Breast pain

Introduction After the girl enters puberty, the earliest female feature is breast development. Under normal circumstances, the girl expands the areola at the age of 10, the breast begins to develop and bulge, and the induration occurs under the nipple. This is because the ovaries begin to secrete estrogen, and estrogen acts on the breast. It stimulates the development of breast ducts and fat deposition. In this process, the breast becomes sensitive and may have a slight pain. If it is pressed by external force, the pain will be aggravated. Breast pain is strictly divided into two categories: one is a normal physiological pain before the physiological period, which usually improves after the physiological period, and there will be no swelling or the like. The other type is pathological pain. This type of patient also has different severity of pain due to different lesions.

Cause

Malignant lesions:

There is no obvious pain in the breast, but only a side of the armpit or shoulder and back pain, there are also possible malignant lesions, these minor changes should not be easily let go. If the breast has severe persistent burning pain, progressive aggravation, difficult to relieve itself, and accompanied by local tumor rupture and necrosis or surgical wounds and surrounding skin ulceration, it is breast pain in the late stage of malignant lesions. If the pain in the breast is only mild dull or dull pain, the attack has no obvious regularity, only sporadic or burst, some are persistent, and often ignored because the pain is not obvious. It should be noted that such breast pain may also be early breast. The signal of a malignant disease should be given enough attention.

Breast disease:

If the pain in the breast is episode, and often begins with pain in the premenstrual breast or exacerbation of premenstrual pain, it can be relieved or disappeared after the pain. The pain is painful or acupuncture-like, sometimes involving the ipsilateral armpit or shoulder and back. For those with mild to moderate tenderness, consider hyperplastic lesions.

Physiological factors:

Before the pregnancy, postpartum, after sex, after abortion, etc. can cause breast pain.

an examination

Breast pain is affected by the endocrine of the anterior pituitary, ovarian and adrenal cortex. Specifically, in the first half of the menstrual cycle, the ovary secretes more estrogen, and the mammary gland develops hyperplasia. In the second half of the menstrual cycle, estrogen and progesterone affect the development of the glandular ducts and acinus of the breast. At this time, women feel breast swelling, this physiological change will affect the breast disease in this period when it is confused with the real breast disease, so it is appropriate to check in the first half of the menstrual period.

Check yourself

Self-illumination of the mirror: face the mirror, hands on the hips, observe the shape of the breast. Then, raise your arms over your head and carefully observe whether the shape and contour of the breasts on both sides have changed. Whether the breast skin has redness, rash, superficial vein engorgement, skin folds, orange peel-like changes, etc., observe whether the nipples are in the same On the horizontal line, is there any elevation, retraction, depression, whether there is any secretion from the nipple, and whether the color of the areola changes. Finally, put down both arms, hands on the hips, two elbows effort back, make the chest muscles tight, observe whether the breasts on both sides are equal and symmetrical.

Flat-touch method: lie flat, raise your right arm over the head, and place a small pillow under the right shoulder to flatten the right breast. Put the four fingers of your left hand together and use your fingertips to check for any lumps or other changes in the breast. Use your right hand three fingers (index, middle finger, ring finger) to touch the breast slowly, stably, carefully, and gradually move forward or backward in the left breast, at least three times from the periphery of the breast to the nipple. It can also be checked in the up and down or radial direction, but care should be taken not to miss any parts. At the same time, check the axillary lymph nodes for swelling. Finally, squeeze the nipple between the thumb and forefinger to see if there is any nipple discharge. Seek medical attention if turbid, yellowish or bloody discharge is found.

Shower check method: When showering, it is easier to find breast problems due to moist skin. The method is to slide slowly with the palm of your finger and carefully check the breast and the armpit for a lump.

Female friends in the self-examination of the breast, if abnormal symptoms are found, it is necessary to apply five creams in time to achieve early detection, early diagnosis and early cure.

Differential diagnosis

Breast pain is affected by the endocrine of the anterior pituitary, ovarian and adrenal cortex. Specifically, in the first half of the menstrual cycle, the ovary secretes more estrogen, and the mammary gland develops hyperplasia. In the second half of the menstrual cycle, estrogen and progesterone affect the development of the glandular ducts and acinus of the breast. At this time, women feel breast swelling, this physiological change will affect the breast disease in this period when it is confused with the real breast disease, so it is appropriate to check in the first half of the menstrual period.

Diagnosis can be performed based on clinical manifestations and examinations.

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