Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.

What Could Cause Breast Pain and Enlargement in a Male?

Monday, 14 June 2010 04:40 PM

Question: My husband is 85 years old and occasionally complains of pain in both breasts, which seem enlarged. What could be the reason?
Dr. Hibberd's Answer:
Breast enlargement (gynecomastia) in a male should not be ignored. Some drugs are known to cause this, including Tagamet, digitalis, calcium channel blockers, theophylline, reserpine, spironolactone, estrogens, antifungal meds, anti-tumor medications, anti-TB medications, anabolic steroids — even marijuana! While breast enlargement is common and usually normal in younger males during puberty, it may also occur in old age, and may even be one sided.
This is rarely confused with cancer which is asymmetric, firm and usually not tender. Various disorders especially liver (hepatic) and kidney (renal) disease or failure, as well as endocrine (hormonal imbalance) conditions are associated with gynecomastia and deserve to be evaluated by your doctor.

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