What should I do if my breasts are swollen, painful, and not producing milk?

Written by Zhao Yang

Breast Surgery

Updated on September 18, 2024

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Breast engorgement and blocked milk flow can be attributed to the accumulation of milk. The simplest method to alleviate this is by clearing the milk ducts. You can either allow the baby to nurse more frequently or use a breast pump to assist. The most effective solution is to seek help from a lactation consultant or a professional medical practitioner to clear the ducts through milk expression. Both manual expression and nursing the baby are the best methods to relieve engorgement pain.

Other Voices

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Written by Lin Yang

Breast Surgery

1min 5sec

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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 Zhang Chun Yun

Obstetrics and Gynecology

1min 30sec

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Will breast pain still occur if pregnant in the same month as premenstrual breast swelling and pain?

If women experience breast pain before menstruation, it is likely caused by premenstrual syndrome. Premenstrual syndrome in women is often caused by psychological stress and mental factors. It generally causes symptoms such as headaches, breast pain, limb edema, and abdominal bloating. At this time, it is advisable to give psychological suggestion under the guidance of a doctor. Generally, psychological comfort and guidance should be provided to help women relax. Additionally, a reasonable diet, increased nutrition, appropriate physical exercise, and quitting smoking are all good treatment methods for premenstrual syndrome, as it is caused by psychological and mental stress in women. Therefore, it is possible that a woman might still feel tense after becoming pregnant, which might result in chest pain. The specific situation depends on the individual conditions of the woman, as not all women necessarily experience chest pain. Therefore, it is necessary to analyze each case individually. If further questions arise, please consult a doctor at a hospital.

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Written by Ding Ying Bo

Obstetrics and Gynecology

1min 24sec

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Brown vaginal discharge and breast pain, is it pregnancy?

Brown vaginal discharge and breast tenderness, if occurring after a delayed period, especially when effective contraceptives have not been used, may indicate early signs of pregnancy. This is because a low level of progesterone after conception can lead to a threatened miscarriage, manifesting as brown discharge. Moreover, following conception, a rapid rise in estrogen and progesterone levels in the body can stimulate the breasts, causing tenderness and pain. However, brown discharge and breast tenderness can also occur just before menstruation begins, as the endometrium thickens and hormonal fluctuations can lead to shedding. Thus, the presence of brown discharge and premenstrual breast tenderness, coupled with a noticeable increase in progesterone levels, can also stimulate the mammary ducts, resulting in breast pain. Therefore, it is difficult to determine based on symptoms alone whether the manifestations are due to a delay in menstruation or early pregnancy. A hospital laboratory test is necessary to confirm, generally advocating for an HCG test as it is the most accurate for confirming pregnancy and can determine with near 100% certainty, with little room for error.

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Written by Lin Yang

Breast Surgery

49sec

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Breast swelling and pain, increased vaginal discharge, does it mean that menstruation is coming?

Breast swelling and pain, increased vaginal discharge, it might be that menstruation is coming. Breast swelling and pain are generally manifestations of mammary gland hyperplasia. The symptoms of mammary gland hyperplasia typically include cyclical breast swelling and pain, which often appear or worsen before menstruation and subside or disappear after menstruation. Some patients do not experience obvious cyclical changes; some may have swelling and needle-like pain in one or both breasts, which can extend to the shoulders, upper limbs, or chest and back areas. A few patients might have nipple discharge; the discharge can be yellow, brown, or bloody. The disease course can sometimes be long, but symptoms often disappear or lessen after menopause.

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Written by Zhang Hui

Obstetrics and Gynecology

36sec

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Will the breasts become sore 7 days into pregnancy?

Women may experience breast tenderness seven days into pregnancy, generally due to changes in hormone levels caused by the pregnancy. This is a normal physiological phenomenon and there is no need for excessive worry. It is recommended that during the early stages of pregnancy, rest is important to prevent catching a cold and to ensure adequate sleep quality. Avoid mental stress and excessive fatigue. Nutrition should be balanced and well-coordinated, with an emphasis on eating fresh vegetables and fruits. Regular prenatal checkups should also be attended.