A male with a painful 1 inch swelling under the right nipple

[ShawnD]

First off, thanks for taking the time to read.

For the past two weeks, I've had a painful, hard
swelling underneath my right nipple. I'm _not sure_ if
it has anything to do with it, but it didn't start
till a week after some rough biting to my nipple from
my girlfriend. I've hoped maybe there was just bruising
to some gland underneath but the pain and hard, lump-like
swelling hasn't disappeared. The rest of the breast
tissue around the nipple does not hurt at all. There is
no swelling (in my opinion) of any of the other breast
tissue and the one to one and a half inch area underneath
my nipple is protruding slightly. I'm a male, 140lbs,
with no recent ailments or sicknesses

I don't have health insurance or a doctor so I don't
have the luxery of having this checked out on a whim.
The only thing that seems to come close in my research
is 'gynecomastia' but not sure about that either. Obviously
only a trained physician could make the diagnosis but the
gyneco' doesn't make much sense either unless I'm having
some hormonal imbalance. Also, from what I've read, breast
cancer in males is, on average, not painful and doesn't
occur under the nipple.

Any thoughts? Thank you!

-Shawn

[CCF-RN,MSN-rf]

Dear Shawn:  It is true that breast cancer is not usually painful.  Because men have limited breast tissue, lumps are usually easier to feel and can be closer to the nipple.  If after two weeks this lump is not getting any better, it may be time to schedule an appointment to have a doctor take a look at it.  Perhaps there is a free clinic in your city.  Ultimately, the only way to know is to have it checked out.  If it is getting smaller, you can assume it is related to the trauma and watch it a bit longer.

[surgeon]

you didn't state your age, which is important. Gynecomastia is indeed the most likely explanation; it's common in young males within a few years of puberty, and can occur at any age. In fact, in the vast majority of cases it has nothing to do with hormone problems. It's possible, given what you said, that it could be due to trauma as well. Depending on your age, cancer is highly unlikely; male breast cancer is extremely rare until later middle age at the earliest. One consideration in gynecomastia is the fairly rare situation when it's due to hormones produced by a testicular tumor. So, assuming you are a young man -- which is the age more at risk -- at least you ought to examine your testicles and be sure they feel normal to you.

[ShawnD]

I knew I forgot some bit of information.
I'm 28, going on 29 soon. I don't feel
any abnormalities with my testicles after
rolling them thoroughly. The only other
ailment that I've had (for about a year now)
is a very minor, dull ache in the prostate
region. It's not bothersome most days. Not
sure if this has any bearing what-so-ever.

If you take the scenario where the area suffered
trauma and triggered the possibility of gynecomastia
and it's not related to some other underlying
ailment or disease, is there a realistic expectation
for it to clear up?

Admitedly, the best thing would be to go to a
physician, I know...just have to figure out
how to afford it.

Thanks for your response!

-Shawn

[surgeon]

trauma would not trigger gynecomastia; it might cause a lump that would slowly go away. Gynecomastia may or may not recede at your age. In general, if it becomes a problem (size, soreness) it can be surgically removed, thru an incision at the edge of the areola, which ends up pretty invisible. And, of course, you are right that the best way to find out about it is to bite the bullet and see a doc. Cancer is not a thing to worry about, however.

[JeffG15]

I am a male, age 15, and I have slight right nipple pain that resembles that of a bruise. I only feel the pain whenever I press on the tip of the nipple. I have had the pain for about a week. I am unsure what it could be but I also have a possible very small, maybe a centimeter or less in size, lump possibly under the nipple. and also there is a slight redness around the tip of both nipples. If you have any clue what this could be, please contact me at my e-mail address (***@****) or any other way. THANK YOU

[yankeeskid131]

hey dude, i know u r scared to **** about this bc u went as far as starting a forum so thats y i am writing, i got the same thing so did my dad, i found this site too i really dont think u guys gotta worry, but just get it checked anyways to be sure, mine don't hurt unless i touch it and stuff, mine is 1 inch too, <lol that sounded wrong...i have had mine for many months too, try putting a heating pad on it on medium like for a an hour each day,  check this out...


http://familydoctor.org/x2590.xml

[what the hell123]

WOW I did a search for my screen name in the search box and then i find that someone has used my screen name in this forum, wow whoever did that, that's not cool.

[what the hell123]

WOW I did a search for my screen name in the search box and then i find that someone has used my screen name in this forum, wow whoever did that, that's not cool.

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