What tests should be done for breast pain?

Written by Lin Yang
Breast Surgery
Updated on February 01, 2025
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Breast pain is generally considered to be caused by breast hyperplasia. It usually occurs or worsens before menstruation and decreases or disappears after menstruation. In this case, it is recommended to have a breast ultrasound, which generally shows uneven low echo areas. If cysts are formed, anechoic areas will be reported. You can also undergo a mammography X-ray examination, which often shows ground glass-like or cotton wool-like shadows. If financial conditions allow, further breast MRI examination can be conducted to more accurately determine the benign or malignant nature of the condition.

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Written by Liu Hong Mei
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What's the matter with headache, nausea, and breast pain?

Headaches, nausea, and breast pain may be related to autonomic dysfunction and cardiac neurosis. It is important to rest well, ensure sufficient sleep, and further exclude cardiovascular diseases, myocardial ischemia, myocardial infarction, and insufficient cardiac blood supply, which can also cause headaches, nausea, breast pain, cerebral infarction, cerebral hemorrhage, insufficient cerebral arterial blood supply, and cerebral vascular stenosis. These conditions can also trigger migraines and ischemic hypoxic changes in cerebrovascular health, causing headaches, nausea, and breast pain. Blood pressure and blood sugar should be monitored, and blood pressure should be actively controlled to prevent hypertensive encephalopathy.

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Written by Zhang Chun Yun
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Is breast pain before menstruation related to breast cysts?

Women experiencing breast pain before menstruation are advised to undergo a systematic examination at a hospital. If you suspect that you have a breast cyst, it is still advisable to undergo relevant tests to eliminate the possibility of this condition. If breast cysts are ruled out, the pre-menstrual breast pain might be due to premenstrual syndrome (PMS). Premenstrual syndrome in women often manifests as headaches, breast pain, abdominal bloating, limb edema, irritability, anxiety, depression, and emotional instability, among other symptoms. If diagnosed with PMS, psychological reassurance and counseling can be provided to help the woman relax. Additionally, a suitable diet, nutrition, and appropriate physical exercise should be considered. If necessary, medication might be taken under a doctor's prescription. For further queries, please consult a doctor at a hospital.

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Written by Du Rui Xia
Obstetrics
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What to do about breast pain from a biochemical pregnancy?

After experiencing a biochemical pregnancy, if the patient has symptoms such as breast tenderness, there is no need to worry too much. As the hormone levels decrease, the symptoms of breast tenderness will gradually ease. If the symptoms are significant, they can be alleviated through local heat application, massage, or other physical therapy methods. If necessary, it is also possible to visit a hospital and, under the guidance of a doctor, take some medications for treatment. During this time, it is important to rest, ensure sufficient sleep, avoid overworking and staying up late, enhance nutrition, and avoid raw, cold, and spicy stimulating foods. The diet should be light and nutritious.

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Written by Zhao Su Min
Obstetrics
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What should I do if I have breast engorgement and lumps during postpartum confinement?

Postpartum breast engorgement and pain with lumps may indicate milk stasis within the breast. It is recommended to let the child suckle more. If the engorgement and pain persist due to a significant amount of residual milk, you can manually express the milk or use an electric breast pump to remove it to prevent the accumulation of milk, which can lead to mastitis. If the pain is severe and accompanied by fever, it is advised to stop breastfeeding from that side and seek medical attention promptly. If necessary, oral anti-inflammatory medication may be administered. During the postpartum period, care should be taken to avoid putting pressure on the breasts.

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Written by Lin Yang
Breast Surgery
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What's going on with breast swelling, pain, and frequent urination?

Breast engorgement and frequent urination may be caused by mammary gland hyperplasia, and we can diagnose it through breast ultrasonography or mammography. Mammary gland hyperplasia is currently believed to be related to endocrine disorders causing increased levels of estrogen. It primarily manifests as cyclical breast pain, often occurring or worsening before menstruation, and diminishing or disappearing after menstruation. Mild cases may not be significant to the patient, but severe cases can affect daily life and work. However, some patients do not show obvious cyclical changes, and symptoms may include one or both sides of the breasts feeling engorged or a tingling itch, possibly extending to the shoulder, upper limbs, or thoracic and back areas. A minority of patients may experience nipple discharge, which can be yellow or brown. The condition can last for a long time, but symptoms will automatically disappear or lessen after menopause.