 [ Symptoms ] i have suffered from severe headaches and migraines for years [ Disease ] obviously i cannot examine you son but he most likely has adolescent gynecomastia a hormonal side effect of good ol puberty yes these can be tender ibuprofen may help and obviously he should avoid trauma to this area or trauma from teasing brothersfriends who like to pinch them or give him a painful twister or purple nurple ask you son and he will explain what this is these things can add to the normal discomfort of course research adolescent gynecomastia on the internet if you are concerned you can see his regular medical provider for a consultation