BREAST PAIN (MASTALGIA)







 WHAT IS MASTALGIA?

MASTALGIA is breast pain. There are 2types of Breast Pain:

Cyclical breast pain 


Non cyclical breast pain

Pain ranges from discomfort to severely disabling pain in some cases.

WHAT IS CYCLICAL BREAST PAIN?


It is linked to menstrual cycle.

Always hormonal

Pain continues till start of menstrual cycle and the gradual disappearance.

Pain may be on both breasts or single breast and may radiate to the underlying

CAUSES OF CYCLICAL BREAST PAIN:

Due to less progesterone than oestrogen in second half of the cycle.

Abnormality in hormone  Prolactin may affect breast pain.

Stress can also affect hormonal levels and can cause breast pain.

NONCYCLICAL BREASTPAIN

This type of breast pain fairly uncommon and not related to menstrual cycle ,present all the time and specific to only one location.

Causes of noncyclical pain 

Breast trauma, injury

Arthritic pain in chest cavity and neck which can radiate to the breast

Costichindritis(inflammation of costal cartilage which connects breast bone to ribs)

Scar tissue formation post surgery or post radiation therapy.

Certain medications can lead to MASTALGIA:

Digitalis-preparations such as digoxin which is used in cardiac  failure and abnormal heart rhythm 

Chlorpromazine which is used in mental health care 

Potassium sparing diuretics like 



Treatment of MASTALGIA:

Cyclical MASTALGIA treatment 




To stop intake of caffeine 

Eating low fat diet

Intake of vitamin E

Various supplemental hormones and hormone blockers are also prescribed like

Birth control pills 

Hormonal therapies like




Bromocriptinewhich blocks prolactin in the hypothalamus.

Goserelin(gonadorelin analogue)

Tamoxifen ( oestrogen blocker)

NONCYCLICAL MASTALGIA treatment 

Pain relievers 

Anti inflammatory medication 



Cold compresses with Icepacks.

Gamma linoleic acid local massages

Surgical correction by excision of breast cysts.



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