Sharp pain on the left side of my breast

Pain Under Left Breast — What Does It Mean?

Pain under the left breast can occur for many reasons, ranging from digestion problems to heart conditions. Organs like the stomach, heart, lungs, ribs, colon, spleen, and pancreas lie in the upper left region of our bodies. Therefore, if the area under your left breast hurts, it could signify problems or issues in these organs.

What Problems Cause the Pain Under the Left Breast?

Let us take a look at the possible culprits behind your left breast pain:
1. Heart Attack
A heart attack can be the reason why you feel pain and tightness under your left breast area. Our heart is located slightly left of the center of our chest. Usually, heart pain will occur in the middle of the chest. Therefore, get immediate medical attention if you have a burning or squeezing sensation in your chest.

2. Pleurisy
Pleura is a layered membrane that surrounds the lungs, which can become inflamed due to an infection or other reasons. You might feel chest pain or pain in the left breast while breathing. Usually, it goes away on its own. Still, it can signify an underlying health condition like lung cancer or rheumatoid arthritis. Therefore, visit your doctor if you suspect pleurisy.

3. Pericarditis
The pericardium is a thin, layered membrane that is filled with fluid and surrounds our heart to protect it. Infections and certain disorders can cause this membrane to become inflamed, resulting in sharp pain under the left breast, shoulders, fever, shortness of breath, and more.

4. Precordial Catch Syndrome

Injury to the chest, a growth spurt, and bad posture can irritate or pinch the nerves of the chest wall. Consequently, one feels intense pain while breathing, chest pain on the left side, etc. Although the symptoms might feel like a heart attack sometimes, they heal on their own. This is a harmless condition common among older children and young adults.

5. Costochondritis
Sometimes, pain under your left breast signifies inflammation of the cartilage that connects your ribs to the breast bone. There is no identifiable cause, but rib cage injury, heavy lifting, infection, and arthritis are tied to this condition as possible culprits.

6. Angina
You might feel pain in the middle of your chest or under your left breast if your heart does not receive sufficient oxygen-rich blood. The discomfort might spread to your shoulders, arms, neck, and jaw.

7. Chest injuries
You can bruise or crack the left side of your rib and chest due to a blow to the chest. As a result, severe complications on the left side might occur. For instance, the edges of a broken rib can poke your liver or spleen. Therefore, you will feel tenderness and pain during deep breathing and twisting.

8. Other Reasons
Other reasons are also responsible for the pain under your breast, including inflammation in the pancreas, gastritis, heartburn, hiatal hernia, injured spleen, etc.

What to do?

Pain under the left breast can indicate multiple problems. Therefore, it is better to notice the symptoms and visit your doctor for a check-up. Octagos Health brings you this post. We offer event monitoring software solutions for cardiac patients and providers. Dial (281) 769-8733 to ask us for a demonstration or any other concerns you have.

  • Breast pain is often normal and part of the menstrual cycle, occurring during your period. 
  • It can also happen due to breastfeeding, benign cysts, exercise, and cancer.
  • If you have a lump in your breast that doesn't go away, see a doctor immediately. 

Breast pain, also known as mastalgia, can occur in people of every gender and may feel like a sharp stabbing, throbbing, burning, or soreness. 

Some of the most common reasons for breast pain include hormonal changes, breastfeeding, trauma from an injury, taking certain medications (such as oral birth control pills and certain diuretics), an infection, or a benign cyst.

"Occasional breast pains are normal, especially if a woman is ovulating or if she is on her period," says Jaydeep Tripathy, MBBS, a primary care doctor at Doctor Spring. "Another commonly overlooked reason is using a poor-fitting bra."

According to the National Breast Cancer Foundation (NBCF), breast pain is not usually a symptom of cancer. However, the NBCF recommends making an appointment to see your doctor if your breast pain gets worse over time, persists for more than a couple of weeks, or is accompanied by a rash, nipple discharge, or a new lump that doesn't go away after your period ends.

Here are some of the most common causes of breast pain, and when they might be cause for concern.

1. Hormone changes

Breast pain that happens at the same or similar times in your menstrual cycle is called cyclic breast pain and is caused by changes in your hormone levels. 

According to Johns Hopkins Medicine, hormonal fluctuations are the leading cause of breast pain. When hormonal changes are the culprit, Chauhdry says the pain will usually occur in both breasts.

2. Your period

If you're about to get your period, breast pain is often a result of a rise in estrogen and progesterone. In this case, the breasts may feel swollen, tender, and sore. If you're menstruating, the pain typically appears three to five days before your period and may subside right after it starts or continue to the end of your cycle.

3. Ovulation

Some women also experience breast pain around the time they're ovulating, and it will typically go away at the start of the menstrual cycle. Johns Hopkins Medicine reports that the pain may feel like a radiating sensation in the underarm and can range from barely noticeable to severe.

4. Menopause

Many women who experience non-cyclical breast pain are peri-menopausal and between ages 40-50. This pain may be described as soreness, tightness, or a burning sensation. 

Harvard Health reports that the pain may be the worst during perimenopause, when hormones often rise and drop erratically, and then continue into menopause, particularly in women undergoing hormone therapy or taking hormonal birth control.

