nipple care. When nipple pain is accompanied by growths, discharge, inverted nipples, or the nipple is warm to the touch, see a doctor. You should also see your doctor if the pain has no obvious cause and only affects one nipple.
To diagnose nipple pain, the doctor will ask about your medical history and perform a physical exam. Traumatic causes of nipple pain will be ruled out first. Some causes are easy to determine, such as:. The doctor might have to do tests such as imaging or a biopsy to determine the cause of the nipple pain. Imaging tests and biopsies are the two most common types of tests that doctors might prescribe for nipple pain.
Imaging tests can include mammograms or ultrasounds. Time is the most common treatment for nipple pain. People who know that they are sensitive to friction can also try several methods to prevent their nipples from hurting during exercise.
An allergic reaction can cause the nipples to become sore or sensitive. These products include:. A person can try using an over-the-counter OTC anti-inflammatory cream. If the symptoms do not improve, they should contact a doctor. A person should also stop using any products that caused the allergic reaction or irritated the nipples.
According to the American College of Obstetricians and Gynecologists , the changes in hormone levels that occur throughout the menstrual cycle can cause breast pain. Healthcare professionals refer to this as cyclic breast pain. These hormonal fluctuations may also cause premenstrual syndrome PMS , the symptoms of which include tender, sensitive breasts.
Hormonal birth control and hormone therapy for menopause are other causes of hormone changes that can lead to breast pain and nipple sensitivity. The treatment for sensitive nipples due to hormonal changes will depend on the cause. However, some treatment options may include OTC pain relievers, such as ibuprofen and aspirin , and hormonal treatment, such as hormonal birth control and hormone replacement therapy.
The OWH state that the breasts will increase in size and fullness during pregnancy. Toward the end of the pregnancy, hormone changes cause the breasts to get even larger in preparation for breastfeeding. The nipples may darken and ache during this period, and they might become more sensitive.
According to the OWH , wearing a maternity bra that offers plenty of support can help prevent pain in the breast and nipples during pregnancy. People can also place pads in the bra to absorb any leakage.
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