What are the most common causes of pain? | BreastPainBlog.blogspot.com

Chest pain is a difficult chapter from two points of view: On the one hand to a woman, because it affects the chest pain and worry, and the other for the doctor, because he usually does not cause real and plausible explanation is always something of finger sucking necessity. However, the patient's physician can almost always help not to eliminate the pain, but she was taking the fear, the pain could be a sign of anything malignant. Chest pain is nothing special. Almost all women have a cycle of discomfort in the breast. In the second half of the breast tightening cycle may be sensitive to touch and can sometimes be very painful that "no one can rankommen". Sometimes a pain to pull on the inside of the upper arm. This pain is usually better with the inclusion of periods or disappear completely. Deratige complaints safe and harmless can be relatively easy to explain: the chest is, as a secondary sexual organ, under the influence of hormones, especially estrogen. Under their influence Flüssigeit inserted into the breast tissue, breast weight and size, you can even measure. Increased volume tension causes pain. Before entering a period of sharply declining estrogen, breast fluid loss and volume again and back complaints. Pain is not always on both sides and symmetrical and can occur even in the breast. Even if the pain is not clear due to the cycle time, the hormone may play a decisive role. The body's own estrogen production are subject to many influences, as well as mental disorders like stress.

Then why not all women chest discomfort?
There are many reasons for this: fluid retention associated with this hormone, and therefore the increase in volume is of course not all women are the same. This may seem to differ in sensitivity of the receptor, the target organ in the chest, lying down. Also, do not make all women in the same amount of hormones. But most of all women seem to vary greatly sensitive to the pain of stretching. Mental pain processing in the perception of pain and play a central role here people are very different.

Women after menopause naturally seldom complain of chest pain, unless you take hormones. Later, however, they often suffered under it, which is easily avoided.

Other causes of chest pain
In addition to breast cysts breast inflammation causes pain. Cysts can, as do common fluid retention, by the accumulation of glandular secretion in diseased lobules voltage. Once again, women have a very different perception of pain. Some women with cysts of about 10 cm keinerleit complaint, other tortures small cysts and you can easily help them through Abpunktion fluid.

How does a doctor help?Experience has shown that often plays anxiety in women with chest pain is more important than the pain itself. Physicians must be removed carefully and sensitive questions illustrate the suffering of patients. When asked: "What are you depressed more: Fear has something or the pain itself?" answered the majority of patients, "Fear". These women can be helped by careful examination and conversation reassuring. These include digital rectal examination, ultrasound and, depending on age, mammogram. Unreasonable, aufzufahren various diagnostic techniques, but to make the appropriate tests to personal risk. After an investigation, as is when nothing was found, the risk of a woman to have breast cancer diagnosed, significantly lower than before. Quiet woman, and the pain now can almost always accepted, "Yes, now I can live without any problems ..."

Chest pain | What is chest pain?

Chest pain is a painful sensation in the chest or otherwise objectionable, which may or may not be associated with cardiac damage. Chest pain in adults can have several causes, some of which include:

Lung: may have pneumonia or other lung infections that can cause chest pain. Coughing can also cause pain.

Musculoskeletal: a common cause of chest pain include pain due to injury or strain on the joints or muscles. If you have some damage to the ribs, injury or tumor, it can cause you to feel pain in your chest.

Gastrointestinal: You may have the kind of gastroesophageal reflux. In this case the contents of the stomach back into the esophagus instead of down. This can cause pain after eating in abundance, lying down or bending. Antacids, such as famotidine (Pepcid), omeprazole (Prilosec) or Mylanta can relieve these symptoms.

Angina can be a cause of chest pain that can occur as a feeling of "tightness" in the chest. Anxiety or depression can cause you to feel angina. Some other causes of angina include:

Coronary artery disease (the most common cause of angina) from time to time, can form fatty deposits (called atherosclerosis), which damage the walls of the arteries that carry blood to the heart, restricting blood flow and occur less oxygen to the heart muscle. The lack of oxygen causes angina.

Coronary artery spasm may cause spasm of the coronary arteries which creates a temporary constriction of blood flow and lack of oxygen to the heart muscle while. When seizures disappear, usually the pain goes away because the blood flow returns to normal.

Anemia: homoglobina low levels (Hb) levels may cause angina. The hemoglobin carries oxygen in the blood.

Polycythemia: This occurs when the blood has too many red blood cells (erythrocytes). This causes the blood to thicken. Polycythemia may be the result of a lifelong disease, such as chronic obstructive pulmonary disease (COPD), or because of problems with the blood itself,

or irregular heart rhythm, heart problems and thyroid disease valve also cause angina.

Chest pain should not be ignored for any reason. Here, we show some serious symptoms to consider. If you experience any of these symptoms, you should seek emergency care, and then tell your doctor.

