Could fat necrosis cause my left breast pain at 28?

Question

Hi doctor,

I am 28 years old. I am suffering from breast pain for a year. The pain is present only on the left breast. I consulted a surgeon and took a scan. it showed fat necrosis and lymphadenitis on the left side. The doctor told me that it seems to be cyclic pain and prescribed a Vitamin E tablet and Neurobion forte for three months. After a week, I got a small swelling under my left armpit and I got three to four small red bumps in that arm. I usually get these rashes on the left arm.

Is this a matter of concern?

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I need some detailed information. Please mention your marital status and mention the number of children you have. I need your scan report to see the exact condition. Please attach some photographs. As per the concern, you have a probable diagnosis of cyclical mastalgia. In this condition, there are some hormonal changes in the breast and axilla causing pain due to fat necrosis. You do not have a chance of getting cancer as cancer is a painless condition.

You need to do mammography on both breasts.

You need to take tablet Evion 400 mg (Vitamin E) once a day for one month, capsule Primosa 1000 mg (Evening Primose oil) once a day for one month, and Chymoral plus (Diclofenac with Trypsin chymotrypsin) two times a day for five days after taking meals.

Have a follow-up with the reports.

I hope this helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I have gone through the scan report (attachment removed to protect patient identity). Rashes in the arm and axilla can occur due to a local skin infection and ti is common in this age group. I suggest you take Chymoral plus and it helps to relieve the condition. I also suggest an antibiotic and cream for local application. It helps to provide some relief.

Take care of your hygiene. Clean the area regularly and shave the hair aseptically if possible.

You can take tablet Mega CV 625 mg (Amoxicillin and Potassium clavulanate) three times a day for five days, and apply Neosporin ointment (Bacitracin with Neomycin and Polymyxin B) for local application two times daily.

I hope this helps.

Thank you.

Answer 3

Hi,

Welcome back to icliniq.com.

Please mention whether the swelling seems to be different or it seems to be the same as you got previously.

Answer 4

Hi,

Welcome back to icliniq.com.

It is a part of cyclic mastalgia. It is hormonal dependent and so it occurs frequently at this age. There is nothing to be worried about. They can subside on its own. I have gone through the blood reports. The parameters are absolutely normal. If the swelling causes pain, then you can take a course of medicine as prescribed.

I hope this helps.

Thank you.