- Chest pain: description
- Chest pain: causes and possible diseases
- Chest pain: When do you need to see a doctor?
- Chest pain: What is the doctor doing?
- Chest pain: You can do that yourself
chest pain may be associated with tenderness, palpable indurations, and breast sensation. Almost every woman knows these symptoms, as they usually occur shortly before the onset of the menstrual period. The cycle-dependent chest pain or nipple pain refer to physicians as mastodynia, In addition, there are some, mostly benign, changes in the breast tissue, the cycle-independent discomfort (med. mastalgia). In any case, you should have the complaints cleared up by a doctor.
Causes and possible diseases
When do you have to go to the doctor?
What does the doctor?
You can do that yourself
Chest pain: description
The breasts are considered a symbol of femininity. They are an erogenous zone and belong to the secondary sex characteristics. In addition, the breasts are used in breastfeeding women. If one or both breasts hurt, any touch is uncomfortable, the breast may feel gnarled, it scares many women. The chest pain can occur in one or both breasts.
Actually, chest pain or in the nipple pain are very common and not necessarily something bad. Nevertheless, many women immediately think of breast cancer with these symptoms. In most cases, the female cycle is responsible for the change (mastodynia). The symptoms are part of the so-called premenstrual syndrome (PMS). It involves a variety of ailments that many women struggle with throughout their fertile years.
The chest pain can change over time. This is related to the inner workings of the female breast, which consists mainly of fatty and connective tissue. Embedded therein is the glandular tissue that produces milk when needed. Over the course of life, the ratio of fat to connective and glandular tissue changes. In older women, the amount of fat predominates in the breast, then occur during the cycle hardly more nodular changes in the breast tissue.
Sometimes, however, it may also come to proliferation in the breast tissue, which cause cycle-independent pain and tightness in the chest (mastalgia) - a phenomenon that may affect even men.
Chest pain: causes and possible diseases
Mastodynia: cycle-dependent causes
Chest pain usually occurs in the context of the female cycle. As a secondary sexual organ, the breasts are under the influence of hormones, especially the estrogens. These ensure that more fluid is stored in the breast tissue during the second half of the cycle. In addition, the breasts are better supplied with blood. Overall, they are thereby larger and heavier, possibly can be felt nodular changes.
The increase in volume can cause some stretching pain. In addition, the breast is more sensitive when touched. The symptoms usually disappear when the estrogen level drops when menstruation occurs and the fluid is released from the tissues.
Not all women are equally affected by this phenomenon. In addition, they are also different sensitive to the strain pain. In addition, women make different amounts of hormones, whose influence has different effects.
Other hormonal causes of chest pain
Premenstrual dysphoria: In about six percent of women, the premenstrual symptoms (fatigue, abdominal, back, headache) are so severe that they have a significant impact on everyday life. Since the year 2000 this is recognized as an independent disease.
Fibrocystic mastopathy: It summarizes several changes in the breast tissue. Mostly both breasts are affected. Cause is a hormonal dysregulation: Locally occur too large amounts of estrogen and too little progesterone - which triggers a kind of inflammatory response. Cherry-sized puffiness, lumps or cysts, as well as mild pressure complaints arise. Especially affected are women of childbearing age.
fibroadenomas are benign tissue growths in the breast, especially in connective or glandular tissue. These "nodules" in the chest arise and grow under the influence of female estrogen hormones. Fibroadenomas occur mainly in women between 20 and 24 years.
Pregnancy: A certain feeling of tightness, chest pain or sore nipples are considered one of the first signs of pregnancy. Because shortly after the implantation of the egg, the breast begins to prepare for its future task of breastfeeding. By changing the glandular tissue, the breast becomes larger and more sensitive to touch.
Engorgement: The wrong application of the infant or too long nursing breaks can lead to a congestion.It arises when the milk can not drain off sufficiently. A first indication of this is when the chest or resulting swelling hurt. Now it is time to counteract, because it can come to a breast infection.
Menopause: Naturally, menopausal women have less frequent cycle-dependent chest pain. Unless they specifically take hormones for the symptoms of menopause, then chest pain may be a potential side effect.
Mastalgia: cycle-independent causes
In addition to the swelling of the breasts associated with the menstrual period, there are other changes in the breast tissue that can lead to pain and tightness in the chest.
cysts: A cyst is a fluid-filled bladder in the breast tissue. Above a certain size, cysts can cause chest pain as they push the surrounding tissue aside. Most cysts are benign. Why they arise is not known. They often occur between the ages of 30 and 50 or with the onset of menopause.