What Cysts in The Breast? | Breast Pain Blog

Cysts are fluid bladder in the breast lobules. It is formed when a liquid laxative aisle lobules closed. Even outside of pregnancy in the form of glandular secretions, so cysts also can occur during this period.

It is not, however, one of the malignant disease, breast cancer risk was not increased. The cause of the exact origin is unknown cyst formation. Often there are cysts in between 30 to 50 years, with the onset of menopause in old age.

Above a certain size of the cyst can cause discomfort, especially when a lot of fluid to accumulate and they are filled to the brim. Large cysts can suppress the surrounding tissue and replace it, which can cause pain. Often, the pain occurs in a cycle dependent, often associated with breast disease.

Diagnosis

Cyst diagnosis performed by a medical scanning and ultrasound (sonography) chest. Sometimes, cysts but also with tenacious secretions, such as blood components, protein fragments or pus filled, then what or fluid (cyst) complicates the difference in ultrasound images, in connection with a fixed (tumor) Formation of nodes.

In ultrasound, an experienced doctor to recognize the possibility of change and growth in the cyst wall, which sometimes can form papillomas and carcinomas in very rare cases.

Usually the cyst over a certain size (1.5 cm) - after being stabbed, ie, the contents aspirated with a needle and examined under a microscope for cell changes - to confirm the diagnosis. Puncture made today usually under ultrasound guidance. However, the risk Papillombildung and especially carcinoma cyst formation is very low. In a malignant diagnosis (breast cancer) cysts and surrounding tissues must be removed.

Treatment

Large cyst puncture also provide a measure of therapy is to achieve relief of pressure on the surrounding tissue. After draining the cyst was then usually filled with air, where the cyst is empty envelope to glue pitted. This step prevents re-accumulation of fluid in the cyst.

When the cyst, which is smaller than one centimeter, has a smooth, do not interfere with the interior walls and do not cause symptoms and are not treated, ultrasound examination should be performed on a regular basis.

Milchgangspapillome

Fibroadenom

The Milchgangspapillom (intraductal papilloma) is, like cauliflower benign growth on the skin inside the milk ducts. It is mostly located in large dairy export corridor near the nipple, but also occurs in smaller ducts. Milchgangspapillome may occur singly or in groups. You prevalent in menopause and can be connected to a bloody discharge from the nipple.

Diagnosis

Characteristics of the disease is the leakage of fluid from the affected breast nipple. For the diagnosis of fluid was removed under a microscope, the blood and the cells degenerated investigated. In addition, most of mammography, ultrasound, and / or reflection of ductal conducted to determine the extent and location of the tumor. From these results, it is determined whether surgery is needed.

If the intraductal papilloma increasingly occur and the cell has a certain degree of change, then the risk of ductal Carzinoma or ductal carcinoma in situ breast increases. Therefore, should occur at regular intervals, the medical examination of the chest.

Fibroadenomas | Breast Pain Blog

Fibroadenoma

Fibroadenoma is the most common benign tumor (tumor) in the chest. They are caused by the proliferation of connective tissue and glandular tissue. Depending on the proportion of this growth on different networks there are two other forms. In what is called an adenoma, especially the proliferation of glandular tissue present in the connective tissue predominantly influenced fibroma. Fibroadenoma, adenoma and fibroids are associated with an increased risk of breast cancer.

The fibroadenoma as a firm, smooth and finite sliding knot feels, sometimes it can be a bit bumpy. Node can reach a diameter of 5 mm to 5 cm. Fibroadenoma generally harmless, they usually do not have to be removed.

A Fibroademon caused only in rare cases complaints. In the face of a period can occur in the context of premenstrual tension syndrome, pain in each breast.

Diagnosis

The diagnosis of benign tumors that are made on the basis of a medical palpation and mammography (X-ray) and ultrasonography (USG). In assessing fibroadenoma it is important that the malignant tumors (breast cancer) are excluded, which is sometimes difficult. Therefore, for the sake of security usually a tissue sample (biopsy) is done, especially if the node develops.

Treatment

Fibroadenomas should be monitored regularly for monthly, through their own scanning of the chest, on the other - depending on the recommendation of the attending physician - by ultrasound examination at intervals of three months or more.

Some of the benign growth likely to continue to grow and then can replace the surrounding tissue. Especially in younger women - especially in the context of pregnancy - fibroadenomas grow rapidly, while they stagnate in women after menopause sooner. Depending on the size, location and rate of growth of fibroadenomas nodes may also be removed. This is usually done with a smaller intervention (punch biopsy under vacuum), with local anesthesia.

By removing other small fibroadenoma fibroadenoma that can be stimulated to grow, so the routine inspection should be done.

