 [ Symptoms ] do i have gynecomastia or just puffy nipples  i have had puffy nipples since middle school and i am now a high school senior lately i have been reading up on it because its honestly just frustrating not being comfortable to just wear one shirt or go swimming i am 58 and 140 and in relatively good shape i do not really enlarged breasts its just my nipples i have heard it could be a mild form of gynecomastia will it go away should i see a doctor [ Disease ] infections are known to cause blood pressure changes so it would be possible that a severe sinus infection could do the same