Red Flags & When to Go In Person for Breast Pain in Children

Audience: pediatric

Breast pain in children and adolescents is often caused by normal growth and hormonal changes, and it usually does not signal a serious problem. Telemedicine can help assess typical symptoms, provide reassurance, and guide home care. However, some signs require prompt in-person evaluation to rule out infections, injuries, or rare but serious conditions. Knowing when to seek urgent care is important for your child's health and comfort. This guide explains common causes of breast pain in young people, highlights warning signs that need face-to-face medical attention, and outlines how telemedicine can support initial assessment and follow-up. Always trust your instincts and seek immediate care if your child experiences severe symptoms or sudden changes.

Red flags — go in person / ER

• Severe, worsening breast pain not relieved by home care—seek urgent in-person evaluation.
• Redness, swelling, warmth, or pus indicating possible infection—go to a healthcare facility promptly.
• Fever combined with breast pain or general illness signs—immediate medical attention needed.

What telemedicine can do

• Initial assessment of mild breast pain and tenderness.
• Providing guidance on home care and symptom monitoring.
• Answering questions about breast development and normal changes.
• Determining if symptoms require urgent in-person evaluation.
• Follow-up consultations for improving symptoms.

What telemedicine cannot do

• Physical examination to assess lumps or skin changes.
• Imaging tests such as ultrasound or mammography.
• Treatment of infections requiring antibiotics.
• Evaluation of severe or rapidly worsening symptoms.
• Procedures or biopsies if needed.

Common Causes of Breast Pain in Children and Adolescents

Breast pain in young people is often linked to normal development during puberty. Hormonal changes can cause tenderness or mild discomfort. Other common causes include minor injuries, skin irritation, or muscle strain near the chest. Infections like mastitis are rare but possible, especially if there is redness or swelling. Most breast pain in children is benign and improves without special treatment.

When to Use Telemedicine for Breast Pain

Telemedicine can be a helpful first step to discuss your child's symptoms with a healthcare provider. A virtual visit allows the provider to ask about the pain's location, duration, and any other symptoms. They can guide you on simple care measures such as using warm compresses, avoiding tight clothing, and monitoring symptoms. Telemedicine is convenient for follow-up if symptoms are mild and improving.

Red Flags: When to Seek In-Person Care Immediately

Certain signs require urgent evaluation in person:

If your child has any of these symptoms, go to a healthcare facility promptly for a physical exam and possible tests.

What to Expect During an In-Person Visit

The healthcare provider will examine the breast and surrounding areas to check for lumps, infection, or injury. They may ask about your child's medical history and any recent activities that could explain the pain. In some cases, imaging tests like ultrasound may be recommended. Treatment depends on the cause but may include antibiotics for infections, pain relief, or referral to a specialist if needed.

Supporting Your Child at Home

Most breast pain in children improves with simple care:

If symptoms persist or worsen, follow up with your healthcare provider.

How to prepare for your tele-visit

• Note when the breast pain started and how it has changed over time.
• Observe and record any other symptoms like redness, swelling, fever, or lumps.
• Have a list of current medications and any allergies ready.
• Prepare to describe your child's recent activities or injuries.
• Ensure a quiet, private space with good lighting for the telemedicine visit.

After your tele-visit

• Follow the healthcare provider's advice on home care and medication use.
• Monitor symptoms daily and note any changes or new signs.
• Schedule an in-person visit if red flags develop or symptoms worsen.
• Keep a symptom diary to share in follow-up visits.
• Contact your healthcare provider if you have questions or concerns after the tele-visit.

FAQs

Is breast pain normal in children and teenagers?

Yes, breast pain is often normal during puberty due to hormonal changes and breast development. It usually causes mild discomfort that improves over time.

Can a telemedicine visit diagnose the cause of breast pain?

Telemedicine can help assess symptoms and guide care, but it cannot replace a physical exam needed to diagnose lumps, infections, or other serious causes.

When should I take my child to see a doctor in person for breast pain?

Seek in-person care if your child has severe pain, redness, swelling, fever, a growing lump, or any sudden changes in the breast area.

What home treatments can help relieve breast pain?

Using warm or cold compresses, wearing loose clothing, and taking over-the-counter pain relievers as advised can help ease discomfort.

Is breast cancer a concern in children with breast pain?

Breast cancer is extremely rare in children. Most breast pain in young people is due to benign causes. However, any unusual lumps or changes should be evaluated by a healthcare provider.

Sources

1. Breast Pain — MedlinePlus, U.S. National Library of Medicine.
2. Breast Disorders in Children and Adolescents — American Academy of Pediatrics.
3. Breast Pain (Mastalgia) — Mayo Clinic.
4. Breast Pain: Causes and Treatments — Merck Manuals Consumer Version.

This telemedicine guidance is for educational purposes only and is not a substitute for professional in-person medical care. If your child has severe symptoms or red flags, seek immediate medical attention.