What is the cause of breast pain?

About two-thirds of women have breast pain or discomfort before menstruation, and the whole breast is full, hard and tender, and the original granular or nodular feeling is more obvious, which belongs to physiological phenomenon. Most women's pain is not serious and can be tolerated; A few sensitive person feel painful when their breasts are slightly shaken or collided, and even dare not walk and dress, holding their breasts all day long, which is mainly caused by the increase of estrogen level in their bodies, hyperplasia of mammary glands, cell enlargement and edema of tissues between mammary glands 1-2 weeks before menstruation. After menstrual cramps, the level of estrogen drops, the above changes disappear, the breasts are also relaxed and soft, the pain disappears suddenly, and the premenstrual symptoms appear again next time. Generally, you don't need to deal with this, keep your mood cheerful and relax. Severe patients can pay attention to light diet or take a small amount of diuretics, vitamin B1 and vitamin B6 before menstruation.

Breast pain during pregnancy

After 4 days of menopause, the breasts feel distended, and in severe cases, they may have breast and nipple pain, which can last for the whole pregnancy. This is because the placenta and villi secrete a lot of estrogen, progesterone and prolactin, which makes the mammary gland hyperplasia and breast enlargement, and it is also a physiological phenomenon. With the increase of breasts, it is necessary to change into a wide bra in time, and it is not advisable to corset. If the bloating suddenly stops, it often suggests that the fetus may die prematurely, so you should go to the hospital immediately for examination.

Some points to pay attention to if you want to continue breastfeeding during pregnancy

1. Before breastfeeding, the mother takes a comfortable position, spreads the breast and areola with a hot and humid towel for 3-5 minutes, and massages the breast at the same time to stimulate milk ejection reflex and squeeze out some milk, so that the areola becomes soft and convenient for the baby to suck.

2. First, breast-feed with the breast with mild pain, and pay attention to putting most of the nipple and areola into the baby's mouth, and also pay attention to changing the baby's feeding position to reduce the stimulation of sucking on the nipple.

3. If the mother gently presses the baby's jaw with the index finger when stopping feeding for other reasons, the baby will automatically spit out the nipple. Never pull out the nipple forcibly, which will damage the nipple.

4. If chapped nipple has occurred, squeeze out some milk after breastfeeding, smear it on nipple and areola, and let it dry naturally. [3]

Postpartum breast pain

Three days after delivery, the breasts are full, painful and induration, even extending to the axilla accessory breast, accompanied by low fever, which is mainly caused by lymphatic retention, venous filling, interstitial edema and poor mammary duct. Generally, after 7 days postpartum, the pain can subside. The methods to prevent postpartum breast pain are as follows:

① In the third trimester of pregnancy, a small amount of colostrum in the breast is squeezed out to prevent it from staying in the catheter, forming an embolus and blocking the mammary duct;

② breastfeeding as early as possible after delivery;

③ Hot compress the breast before breastfeeding, and you can do some gentle massage to promote the smooth flow of milk;

④ cold compress breast between breast feeding to reduce congestion;

⑤ When the suckling power is insufficient, it can be squeezed with both hands or sucked with a breast pump to help the milk discharge; ⑥ 6 grams of Bupleurum chinense, 12 grams of Angelica sinensis, 9 grams of Semen Vaccariae, 9 grams of Radix Rhapontici, and 9 grams of medulla Tetrapanacis can be taken orally in decoction or ointment, and 1 grams can be taken orally at a time. It is very important to deal with milk deposition correctly, otherwise it will cause mastitis, so we must try our best to do it according to the above, especially to suck up the remaining milk during breastfeeding.

Discordant sexual life after sexual life can also cause breast pain or aggravate the original pain, which is related to the physiological changes of breast during sexual life. When women enter the period of sexual excitement, the nipples stand up, the surface of the breast is congested, and the whole breast is full and enlarged; In the persistent period, the areola is congested, and the breast swell is more obvious, and its volume can be increased by 1/4; At orgasm, the swelling reaches its peak; In the regression period, the breast vein filling subsided, and its volume gradually decreased, and it can be restored to its original state after 15 ~ 3 minutes. Those with indifferent sexual desire or disharmony in sexual life will not be satisfied with sex, and the congestion and swelling of the breasts will not easily subside, or will not subside completely. Persistent congestion will make the breasts swell and ache. It is reported that among women who are dissatisfied with their sexual life, the incidence of breast diseases, including breast cancer, is also increasing, so women should pay attention to good sexual life, and those who have asexual orgasm or sexual indifference should go to the doctor.

