The difference between breast prickling pain and swelling pain.

Written by Lin Yang
Breast Surgery
Updated on January 21, 2025
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Breast tingling and soreness are no different; they are both manifestations of breast hyperplasia. The main symptoms of breast hyperplasia include cyclic swelling and pain in the breast, which often appear or worsen before menstruation and diminish or disappear after menstruation. Mild cases may not be noticed by the patient, while severe cases can affect daily life and work. However, some patients do not exhibit obvious cyclical changes, and some may experience soreness in one or both breasts, or needle-like pain, which can extend to the shoulders, upper limbs, or chest and back area. A few patients may have nipple discharge, with the color of the discharge ranging from yellow, brown, or bloody. The duration of the condition can sometimes be lengthy, but symptoms typically alleviate or disappear automatically after menopause.

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Written by Lin Yang
Breast Surgery
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What tests should be done for breast pain?

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 Wu Shi Ting
Breast Health Department
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What causes breast pain before menstruation?

In clinical practice, I often hear complaints from female friends that they experience breast tenderness before menstruation. What exactly is the cause of this? Mild breast tenderness may be due to hormonal changes in the body, which is a normal physiological condition. Of course, it could also be caused by diseases, such as the most common fibrocystic breast change, which is associated with cyclical breast pain during the menstrual cycle. There are also other diseases that can cause cyclical breast pain, and it is important to pay attention to them. Especially in cases of severe pain, or when even light touch causes significant discomfort, we recommend visiting a hospital for relevant examinations as soon as possible.

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Written by Wang Xiu Mei
Obstetrics
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Do breasts become sore during pregnancy?

During pregnancy, one may experience breast pain, particularly in the early stages. The hormonal changes in a woman's body, including an increase in estrogen and progesterone levels, can lead to this discomfort. This pain generally eases over time and is a normal physiological condition. As long as the prenatal check-ups are within the normal range, it should be fine. However, if the discomfort is severe, it could be indicative of an abnormal condition that requires prompt medical examination. In the early stages of pregnancy, it is advisable to rest adequately, relax, and keep in good spirits. One should avoid getting cold and focus on staying warm. Dietary considerations include avoiding raw, cold, spicy, or pungent foods, and refraining from smoking or excessive drinking. Opt for light and nutritionally balanced meals instead, and increase the intake of fresh fruits and vegetables. It is also necessary to continue taking folic acid during the first three months of pregnancy to prevent neural tube defects in the fetus.

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Written by Wu Shi Ting
Breast Health Department
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What causes breast pain?

We note that breast pain is commonly seen in fibrocystic breast condition. We suggest that you develop good habits in your work and daily life, avoid spicy and irritating food, as well as habits of smoking and drinking, avoid staying up late and overworking, maintain a positive mood and optimistic attitude, and seek timely examination and treatment in a specialized department of a formal hospital. If the breast pain is not caused by fibrocystic changes but other serious lesions, it is even more crucial to promptly and early receive appropriate medical treatment from a doctor.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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What is the cause of postmenopausal breast pain?

Under normal circumstances, if breast swelling and pain occur after menopause, it is necessary to visit a hospital for a breast ultrasound to check for any organic diseases in the breast. If the ultrasound reveals any abnormal masses or conditions, further examination with a mammogram is generally required. Normally, there should not be any swelling or pain in the breasts after menopause. If such symptoms occur, they should be taken seriously, and a hospital visit is necessary for relevant examinations to rule out malignant breast tumors. If there is no malignant tumor and the breast ultrasound does not show significant issues, merely presenting with breast swelling and pain, at this point, some medicinal treatment for regulation can be taken. Traditional Chinese medicine generally considers that the liver meridian passes through the breast, and patients with liver Qi stagnation may experience breast swelling and pain. In such cases, taking medicine to soothe the liver and alleviate depression can be symptomatically appropriate.