The special shape - Phyllodes tumor

A special form of fibroadenoma is rare, called phyllodes tumor. It should consist of a fibroadenoma of connective tissue and glandular tissue, connective tissue dominant proportion. Phyllodes tumors mostly benign, but there are also dangerous and "limit" the kind that has the potential to metastasize.

For safety's sake phyllodes tumor surgery with stitches healthy side. In malignant tumors sometimes complete removal of the breast (mastectomy) is required. Malignant form poorly to endocrine therapy and chemotherapy success rate - and radiotherapy are also low.

Puerperal Mastitis | BreastPainBlog.blogspot.com

Mastitis

Nonpuerperperale Mastiden

In inflammation of the mammary gland, also called mastitis, usually red and swollen breasts. Putting may issue a purulent discharge; in addition, an abscess may form. For malignant cancer (breast cancer) are typically excluded mammography (X-ray).

Inflammation can have various causes, often with pathogen contamination is present, which is usually above the entrance to the nipple on the milk ducts:

Puerperal mastitis

The puerperal mastitis is an inflammation of the breast, which usually occurs as a result of breastfeeding at 1 to 9% of mothers during childbirth. It is a bacterial infection with staphylococci (Staphylococcus aureus 90%), or Streptococcus, which can be entered through the nipple at first in the milk ducts, and finally in the mammary gland. The main mode of transmission of these bacteria come from the nasopharynx of the mother on the child until the mother's nipple.

Signs of puerperal mastitis, which mostly occur in the first and second week after birth, are fever, chest pain, and redness of the breast. Treatment should be initiated as soon as possible and take place depending on the stage of inflammation. In the early stages of milk production decreases with any medication; mothers should continue breastfeeding while so that the chest is well drained. This can be followed by treatment with antibiotics.

For the prevention of mastitis is still good technique is recommended.

Proper breastfeeding technique involves,

that the nipple and surrounding area cleaned before each application thoroughly with water,

that there have mother and child comfortable while breastfeeding,

that babies around the areola recognized by mouth and sucks vigorously, taking care of the child to freedom of nasal breathing,

that the child during the first 3 days after delivery sucks no more than 5 minutes on each breast (then click the application can be extended to 10 to 15 minutes) and

that children do not fall asleep while breastfeeding and nipple in the mouth, because it can cause minor skin lesions to support infection by pathogens.

To avoid the smallest cracks in the skin, called the gap, the mother must leave the nipples dry air during the postpartum period.

Nonpuerperale Mastiden

When mastitis Nonpuerperal is local inflammation of the breast tissue outside of lactation. You can - such as puerperal mastitis - as a result of bacterial infection (staphylococci or streptococci), which has penetrated into the mammary gland duct, can occur. Often these facilities bacteria find fertile ground in the secretion, which is delivered by the lobules and has accumulated in the milk ducts. This bacterial infection is treated with antibiotics. In rare cases, the nonpuerperal mastitis turn into a chronic stage.

Symptoms are similar to breast cancer (inflammatory breast cancer), and inflammation can cause tumors. Karzinognen presence of tumor must be removed in any case. The diagnosis can be made from tissue samples often simply by removing (biopsy) and examination, giving physicians also indicate whether breast inflammation may be a symptom of other underlying disease present. The Nonpuerperal mastitis can occur as other comorbidities, physical illness is usually chronic. Such as in tuberculosis, syphilis (syphilis), sarcoidosis, fungal infections, actinomycosis or as a result of infection by parasites. The treatment is then carried out in accordance with this underlying disease.

Breast Disease (Benign) | BreastPainBlog.blogspot.com

Mastitis Causes milk stasis of secretions

Mastitis - swelling, nodules, cysts

Breast disease is benign breast changes that occur in fertile age. Chest here shows the various types of changes that can be expressed in swelling, nodules, cysts and painful symptoms. During scanning can kirschkern large chest, determine undefined, the node moves, the chest is often sensitive to touch. In rare cases, fluid can leak from the nipple. These changes are almost always present in both breasts.

The emergence of fibrocystic breast disease

To the emergence of fibrocystic breast disease, a hormone dysregulation, more precisely, the lack of simultaneous excess estrogen progesterone is responsible. Excess estrogen in the network can at times cause this type of inflammatory response.

Due to increased estrogen levels it takes about a week before menstruation painful swelling of the breasts. The pain may spread to the shoulder area. In contrast to fibroadenomas, this is not the original, newly formed growth (tumor). With the onset of menopausal complaints and changes mastopathischen end formed mainly back.

If in mastopathy gland cells grow more, they can also produce an increase in the amount of liquid. As a result, many small cysts often arise in the lobules. Form of the disease is called "cystic mastopathy." Are mainly influenced by an overgrowth of connective tissue called "fibrous mastopathy". The most common is a combination of the two forms, called "fibro-cystic mastopathy." Almost every woman between 35 and 55 years more or less affected by this change. Symptoms appear very different from woman to woman.