After abortion

After induced abortion, some patients complain of breast pain and can touch breast lump. If there is a long time between symptoms and abortion, people often forget or ignore that this symptom is related to abortion. Abortion is different from natural childbirth, which is a natural process of ripe melons, while abortion is an abnormal state of human interference. Generally, after 4 weeks of menopause, the breasts begin to swell, plump and enlarge, and the mammary glands gradually develop. When the pregnancy is suddenly interrupted and the hormone level drops sharply, the newly developed breast will suddenly stop growing, the cells will become smaller, and the acinus will disappear. This kind of aggregation recovery is often incomplete and uneven, just like the newborn leaves are not easy to wilt and fall off, which will cause breast lumps and breast pain. It is reported that the incidence of hyperplasia of mammary glands has also increased linearly with the number of induced abortions. According to foreign reports, the more people have abortions, the greater the risk of breast cancer. Many data prove that the influence of abortion on breast is not only painful, but also persistent and potential harm. Therefore, we should do as little or no abortion as possible and do a good job in contraception.

Hyperplasia of mammary glands

Hyperplasia of mammary glands is the most common cause of breast pain, and more than 8% of breast hyperplasia has different degrees of breast pain. The pain site is often inconsistent with the location of the mass, and it often radiates to the armpit, shoulder and back, which can be affected by factors such as menstruation, mood and weather changes, and often has automatic relief or irregular paroxysmal attacks. Masses with unclear boundaries, different sizes, hard and tough texture and good mobility can be felt in the breast, and some masses have granular surfaces. This disease accounts for more than 2/3 of breast diseases, and it usually occurs at the age of 35 ~ 45, especially in elderly unmarried, childless, breast-feeding, depressed and sexually dysfunctional women. After finding the above situation, you should ask a doctor for a physical examination, exclude cancer and follow up regularly. There is no need to treat mild pain, and Chinese medicine can be used appropriately for those with severe pain.

6 related diseases editor

mastalgia

The pathogenesis of mastalgia is similar to primary dysmenorrhea, which is quite common. It is characterized by only breast pain without breast lump, and the swelling pain is intense and lasting, such as acupuncture or knife cutting, and some are dull pain. The pain location is uncertain, and the bilateral severity varies, which can radiate to the armpit, shoulder back and upper limbs. In severe cases, people can't dress and dare to walk. At the time of examination, there is a feeling of hypertrophy or graininess on the outer upper part of the breast, and there may be slight tenderness, but there is no lump. Menopausal women may also have unbearable breast pain, often accompanied by breast fever and discomfort, which is related to the secretion of a large number of gonadotropins and autonomic nerve disorders in their bodies. The treatment of breast pain with traditional Chinese medicine has a better effect of soothing the liver and relieving pain. After a period of treatment, the pain in most cases will be relieved or even disappeared, and some cases can recur. In a few cases, a lump occurs later, resulting in hyperplasia of mammary glands, so regular examination is needed.

Mastitis pain

A local redness, swelling and heat pain on one side of the breast, accompanied by an increase in body temperature, is often a sign of mastitis. Early use of antibiotics (such as), hot compress and other anti-inflammatory swelling; If the late abscess is formed, it is necessary to cut and drain the pus.

Ovarian tumor

Because ovarian tumor will produce a large amount of estrogen, it will stimulate breast hyperplasia, thus causing breast pain. About 2% of patients with ovarian tumors are complicated with breast diseases, including breast pain and breast cancer. For unexplained breast pain, gynecological examination should be done to determine whether there is ovarian tumor.

breast cancer pain

48% of breast cancer patients have dull pain and tingling in varying degrees, which is gradually aggravated and involves the shoulders and back. Breast pain is the initial symptom of breast cancer, which accounts for about 13%. Among them, 6% patients have breast pain as the only early manifestation, that is, only breast pain without touching the mass. In the late stage of breast cancer, the pain is severe and unbearable, and it is gradually aggravated. Breast cancer is more common in women over 5 years old. Therefore, women who are older, have persistent breast pain, fixed parts and heavy shoulders should be closely followed up and don't miss the opportunity of early diagnosis.