5. Pregnancy 

If you're pregnant, your breasts may feel sore, swollen, and even tingly as early as one to two weeks after conception. According to Mayo Clinic, this discomfort may lessen as your body adjusts to the hormonal changes about three or four weeks into the pregnancy and then return late in the third trimester as the breasts are preparing for milk production.

To manage the pain, Tripathy recommends wearing loose-fitting clothing and comfortable, supportive bras like comfortable sports bras. He also advises checking with your doctor first before taking any medication for the pain.

6. Cysts

According to Tahir Chauhdry, a board-certified OB-GYN and medical advisor at Sesame, cysts tend to cause intense pain in a particular area. Cysts usually feel like soft lumps roughly the size of a grape and are most common in premenopausal women.

Most benign cysts feel like a small smooth and easily movable water-filled balloon, whereas a malignant tumor may feel harder and thicker. Unlike cysts, the majority of malignant tumors will also be painless and irregularly shaped.

7. Exercise

If your breast pain is caused by exercise, Chauhdry says it will typically feel like muscular aching in the chest. This may happen when you pull or strain a chest muscle while strength training, or when you engage in high-impact exercises (like running and jumping) that put stress on the ligaments in your chest.

Tripathy says the latter often happens if your breasts are moving around a lot during exercise — which is why it's important to wear a supportive sports bra.

"It usually subsides after your physical activity," he tells Insider. 

8. Blocked milk ducts during breastfeeding

Mastitis, which happens most often but not always in breastfeeding women, is an infection in the breast tissue caused by a blocked milk duct or bacteria that's entered the milk duct. Common signs of mastitis include fever, thickening of the breast tissue, redness in a wedge-shaped pattern on the breast, and a continuous burning sensation, especially while breastfeeding. The breasts may also feel warm to the touch.

"This occurs when the milk duct gets clogged or infected, often causing swelling, redness, and pain," says Tripathy. "To avoid it, pump breastmilk and take adequate fluids. You may also be prescribed antibiotics or other anti-inflammatory medicines."

According to a 2015 study, mastitis occurs in about 20% of breastfeeding women.

9. Excess milk during breastfeeding

Engorgement is a painful condition that occurs when the breasts are filled with excess milk.

"This is common during the first week after giving birth and can make your breasts feel swollen and tender," Tripathy tells Insider. "You can use a warm compress before breastfeeding your baby and massage your breasts while feeding to relieve the pain. Pumping will also help you to avoid milk build-up."

If you choose not to breast feed, you will most likely be advised to wear a supportive sports bra and to wait until your brain signals your body to stop milk production. This may take a week or so. In this situation, you should not pump or express milk as that will send a message to your body to continue milk production.

When is breast pain a cause for concern? 

According to Tripathy, if you experience a sharp pain, it's not always necessarily a cause for concern. It can be, however, if it happens persistently, the area around it looks infected, or you have other accompanying symptoms. Also, keep in mind that a lump isn't always an indicator of breast cancer, even if it causes discomfort.

"Benign cysts can also sometimes be painful," says Tripathy. "But if you feel a lump that is painful, consult your doctor to find out if it needs to be treated."

Since breast pain isn't one of the more common signs of breast cancer, Chauhdry says it's best to talk with your doctor, who can make a diagnosis by doing an ultrasound, a diagnostic mammogram (a detailed X-ray), an MRI scan, or a biopsy (looking at breast tissue or fluid under a microscope). 

Early detection of breast cancer is key. Since there is no designated age to begin screening for breast cancer, Mayo Clinic advises talking with your doctor about your risk factors before deciding on a mammography schedule that's right for you. While it's generally recommended to begin mammograms around age 40, you may benefit from starting to get mammograms earlier than that if you have a high risk of breast cancer. 

Recommendations vary among experts about when to start getting mammograms which can be confusing. Its is best to make your decision based on which guideline is best for you

Insider's takeaway

Breast pain is not a common sign of breast cancer and usually more likely the result of normal hormonal shifts, benign cysts, or exercise. 

However, it's important to monitor the pain, and talk to your doctor if it's accompanied by a lump or other symptoms like fever, skin changes, or bloody nipple discharge.

"Breast pain is concerning when it's persistent, sharp, intense, or affects your quality of daily living," says Tripathy. 

When in doubt about the cause of your breast pain, especially if it's only in one breast and one specific spot, you should always discuss it with your doctor. 

Rebecca Strong is a Boston-based freelance writer covering health and wellness, food and wine, fitness, and travel. In addition to contributing to the Health Reference and Kitchen verticals at Insider, she has also written for Healthline, Health magazine, Bustle, StyleCaster, PopSugar, AskMen, and Elite Daily. You can follow her work on Twitter.

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What causes pain in the left breast side?

Pain under or in the left breast could have many possible causes, such as injury, infection, hormones, and lung problems. Sometimes left breast pain can be related to your heart, so it's important to first rule this out before considering other causes.

Why do I get shooting pains in my breast?

Shooting pain in the breast is common, and is often the result of hormonal fluctuations in the body. If a person regularly experiences breast pain before a period, they will often find it disappears on its own when their period begins or ends.

Can left breast pain be heart related?

When the heart muscle does not receive enough oxygen in the coronary artery blood supply, the resulting pain under the left breast or in the center of the chest is known as angina. Associated symptoms include an uncomfortable feeling in the shoulders, arms, neck, jaw, or back.

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