What to do about breast pain before menstruation?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on March 23, 2025
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Under normal circumstances, if there is also breast swelling and pain usually, it is essential to go to the hospital for an ultrasound to check if there is breast hyperplasia or any organic breast diseases. If organic diseases are excluded, premenstrual breast swelling and pain are generally considered clinically, and traditional Chinese medicine believes that the liver meridian accumulates in the breast. For example, patients who are prone to anger or have liver depression and qi stagnation may experience premenstrual breast swelling and pain. At this time, treatment can generally involve taking some liver-soothing and depression-relieving medicine, such as Xiao Yao Wan, Ru Ning tablets, and other medicines for symptomatic treatment. Occasional one or two instances are not a big problem, but if premenstrual breast swelling and pain occur frequently, it is definitely necessary to take medicine for symptomatic treatment, as this condition is generally related to liver meridian and liver depression qi stagnation.

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Are nipple pain and breast tenderness the same thing?

Nipple pain and breast swelling are the same issues, both caused by mammary gland hyperplasia. Mammary gland hyperplasia mainly manifests as cyclic swelling and pain of the mammary glands, typically occurring or worsening before menstruation and diminishing or disappearing after menstruation. The mild cases get unnoticed by patients, while severe ones can impact daily life and work. However, some patients do not show obvious cyclical changes. It may present as swelling and pain in one or both breasts, similar to needle pricks, possibly extending to the shoulders, upper limbs, or thoracic-back area. A minority of patients may experience nipple discharge, and the condition can last for a long time, but symptoms usually disappear or diminish after menopause. During physical examinations, nodular lumps of varying sizes, which are tough but not hard, can sometimes be felt in one or both breasts. These lumps sometimes move when touched, and their boundaries with the surrounding breast tissue are not clear. However, they are not adherent to the skin or pectoral muscles. Sometimes it appears as a thickened area with unclear boundaries. The lumps often swell before menstruation and shrink afterward.

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What causes chest tightness and breast pain?

Chest tightness and breast pain are primarily considered to be caused by breast hyperplasia or mastitis. It is recommended to visit a hospital for an examination, including a breast ultrasound, to identify the cause and receive appropriate treatment. Diet should be light, avoiding spicy, greasy, cold, and irritating foods. It is also important to check for symptoms of pregnancy using a test strip. If pregnancy is ruled out, the symptoms may be due to breast hyperplasia or mastitis. Under a doctor's guidance, anti-inflammatory and anti-infection medications should be taken as treatment. Additionally, maintaining a good mood, avoiding anger, ensuring adequate sleep, and not staying up late can significantly aid in recovery from illness.

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Why do breasts swell and hurt after soaking feet in mugwort?

When experiencing breast pain and swelling while using mugwort for foot soaks, it is primarily considered that mugwort promotes overall blood circulation, which may lead to painful hardness upon touching, mainly suspected to be caused by mastitis or a tumor. It is advised to promptly visit a reputable hospital to investigate the specific cause and rule out inflammation or tumors in the breast. This can effectively prevent worsening of the symptoms. Additionally, rest is important as mugwort foot soaks can be beneficial for bodily health, but if symptoms occur, it is essential to immediately stop the treatment.

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What position should be scraped for breast distension pain?

Breast pain should first undergo a clear diagnosis to determine the cause. If it is simply caused by breast hyperplasia, gua sha can be used for treatment. The location of the breasts is generally on the stomach meridian or the liver and gallbladder meridians. For specific treatment acupoint selection, you can choose the Jianjing acupoint, which is located between the Dazhui acupoint and the shoulder peak, i.e., between the high point behind the neck and the shoulders. Pressing this area will produce a distinct sore and swollen feeling, and gua sha can be used to treat this area. Additionally, gua sha can be performed on the opposite side or the corresponding back side, where the pain points of the breasts are located at the corresponding positions on the back side, which has a good analgesic effect. Furthermore, distant points can be chosen. If the person tends to be irritable or impatient, gua sha can be performed between the first and second toes at the Taichong acupoint. Also, gua sha can be performed at the Danzhong acupoint located between the two breasts. Another point is the Waiguan acupoint, located between the transverse wrist crease and the elbow crease on the dorsal side of the forearm, about two inches from the wrist transverse crease. This point also has a good analgesic effect for breast pain caused by breast hyperplasia.

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How to deal with breast distention and pain?

There are many reasons for breast pain, and the methods of treatment vary according to the different causes. During our adolescence, before menstruation, and during pregnancy, many people experience breast pain, which is often caused by hormonal changes in the body. Generally, the symptoms are not particularly severe, so there is no need for excessive worry or special treatment. However, many diseases can also cause breast pain, such as mastitis during breastfeeding, fibrocystic breast changes, and various breast tumors, all of which may lead to breast discomfort and require significant attention. Therefore, it is recommended that patients with breast pain seek timely medical examination to identify the cause and receive targeted treatment.