Benign soft tissue tumors: These are soft, plump-elastic knots directly under the skin. Most are benign. They cause pain especially when they arise in the vicinity of nerves. Physicians distinguish between changes in the fatty tissue (lipoma), the connective tissue (fibroma) and the Grützbeutels (Artherom) - here collect dead skin cells and sebum in the vicinity of a sebaceous gland.
Mastitis in the puerperium (med Mastitis puerperalis): In an inflammation of the mammary gland, the breast is swollen and red, the nipples hurt. From her a purulent secretion can escape. The cause may be various triggers in question. An example are bacteria that enter the mammary gland via the ducts and cause inflammation there. This affects up to nine percent of breastfeeding mothers in childbed.
Mastitis outside breast-feeding (med. Nonpuerperale Mastiden): Even with this form of breast infection, bacteria invade the breast tissue and trigger inflammation there. Above all, patients who are younger than 30 years are affected.
breast cancer: This is a malignant tissue growth (tumor) in the breast tissue. Breast cancer can come from the milk ducts (more often) or the glandular lobes (less often). Here, too, chest pain may occur, but not in the initial stages. Breast cancer is the most common cancer in women.
Irritated nipples: Especially painful nipples are sometimes triggered by the wrong clothes. Roughness in textiles, too tight clothing or constant friction (for example during sports) can irritate sensitive skin and cause pain.
Chest pain in the man
Even men are sometimes affected by chest pain. Often this occurs in connection with an enlarged mammary gland (med. gynecomastia) on. This can lead to feelings of tension and a certain sensitivity to touch, especially the nipples can hurt. This phenomenon is common especially during puberty - about 60 percent of adolescents are affected. Normally, it does not need to be treated because it regresses by itself.
In rare cases, breast cancer can also trigger chest pain in men.
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Chest pain: When do you need to see a doctor?
Basically, first-time chest pain should be checked by a doctor. This also applies if other phenomena come to it. Examples are nodes that were not there before, or a wet nipple. If the symptoms depend on the cycle, these mastodynia usually disappear again when the menstrual period arrives. If that does not happen, you should also consult a doctor.
It is helpful if women (but also men) regularly palpate their breasts. This is how they get to know the tissue better there. If a change occurs, it will be faster. Any kind of change that seems strange to you should consult a doctor. In case of doubt, go to the doctor too often. Especially breast cancer is good to treat and even curable if it is discovered in the early stages.
Diseases with this symptom
- Cor pulmonale
- Heart attack
- pulmonary embolism
- reflux disease
- Trisomy 18
Chest pain: What is the doctor doing?
The right contact for chest pain is the gynecologist. About certain diagnostic methods He tries to find out what the cause of the chest pain is. He will question you in detail, one gynecological check make and the Palpate chest, In doing so, he pays attention to whether he can detect nodules or cysts that may be the cause of the complaints. Using a ultrasound (Ultrasound) images the structure of the breast tissue and makes changes in the breast tissue visible. For example, fluid-filled cysts appear black on the ultrasound image.Mastopathy is optically well distinguishable from breast cancer.
A mammography helps rule out that breast cancer is the trigger of chest pain. An X-ray image of the breast tissue is made on which very small changes of the breast are visible. If the suspicion of a malignant tissue proliferation hardens, one closes biopsy at. The tissue is removed from the suspected area and then examined in the laboratory.
A blood test will show if the hormones may be involved in the development of chest pain. The mirror of certain hormones gives information.
In men, the same diagnostic procedures are used. Those who specifically want to consult a doctor for male breast disease should go to an andrologist. Even a clinic that specializes in breast disease can help men in specific ways.
The therapy The chest pain depends on the cause. For example, if a mastopathy, so a denied hormone balance, responsible for the complaints, gels containing gestagen are applied. Although this does not fight the triggers, but can relieve the pain. Herbal supplements can also stimulate the production of progestogens and combat the symptoms.
Cysts can be punctured (punctured). The pressure on the surrounding tissue is reduced and the pain usually disappears.
If the female cycle is responsible for the discomfort of mastodynia, one can try to compensate for the fluctuations in hormonal balance, for example, by the targeted use of hormonal contraceptives. Here the gynecologist can help.
Chest pain: You can do that yourself
Home remedies for chest pain
Some women help quark wrap against the chest pain. Spread cool quark on a cloth or compress about half a centimeter thick. Fold the wrap so that there is a layer of fabric between the skin and the quark. Place the wrap on the painful skin area.
Are the chest pain cycle-related - so is one mastodynia Before, therapies that are used in premenstrual syndrome can help. These include, for example, herbal ingredients such as chaste tree or St. John's wort, as well as meditations and relaxation exercises.