Pain not related to menstrual cycle can disrupt daily life. Sleep and work patterns may be disrupted. Non-breast causes should be questioned before applying treatment. Some hormones and antidepressant drug use (serotonin uptake blockers), heart medications (digoxin), stomach medications (cimetidine) may cause it. In addition, musculoskeletal system diseases (such as shoulder bursitis), lung diseases, hiatal hernia, gallbladder diseases can cause breast pain in the form of referred pain.
Physical examination shows that breast pain can be diagnosed as cystic diseases in the breast, milk duct problems. It should be determined that it is not caused by fibroadenomas or other mass-forming causes, and if necessary, ultrasound and mammography should be used.
Mastalgia can be in 3 forms: cyclical (related to menstrual cycle), non-cyclical, anterior chest wall pain. The most resistant to treatment is non-cyclical breast pain.
Cyclic mastalgias begin in the 20s. One breast may hurt more than the other. It is sharp, striking, and may reflect on the underarm and arm. Compression of the intercostobacial nerve within the mammary gland tissue may cause reflection to the arm. It starts 5 days before menstruation and can continue throughout menstruation.
Non-cyclical mastalgias begin in the 30s. It has a shorter duration and can go away on its own. It is usually unilateral. It can start for no reason and is difficult to treat.
Pain arising from non-breast causes is detected and treated according to its cause.
FACTORS THAT INCREASE BREAST PAIN
Default in the estrogen-progesterone ratio. Changes (progesterone deficiency or estrogen excess), increase in prolactin hormone, decrease in thyroid hormone, excessive caffeine consumption, tea, chocolate, cigarettes, fatty diet and alcohol are blamed.
TREATMENT
Pain-increasing factors By researching the factors, life modifications can be made to remove these factors. Nonsteroidal anti-inflammatory drugs can be used. Herbal treatments such as primrose can be tried.
Breast pain is a rare symptom of breast cancer. However, the individual applying for breast pain should first be questioned whether he/she has any other accompanying complaints. In particular, a breast examination should be performed and it should be determined whether a mass is accompanied by pain. For this the individual Additional examination may be requested depending on the patient's age and family history.
Breast pain may occur for many reasons such as weight changes, hormonal changes, inappropriate bra size, smoking, and thyroid diseases. Periodic pain related to menstrual cycle is a problem for many women. The important thing is to determine which pain needs to be investigated.
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