Mastalgia

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Written by Du Rui Xia
Obstetrics
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What department should I go to for postpartum breast pain?

Postpartum breast pain usually indicates acute mastitis, and one can go to the general surgery department of a hospital for treatment. Postpartum mastitis often occurs because the breast ducts are blocked by breast milk that isn't properly expelled, which can also cause breast lumps. In such cases, it is crucial to express the breast milk to facilitate the clearing of the breast ducts. The changes in a woman's breasts after childbirth are very noticeable. The breasts enlarge and produce milk. If there is difficulty in expelling milk, this can lead to breast pain and even the formation of lumps, necessitating a visit to the surgical department of the hospital for examination and treatment.

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Written by Zhao Li Li
Obstetrics
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Do ectopic pregnancies cause breast tenderness?

Under normal circumstances, an ectopic pregnancy is also considered a type of pregnancy, and symptoms similar to early pregnancy reactions may appear, including nausea, vomiting, fatigue, loss of appetite, or breast tenderness and obvious breast enlargement. However, the presence of breast tenderness does not necessarily indicate an ectopic pregnancy, as normal intrauterine pregnancy can also cause breast tenderness. Therefore, if pregnancy is suspected, it is advisable to undergo prompt medical examinations to determine whether it is an intrauterine or ectopic pregnancy.

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Written by Lin Yang
Breast Surgery
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What is the cause of breast swelling, pain, and prominent nipples?

Breast swelling and pain, along with prominent nipples, are generally considered to be related to fibrocystic breast changes. Currently, fibrocystic breast changes are mostly believed to be related to elevated levels of estrogen caused by hormonal imbalances. The external environment in which people live, work and living conditions, interpersonal relationships, and other various stresses causing psychological factors, can all alter the internal environment of the human body. This, in turn, affects the function of the endocrine system, leading to abnormal secretion of one or several hormones, and changes in the hormone levels within the breast receptors during the menstrual cycle. When the balance of hormone levels in the body is disrupted, with an increase in estrogen levels and a decrease in progesterone secretion, it can lead to incomplete regression after breast proliferation, causing the growth of breast tissue. Additionally, the differential quality and quantity of female hormone receptors in the breast tissue components may lead to uneven growth of various parts of the breast.

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Written by Lin Yang
Breast Surgery
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Does breast pain have a connection with gynecological diseases?

Breast swelling and pain generally do not have a clear relationship with gynecological diseases. However, ovarian function is related to breast swelling and pain, as the state of ovarian function and whether there is disorder play an important role in the onset of mammary gland hyperplasia. On the other hand, differences in the quality and quantity of female hormone receptors are clearly related to the uneven growth of various components of the mammary gland. Breast swelling and pain can be alleviated through Traditional Chinese Medicine treatments by soothing the liver and regulating qi, and harmonizing and moisturizing the body. Vitamin treatment can also be used, as vitamins can help treat mammary gland hyperplasia.

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Written by Lin Yang
Breast Surgery
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What should I do if I have breast pain and feel cold?

Breast swelling, pain, and coldness are considered to be related to breast hyperplasia, which is often thought to be associated with endocrine disorder causing increased estrogen levels. Local hot compresses, traditional Chinese medicine treatments, and methods to soothe the liver and regulate the Qi to harmonize the Chong and Ren meridians can alleviate pain. Endocrine treatments are also an option, but they could increase the risk of endometrial cancer, thus they are best avoided if possible. However, for prominent pain during the premenopausal phase, it is advisable to take medication before the onset of menstruation. Micronutrient treatments, including vitamins B, C, and E, can be used. These vitamins help improve liver function, regulate hormone metabolism, and enhance autonomic nervous system function, serving as adjunctive medications for this condition. Vitamin E also helps in alleviating pain.

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Written by Zhang Lu
Obstetrics
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How to relieve breast engorgement after childbirth?

