What is the cause of breast pain?

About two-thirds of women will have breast swelling or discomfort before menstruation. The whole breast is full, hard and tender, and the original granular or nodular feeling is more obvious. This is a physiological phenomenon. Most women's pain is not serious and can be tolerated; A few sensitive person will feel pain when their breasts shake or collide slightly, and even dare not walk and get dressed. They hold their breasts all day, which is mainly caused by the increase of estrogen level before menstruation 1 ~ 2 weeks, mammary gland hyperplasia, the increase of intercellular cells between mammary glands and tissue edema. After menstrual cramps, the estrogen level drops, the above changes disappear, the breasts are also loose and soft, the pain suddenly disappears, and premenstrual symptoms appear next time. Generally, you don't need to deal with this, keep your mood happy and relax. Severe patients can pay attention to light diet or take a small amount of diuretics, vitamin B 1 and vitamin B6 before menstruation.

Breast pain during pregnancy

After 40 days of menopause, the breast will feel swelling pain, and in severe cases, breast and nipple pain can occur, 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 breast hyperplasia and breast enlargement, which is also a physiological phenomenon. With the increase of breasts, it is necessary to put on a wide bra in time, and it is not appropriate to gird the abdomen. If abdominal distension suddenly stops, it often suggests that the fetus may die prematurely and should go to the hospital for examination immediately.

Some points to pay attention to when you want to continue breastfeeding because of breast pain during pregnancy.

1. Before breast-feeding, the mother takes a comfortable position, applies a hot and humid towel to the breast and areola for 3-5 minutes, and massages the breast at the same time, stimulates milk ejection reflex, and squeezes out some milk, so that the areola becomes soft, which is convenient for the baby to suck.

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

3. If you want to stop breastfeeding for other reasons, the mother should gently press the baby's jaw with the index finger, and the baby will automatically spit out the nipple. Never forcibly pull out the nipple, which will damage the nipple.

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

Postpartum breast pain

Three days after delivery, the breast is full, painful and induration, and even extends to the axillary accessory breast, accompanied by low fever, which is mainly caused by lymphatic retention, venous filling, interstitial edema and poor mammary duct. Generally, 7 days after delivery, the pain can subside. Prevention and treatment of postpartum breast pain methods are:

(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 soon as possible after delivery;

3 hot compress the breast before breastfeeding, you can do some gentle massage to promote smooth milk;

(4) cold compress the breast between breastfeeding to reduce congestion;

(5) When the sucking power of the nursing baby is insufficient, it can be squeezed with both hands or sucked with a breast pump to assist in milk discharge; ⑥ 6 grams of Bupleurum, 0/2g of Angelica sinensis/kloc-0, 9g of Semen Vaccariae, 9g of radix rhapontici, 9g of medulla tetrapanacis, which can be taken by decoction or decoction,12g, once orally. It is very important to deal with milk deposition correctly, otherwise it will cause mastitis, so you must do as much as possible according to the above, especially during breastfeeding.

Life after sex

Discordant sexual life can also cause breast pain or aggravate the original pain, which is related to the physiological changes of the breast during sexual life. When women enter the period of sexual excitement, their nipples stand up, the surface of the breast is congested, and the whole breast is full and enlarged; In persistent areola congestion, breast swelling is more obvious, and its volume can be increased by1/4; At the climax, the swelling reached its peak; In the regression stage, the breast vein filling subsided and its volume gradually decreased, and it could be restored to its original state after 15 ~ 30 minutes. People with indifferent sexual desire or disharmony in sexual life will not be satisfied with sexual life, and the congestion and swelling of breasts will not easily subside, or will not completely subside. Persistent congestion will cause breast swelling and pain. It is reported that among women who are dissatisfied with their sexual life, the incidence of breast diseases, including breast cancer, is also increasing. Therefore, women should pay attention to good sexual life, and those with asexual orgasm or frigidity should see a doctor.

After abortion

After induced abortion, some patients complained of breast pain and could touch breast lump. If the symptoms appear a little longer than the abortion, people often forget or ignore that the symptoms are related to the abortion. Abortion is different from natural childbirth. Natural childbirth is a natural process in which melons are ripe, while abortion is an abnormal state of human intervention. 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 mammary gland 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 new leaves are not easy to wither and fall off, which will cause breast lumps and breast pain. It is reported that the incidence of mammary gland hyperplasia also increases 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 impact 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 of contraception.

hyperplasia of mammary glands

Breast hyperplasia is the most common cause of breast pain, and more than 80% of breast hyperplasia has different degrees of breast pain. The pain site is often inconsistent with the location of the mass, and often radiates to the armpit, shoulder and back, which can be affected by factors such as menstruation, mood and weather changes, and often automatically relieves or has irregular paroxysmal attacks. Masses with unclear boundaries, different sizes, hard texture and good fluidity can be felt in the breast, and some of them have granular surfaces. This disease accounts for more than 2/3 of breast diseases, and it usually occurs in 35 ~ 45 years old, especially in older unmarried, childless, lactating, depressed and sexually dysfunctional women. After finding the above situation, you should find a doctor for physical examination, exclude cancer and follow up regularly. Mild pain does not need treatment, and those with severe pain can use Chinese medicine appropriately.

6 related disease editor

breast pain

The pathogenesis of breast pain is similar to that of primary dysmenorrhea, which is quite common. No breast lump with only breast pain, intense and persistent swelling pain, such as acupuncture or knife cutting, and some dull pain. The pain site is uncertain, and the bilateral severity is different, which can radiate to armpit, shoulder and upper limbs. In severe cases, people can't dress and dare not walk. At the time of examination, there was a feeling of hypertrophy or granulation in the outer upper part of the breast, with slight tenderness, but 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 nervous disorders in the body. Traditional Chinese medicine has a good effect of soothing the liver and relieving pain in the treatment of breast swelling pain. After a period of treatment, the pain in most cases will be relieved or even disappeared, and some cases will recur. In a few cases, a lump appears in the later stage, which leads to hyperplasia of mammary glands and requires regular examination.

Mastitis pain

Local redness, swelling, heat and pain in one breast, accompanied by elevated body temperature, are often signs of mastitis. Early use of antibiotics (such as) and hot compress to reduce inflammation and swelling; If an abscess is formed in the later stage, it is necessary to cut and drain the pus.

ovarian tumor

Because ovarian tumors can produce a lot of estrogen, stimulate breast hyperplasia, thus causing breast pain. About 20% 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 an ovarian tumor.

Breast cancer pain

48% of breast cancer patients have dull pain and tingling in different degrees, which gradually worsen and involve the shoulder and back. About 13% of breast cancer patients have breast pain as the first symptom, and 6% of them 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, unbearable and gradually aggravated. Breast cancer is more common in women over 50 years old. Therefore, older women with persistent breast pain, fixed position and heavy shoulders should be closely followed up, so as not to miss the opportunity of early diagnosis.