breast tenderness
Introduction
Introduction Breast pain caused by physiological or pathological changes in women at different times. Often divided into pathological and physiological. There are many reasons and symptoms for breast tenderness, such as breast pain before menstruation, breast pain after menstruation is clean or after ovulation, and pain when wearing underwear or touching. This phenomenon is pathological. It may also be caused by lobular hyperplasia, mammary gland hyperplasia, mastitis and the like. Chinese medicine has long been aware of this disease. It is believed that women's breast pain before menstruation is related to liver and kidney disorders, qi stagnation and blood stasis. It is believed that the breast is treated by the stomach and the nipple is treated by the liver. Therefore, all breast diseases or dysplasia or breast atrophy are regulated from the liver and stomach. According to different conditions, the right medicine will often get good results.
Cause
Cause
Adolescent pain:
The earliest breast pain in adolescent girls usually occurs in 9-13 years old. At this time, the girl's breast began to develop, first the nipple bulge, the breast tissue under the nipple appeared a rounded-shaped induration from the pea to the broad bean, with slight pain. After the menarche, the mature breasts will disappear by themselves.
Premenstrual breast pain:
More than half of the women, before menstruation, have breast fullness, hard, tenderness; severe breasts with slight vibration or collision can be painful and uncomfortable, the original granule or nodular sensation is more obvious. This is due to increased estrogen levels in the premenstrual body, hyperplasia of the mammary glands, and interstitial edema. After the menstrual cramps, the above changes can disappear.
Pain during pregnancy:
Some women in the 40 days after pregnancy, due to the secretion of a large amount of estrogen, progesterone, prolactin in the placenta, villi, so that the breast hyperplasia, breast enlargement, and breast pain, the elderly can continue throughout the pregnancy, no treatment.
Postpartum pain:
Double breasts can be full, induration, and pain 3-7 days after delivery. This is mainly caused by lymphatic retention of the breast, venous filling and interstitial edema, and poor duct of the breast. Prevention and treatment methods: the mother will breastfeed as soon as possible. In the case of induration, it can be heat applied and massaged before the breastfeeding, and the breast pump can be used to attract the milk to promote the smoothness of the breast duct.
After abortion:
After abortion, some women complain of breast tenderness and can touch the mass. This is due to a sudden interruption of pregnancy, a sudden drop in hormone levels in the body, so that the newly developed breast suddenly stopped growing, causing breast lumps and breast pain.
Examine
an examination
Related inspection
Chest B ultra-molybdenum target X-ray examination blood routine breast ultrasound examination tumor sentinel lymph node imaging
1. Breast lumps:
It usually appears on the unilateral breast, the texture is harder, the increase is faster, and it can be active. If it invades the chest muscle or chest wall, the activity is poor or fixed.
2. Skin changes:
Breast cancer invading the skin can cause specific changes in the skin. Orange peel is the most vivid image. There is also a special type of breast cancer, which is mainly characterized by inflammatory changes in the skin of the breast. The skin color is from light red to deep red. Skin edema, thickening, and elevated surface temperature can be locally expanded to the entire breast.
3. Nipple changes:
Tumor invasion of the nipple can cause nipple retraction. If the mass is large, it will cause swelling of one side of the breast, so that the nipples on both sides cannot maintain the same level.
4. Nipple discharge:
If no obvious mass is found, only a nipple bloody or liquid discharge should be seen in time to be alert to the occurrence of breast cancer.
5. Superficial lymphadenopathy:
If axillary fossa is found, lymph nodes appear on the clavicle, especially if the texture is hard and the activity is poor (it can also be active), the possibility of breast cancer should be suspected. Female obesity, early menarche, late, and a family history, such as a high incidence of breast cancer, should be noted if the above performance.
Diagnosis
Differential diagnosis
Clinically often identified with chest pain :
Common clinical symptoms of chest pain:
1. The site of chest pain:
Inflammation of the chest wall skin appears red, swollen, hot, painful, etc. in the affected area. Herpes zoster is a large group of small blister, distributed along the nerves, does not cross the midline, and has a significant pain. In the case of epidemic myalgia, severe pain can occur in the chest and abdominal muscles, which can be radiated to the shoulders and neck. Non-suppurative myocarditis often invades the first and second costal cartilage. The affected part is raised and the pain is severe, but the skin is not red and swollen. Pain in angina and acute myocardial infarction is often located in the posterior sternum or in the anterior region. Pain in esophageal disorders, sputum, and mediastinal tumors is also located behind the sternum. Spontaneous pneumothorax, acute pleurisy, pulmonary infarction, etc. are often severe chest pain on the affected side.
2. The nature of chest pain:
Intercostal neuralgia presents paroxysmal burning or stinging. Myalgia is often sore. The bone pain is sore or cone pain. Esophagitis and phlegm often cause burning or burning sensation. Angina pectoris often presents as a crushing pain, which can be accompanied by a feeling of suffocation. Aortic aneurysm presents a cone of pain when it erodes the chest wall. Primary lung cancer, mediastinal tumor can have chest tightness.
