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Breast pain

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Definition:

Breast pain is any discomfort or pain in the breast. For example, premenstrual tenderness may cause breast pain.

Alternative Names:

Pain - breast; Mastalgia; Mastodynia; Breast tenderness

Considerations:

There are many possible causes for breast pain. For example, hormone level changes related to menstruation or pregnancy are often responsible for breast tenderness. Some degree of swelling and tenderness is just before your period is normal.

Although many women with pain in one or both breasts may fear breast cancer , breast pain is NOT a common symptom of cancer.

Boys and men have breast tissue. If a male has breast tissue that can be seen, the condition is called gynecomastia . As a normal part of development, adolescent boys can have some breast swelling and tenderness. Like breast tenderness in women, this is due to hormonal changes.

Common Causes:

Some degree of breast tenderness is normal. The discomfort may be caused by hormonal changes due to:

• Menstruation
• Pregnancy -- breast tenderness tends to be more common during the first trimester and in women who are pregnant at a young age
• Puberty -- in both girls and boys
• Breast feeding
• Approach of menopause -- once your menstrual periods have stopped completely, breast tenderness often goes away unless you are taking hormone replacement therapy

Soon after childbirth, your breasts may become swollen with milk. This can be very painful and is usually accompanied by swelling. If you also have an area of redness, call your health care provider.

Other common causes of breast pain include:

• Alcoholism with liver damage
• Fibrocystic breast changes
• Injury
• Mastitis
• Premenstrual syndrome (PMS)

Fibrocystic breast tissue is common. Such tissue contains breast lumps and bumps that tend to be more tender just before your menstrual period.

Certain medications may also cause breast pain, including digitalis preparations, aldomet, aldactone. certain diuretics, anadrol, and chlorpromazine.

Shingles can lead to pain felt in the breast if the painful blistering rash appears on the skin over one of your breasts.

References:

Marchant DJ. Benign breast disease. Obstet Gynecol Clin North Am . 2002; 29(1): 1-20.

Dickerson LM. Premenstrual syndrome. Am Fam Physician . 2003; 67(8): 1743-1752.

Millet AV. Clinical management of breast pain: a review. Obstet Gynecol Surv . 2002; 57(7): 451-461.

• Review Date: 5/6/2007
• Reviewed By: Rachel A. Lewis, MD, FAAP, Columbia University Pediatric Faculty Practice, New York, NY. Review provided by VeriMed Healthcare Network.

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