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A 35-year-old female asked:

My daughter is 11 years old. she has a painful pimple like bump under her nipple of her breast. what could it be?

3 doctor answers10 doctors weighed in
Dr. Jeremy Porter
Pediatrics 14 years experience
Breast bud? Abscess?: You're describing a "pimple-like" mass under the nipple in a preadolescent. If there's actually any drainage, or if there is redness or expanding borders, it may be an infection such as an abscess or cellulitis, requiring medical intervention. If none of these markers exist and there's simply a lump behind the nipple, this is a common finding, associated with fluctuating hormones. Your call!
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Jeremy Porter
Pediatrics 14 years experience
Provided original answer
Note to mom: the development of painful little lumps behind nipples can affect boys and girls, especially in this age group. Do not be alarmed if there is asymmetry in size or tenderness. In an 11-year old girl, this is most likely associated with pubertal development. Good luck! Here comes teenage and drama! Just around the corner!
Apr 6, 2015
Dr. Boris Sheynin
Internal Medicine 23 years experience
Likely infection: likely furuncle, paint with iodine, see surgeon if not improved or has fever
Created for people with ongoing healthcare needs but benefits everyone.
Dr. James Ferguson
Pediatrics 47 years experience
Need office visit: The most common cause of a centralized bump under a nipple at 11yo is a breast bud.It can happen on one side before the other & be uncomfortable as stretch fibers respond to the rapid growth. Clothing rubbing over it can cause tingling or discomfort. The openings that allow breast milk to flow could allow germs in and an abscess could form.(extremely rare) Do not let anyone biopsy the site.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Apr 13, 2017

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