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143
Lin Yang
Breast Surgery
About me
Graduated from Jiamusi Medical University in July 2005 with a Master's degree in Medicine.
Proficient in diseases
Treat various breast diseases such as breast hyperplasia, benign and malignant tumors. Has unique insights into the application of mammary ductoscopy.
Voices
Breast pain and bleeding after intercourse, what could be the reason?
Breast pain and nipple bleeding during intercourse are considered types of nipple discharge, possibly caused by intraductal papilloma or chronic inflammation of the ducts. Diagnosis can be made through mammography or ductoscopy. Generally, we choose ductoscopy, which allows direct observation on a computer screen whether the cause is inflammation or intraductal papilloma. If the issue is solely inflammation, it can be treated by flushing through ductoscopy. If intraductal papilloma is suspected, ductoscopy can be used to collect a tissue sample for pathology to determine whether it is due to intraductal papilloma or cancer within the ducts.
How to deal with breast hyperplasia pain?
Breast hyperplasia pain is generally caused by hormonal imbalances in the body. Mild pain can be managed by adjusting one's psychology or alleviating stress, but severe cases require treatment with traditional Chinese medicine and regular follow-ups. First, psychologically, it is important to relieve the pressures of life and work, eliminate worries, maintain a cheerful mood and a balanced mindset, which can help alleviate symptoms. Second, traditional Chinese medicine can be used, employing herbs that soothe the liver, promote blood circulation, remove blood stasis, soften hardness, and break down masses to relieve pain. Third, Western medicine treatments involve the use of hormones and iodine preparations, which can treat breast hyperplasia but often have significant side effects. (Medications should be used under the guidance of a doctor.)
Can cupping therapy be used for breast distension and pain?
Breast pain can be treated with cupping, but it is ineffective because breast pain is related to fibrocystic breast changes, which are often caused by endocrine disorders leading to elevated levels of estrogen. Generally, we can treat it with traditional Chinese medicine, using methods to soothe the liver and regulate qi, and harmonize the thoroughfare and conception vessels to alleviate the pain. Endocrine treatment can also be used, though it is generally avoided if possible. However, for significant pain during the pre-menopausal period, therapy can be initiated before the menstrual period. Treatment with vitamins B, C, and E can improve liver function, regulate sex hormone metabolism, and enhance autonomic nervous system functions. These serve as supplementary medication for this condition. Vitamin E in particular also helps alleviate pain.
Which department treats mammary gland hyperplasia?
Breast hyperplasia is organized differently in larger cities, with separate departments for breast internal medicine and breast surgery. Generally, simple breast hyperplasia should be treated in breast internal medicine. In medium-sized cities, breast internal medicine and breast surgery are combined into one department, so a normal breast department is sufficient. In smaller cities, due to the lack of a dedicated breast surgery department, it falls under general surgery or oncology. Therefore, one can visit oncology or general surgery. In even smaller towns, general surgery or gynecology can handle breast hyperplasia. Further down, in clinics, we still recommend visiting medium-sized or larger cities for treatment of breast hyperplasia.
What's going on with breast swelling and pain and also arm soreness?
Breast swelling and pain, as well as arm soreness, are considered to be caused by mammary gland hyperplasia and accessory breast syndrome. Mammary gland hyperplasia often manifests as cyclical swelling and pain in the breasts, commonly occurring or worsening before menstruation and alleviating or disappearing after menstruation. While mild cases might not be noticed by patients, severe cases can impact daily life and work. However, some patients do not exhibit obvious cyclical changes, and symptoms can include unilateral or bilateral breast swelling and pain, resembling needle pricks, which can extend to the shoulder, upper limbs, or chest and back areas. A few patients might experience nipple discharge, which can be yellow-green, brown, or bloody. The condition can sometimes persist for a long time, with symptoms automatically disappearing or reducing after menopause. When breast swelling and pain occur, it is necessary to regularly recheck the breast with ultrasound and mammography.
Symptoms of breast hyperplasia
Breast hyperplasia mainly manifests as cyclical breast pain and tenderness, which often appears or worsens before menstruation and lessens or disappears after menstruation. Mild cases may not catch the patient's attention, while severe cases can affect daily life and work. However, some patients do not show obvious cyclical changes. Symptoms can include unilateral or bilateral breast fullness and pain or needle-like pain, which may extend to the shoulders, upper limbs, or chest/back area. A few patients may experience nipple discharge that can be yellow-green, brown, serous, or bloody. The condition can persist for a long time, but symptoms may disappear or lessen after menopause.
How many days does it take for the fever from acute mastitis to go away?
The fever associated with acute mastitis can subside within a few days, but it needs to be evaluated through ultrasound and a complete blood count; these tests can be performed in the breast department of a standard hospital. If the blood count exceeds 10,000, temporary fever reduction is possible, but inflammation can cause fever to recur. In such cases, local warm and moist compresses are recommended, and injections of saline combined with penicillin can be administered to help reduce inflammation. Systemic antibiotics such as penicillin and cephalosporins can be used. Since antibiotics can be secreted into breast milk and affect infants, the use of tetracyclines, aminoglycosides, sulfa drugs, and metronidazole should be avoided. After three days of intravenous treatment, a follow-up complete blood count should be conducted to determine whether anti-inflammatory symptomatic treatment should be discontinued.
Does acute mastitis require milk dredging?
During acute mastitis, it is necessary to apply local heat and then clear the milk ducts by stroking them to drain excess milk. If milk stasis occurs in the ducts, it can aggravate inflammation and, in severe cases, lead to the formation of a breast abscess. Once a breast abscess forms, it requires incision and drainage, so it is essential to completely drain any residual milk during acute mastitis. For acute pancreatitis, prevention is more important than treatment. The specific methods include maintaining nipple cleanliness during breastfeeding, frequently washing the nipples with warm soapy water, developing good breastfeeding habits, breastfeeding regularly, ensuring that the milk is fully drawn each time, and if not, either manually expressing or using a breast pump. Additionally, avoid letting the baby sleep with the nipple in their mouth.
Is massage useful for breast distension pain?
Breast pain massage can be effective, but the effect is not very clear. Breast pain is generally related to breast hyperplasia, which is often linked to increased levels of estrogen due to endocrine disorders. Under normal circumstances, for symptoms that are quite obvious, we can use traditional Chinese medicine for treatment, which alleviates the pain through methods such as soothing the liver and regulating Qi, as well as harmonizing vital energy. Vitamin treatment can also be used. Vitamins B, C, and E improve liver function, regulate sex hormone metabolism, and enhance autonomic nervous function, serving as auxiliary medications for this condition. Vitamin E also has a pain-relieving effect. Endocrine treatment can also be used, although it is generally best avoided if possible. However, for patients in the pre-menopausal period who experience significant pain, it can be taken before the onset of menstruation.
What is causing breast swelling, pain, and discharge of pus?
Breast pain and hyperplasia are related, while purulent discharge might be caused by inflammation within the ducts. Usually, this can be diagnosed through ductoscopy. If it is inflammation, the lesions can be identified under ductoscopy, and then can be treated through washing with metronidazole and gentamicin, achieving a cure. However, there is a scenario where the issue is due to previously forcefully suppressing milk expulsion, leading to a large amount of milk residue in the ducts, causing purulent discharge. In this case, local heat application followed by massage and milk expulsion performed by a professional lactation masseuse can cure the condition. Regular follow-up with ultrasound and mammography of the breast is needed in the future. (Medications should be used under the guidance of a physician.)