Mastalgia


What are the reasons for breast swelling, pain, and lumps?
Breast swelling and lumps can often indicate fibrocystic breast changes, typically caused by high levels of hormones in the body. This leads to the proliferation of stromal and epithelial tissues, forming these hard lumps. To diagnose whether the lumps are due to fibrocystic changes or other causes, such as fibroadenomas or breast cancer which also present as hard lumps, a breast ultrasound or mammography is required. If possible, further confirmation can be made through cell aspiration or MRI. If the diagnosis is simply fibrocystic breast changes, treatment can be administered using traditional Chinese medicine. However, if fibroadenomas or breast cancer are present, further examinations are necessary for a clear diagnosis, followed by appropriate treatment.


What is the cause of swelling pain on both sides of the breast accompanied by chest tightness?
Breast pain on both sides accompanied by chest tightness may be caused by mammary gland hyperplasia, and can be diagnosed through breast ultrasound or mammography. Mammary gland hyperplasia is mainly related to hormonal disturbances in the body. External living environment, working and living conditions, interpersonal relationships, and other various stresses causing neuropsychiatric factors, can change the internal environment of the body, thereby affecting the function of the endocrine system. This may lead to abnormal secretion of one or several hormones. During the menstrual cycle, changes in the receptors in the mammary glands and internal hormone levels result in periodic changes. When the balance of hormones in the body is lost, with elevated estrogen and reduced progesterone secretion, it can lead to incomplete regression after the proliferation of mammary glands, causing breast tissue hyperplasia accompanied by pain.


Is it normal to have breast pain before menstruation?
Breast swelling and pain before menstruation are symptoms of premenstrual syndrome. This swelling and pain generally disappear after the onset of menstruation and are greatly related to emotional states. Therefore, it is important to maintain a relaxed mood, exercise regularly, ensure sufficient sleep, and avoid overwork and staying up late to reduce or eliminate these symptoms. Some people may become irritable, which can exacerbate the pain and swelling. Thus, breast swelling and pain are not normal, but they are also related to hormone secretion.


What is the cause of breast tenderness and pain to the touch?
Breast pain is considered to be caused by breast hyperplasia. The etiology of breast hyperplasia is not yet very clear. Currently, it is mostly believed to be related to elevated levels of estrogen due to endocrine disorders. Some also attribute it to external environmental factors, work, living conditions, and various stressors causing changes in the internal environment, which in turn affect the function of the endocrine system, leading to abnormal secretion of one or more hormones. Additionally, some scholars believe that it is related to differences in the quality and quantity of female hormone receptors in the breast tissue, leading to varying degrees of proliferation in different parts of the breast.


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.


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.


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.


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.


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.


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.