Many new mothers experience breast swelling and pain after childbirth, primarily due to the poor secretion of breast milk leading to accumulation within the milk ducts, causing discomfort. There are several ways to facilitate milk flow and relieve breast pain: First and foremost, it is important to encourage the newborn to suckle more frequently, as this promotes milk expulsion and alleviates breast pain. Secondly, in addition to encouraging frequent suckling, using a breast pump can also help. Both manual and electric breast pumps are suitable for use. Thirdly, massaging the lumpy areas of the breast can help relieve the sensation of pain. These are some methods to ease breast pain by facilitating milk flow.

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Written by Luo Chun Yan
Obstetrics and Gynecology
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Lower abdominal pain and breast swelling, what's the matter?

Lower abdominal pain and breast pain are some symptoms that appear before menstruation. Before menstruation, there are significant changes in the levels of estrogen and progesterone in the body. An imbalance in the levels of these hormones can lead to symptoms such as breast pain and lower abdominal pain. These symptoms typically disappear with the onset of menstruation, so it is a normal phenomenon and does not require special treatment. These symptoms could also be early signs of pregnancy, as early pregnancy reactions. In the early stages of pregnancy, the levels of estrogen and progesterone in the body increase significantly, which can cause breast pain, lower abdominal pain, and other early pregnancy reactions such as nausea and vomiting. When experiencing lower abdominal pain and breast pain, one should first consider the menstrual cycle and whether there is a delay in menstruation. If the menstruation is delayed, pregnancy should be considered. If it is just before an expected menstruation, these could be premenstrual symptoms.

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Written by Lin Yang
Breast Surgery
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Is breast pain related to taking folic acid?

Breast pain and swelling are generally not related to folic acid intake, as such pain and swelling are usually associated with breast hyperplasia, which is often related to endocrine disorders leading to increased levels of estrogen. The breast is a target organ for many endocrine glands, and its physiological activities are influenced by hormones secreted by the pituitary gland, ovaries, and adrenal cortex. The pituitary gland can directly affect the breast through prolactin. At the same time, estrogen and progesterone produced by the ovaries and adrenal cortex indirectly affect the breast. During pregnancy, breast cancer is influenced by estrogen and progesterone produced by the placenta. During pregnancy and lactation, the breast noticeably proliferates, with ductal elongation and alveolar secretion of milk. After breastfeeding, breast tissue returns to a relatively quiescent state.

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Written by Zhao Xiao Dong
Obstetrics and Gynecology
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Does ovulation bleeding cause breast tenderness?

Most women do not show any abnormal symptoms during their ovulation period, but some may experience bleeding during ovulation. Generally, ovulation bleeding does not accompany breast tenderness. Ovulation bleeding usually occurs after ovulation when the level of estrogen drops rapidly, sometimes causing partial shedding of the uterine lining, which leads to ovulation bleeding. At this time, it often does not involve breast tenderness. Generally, a few days after ovulation bleeding, when the estrogen level rises again, breast tenderness may occur. For abnormal breast tenderness, it is necessary to conduct a breast ultrasound or even a mammogram to rule out conditions such as breast hyperplasia, breast nodules, or even breast tumors.

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Written by Lin Yang
Breast Surgery
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Breast pain during running, what could be the reason?

Breast hyperplasia is generally considered related to endocrine disorders, which lead to increased levels of estrogen. The external environment in which one lives, including work and living conditions, interpersonal relationships, and various other stress factors, can cause changes in the body's internal environment. This, in turn, affects the function of the endocrine system, leading to abnormal secretion of one or several types of hormones. During the menstrual cycle, changes in hormone levels within the breast receptors can cause neutral changes. When the balance of hormone levels in the body is lost, and estrogen levels increase, a decrease in progesterone secretion can lead to incomplete regression of breast hyperplasia, causing an increase in breast tissue. Additionally, differences in the quality and quantity of female hormone receptors in the breast tissue may lead to uneven growth in different parts of the breast.