How to treat mastitis and breast pain

Written by Lin Yang
Breast Surgery
Updated on March 22, 2025
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For breast pain caused by mastitis during milk engorgement, we can use hot compresses and massage to fully expel the milk. Locally, a 25% magnesium sulfate poultice can be applied for 20 minutes, three times a day. After breastfeeding, cold compresses can be used to reduce the pain caused by milk engorgement. In cases of mastitis, it is important to keep the nipple clean, frequently washing with soap and warm water. Before and after breastfeeding, the nipples can also be washed with 3% boric acid solution. For inverted nipples, gently squeeze out the nipple before cleaning. However, it is not advisable to wipe with ethanol, as ethanol can make the skin of the nipple and areola brittle, leading to fissures. Develop good breastfeeding habits, feed at regular intervals, ensure the milk is fully drawn each time, and if not, manually express or use a breast pump to remove the milk.

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Written by Li Li Jie
Obstetrics and Gynecology
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What is the reason for breast pain during menstruation?

Menstrual breast pain is considered to be caused by two factors. First, the patient experiences breast pain during menstruation due to the stimulation of estrogen and progesterone secretion before the onset of menstruation. The pain symptoms may be more pronounced before menstruation and can be alleviated after menstruation. Second, if the patient's symptoms are severe, it is generally necessary to consider whether the pain is caused by mammary gland hyperplasia. Mammary gland hyperplasia can be caused by long-term staying up late, depression, and excessive stress. It is recommended that the patient undergoes a breast ultrasound to check for conditions like mammary ductal hyperplasia or fibroadenomas, and then receive targeted treatment.

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Written by Wu Shi Ting
Breast Health Department
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Is breast swelling and pain a sign of pregnancy?

After pregnancy, due to the influence of estrogen and progesterone, most women experience breast tenderness. However, not all breast tenderness is caused by pregnancy. There are many causes of breast tenderness. For example, some women experience mild cyclic breast tenderness with menstrual cycle changes, which is often physiological. There are also some diseases, such as common breast hyperplasia, that can cause breast tenderness. Of course, some benign or malignant tumors in the breast can also cause tenderness. Therefore, it is recommended that patients with breast tenderness seek timely medical examination at a hospital.

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Written by Lin Yang
Breast Surgery
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What is causing breast swelling, pain, and discharge of pus?

Breast pain and hyperplasia are related, while purulent discharge might be caused by inflammation within the ducts. Usually, this can be diagnosed through ductoscopy. If it is inflammation, the lesions can be identified under ductoscopy, and then can be treated through washing with metronidazole and gentamicin, achieving a cure. However, there is a scenario where the issue is due to previously forcefully suppressing milk expulsion, leading to a large amount of milk residue in the ducts, causing purulent discharge. In this case, local heat application followed by massage and milk expulsion performed by a professional lactation masseuse can cure the condition. Regular follow-up with ultrasound and mammography of the breast is needed in the future. (Medications should be used under the guidance of a physician.)

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Written by Fan Hong Qiao
Breast Health Department
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Is breast swelling and pain during menstruation normal?

For many women, in addition to experiencing dysmenorrhea during their menstrual period, they often encounter various discomforts. Many young and middle-aged women experience breast pain before and after their period. Is this normal? Many women worry that this is a sign of a pathological change in their breasts. Generally speaking, this type of cyclical breast pain or stabbing pain that occurs as the menstrual cycle approaches and then eases or disappears after the onset of menstruation is mostly due to changes in hormones within the body, and it is a normal physiological condition that does not require treatment. However, if the pain is severe, it is necessary to seek medical attention promptly.

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Written by Lin Yang
Breast Surgery
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Should I use cold or hot compress for breast pain?

For breast tenderness, we generally choose hot compresses to reduce pain. For the occurrence of mammary gland hyperplasia, it is recommended to use medication for symptomatic treatment, which may include traditional Chinese medicine. This treatment involves soothing the liver and regulating qi, and balancing the thoroughfare and conception vessels to alleviate pain. Endocrine treatments are also an option, but they are ideally avoided if possible. However, for significant pain during the pre-menopausal period, medication can be taken before the onset of menstruation. Vitamin treatments with vitamins B, C, and E, which help improve liver function, regulate hormone metabolism, and enhance autonomic nerve functions, can be used as adjunctive medications for this condition. Vitamin E also has pain-relieving properties. For individuals with a family history of breast cancer, localized lesions in part of the breast, noticeable lumps after menstruation or dense shadows or microcalcifications on a mammographic film, a biopsy or a Mammotome rotational excision procedure should be performed, and surgical treatment may be necessary if required.