I wanted to know if I am having gynecomastia or is it just the lower chest fat, I do have certain fat percentage on my body so I'm not a skinny guy but I'm not fat either. My BMI is 22.3. My chest part is bit raised than the nearer body. I don't feel any pain or knot my I press my nipples but they do give a look of breast when my body is not flexed. I go to gym but doesn't take any supplements. People have been pointing on my chest lately.

Dr. Nikhilesh BorkarOncologist14yrs exp

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Please see a breast surgeon. They would examine you and if needed do a mammogram or an ultrasound. If it is only fat then it is called as pseudo-gynaecomastia. If Breast tissue is present on mammogram or ultrasound then it is gynaecomastia. The most common cause of breast lump in a male is gynaecomastia. It is usually pubertal in young males and it regresses spontaneously. It could also be due to hormonal imbalance between testosterone and estrogen or increased prolactin level. The cause of imbalance is mostly drugs like anabolic steroids, some antiandeogenic drugs, antipsychotics, diuretics like spironolactone, omeprazole etc. Also testicular tumours and liver failure could lead to the hormonal imbalance. Other causes of lump in a male breast need to be ruled out like lipoma, fibroma, bony or chest wall tumour and rarely male breast cancer. Feel free to come and see me or to contact me directly if you want to discuss this further. 

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