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124  COMMON CONDITIONS


         WOMEN’S PROBLEMS




         Breast pain and lumpy breasts




              Many healthy women experience breast pain (mastalgia) or lumpiness. The symptoms normally affect
              both breasts and are usually related to hormonal changes during the menstrual cycle. A few days before your
              menstrual period your breasts may feel swollen, painful, tender, and/or lumpy. These symptoms usually
              go when the period is over. A more general tendency to breast lumpiness sometimes occurs during
              adolescence, during pregnancy, or when taking oral contraceptives or hormone therapy. Women who are
              breast-feeding sometimes develop a red, hot, painful area on one breast due to a buildup of milk or infection
              (mastitis). Although the majority of breast lumps are not cancer, persistent lumps should always be investigated.
              See also Premenstrual syndrome, p.127.




              See your doctor first
                                                                    DRUG REMEDIES
              Arrange to see your doctor promptly if:
                                                            Analgesics, such as acetaminophen (see
              ● You find a lump in your breast
                                                            p.177) or ibuprofen (see p.185), will help relieve
              ● You have lumpiness that persists throughout
                                                            discomfort for the few days each month when your
              your menstrual cycle
                                                            breasts are painful. If you are breast-feeding, consult
              ● You have persistent breast pain that is
                                                            your doctor before you take any medication.
              unrelated to periods, or pain in your armpit
              ● You think your symptoms may be due to
              taking oral contraceptives or hormone therapy
              ● You have symptoms of mastitis
                                                                  NATURAL REMEDIES
                                                            Vitamin B  6  supplements (see p.189) can help
         What you can do yourself                           reduce or prevent cyclical breast pain or swelling.
                                                            Usually, you will need to take the supplement for
              Use the following measures to identify and to help  2–3 months to feel any benefit. Don’t exceed the
              alleviate cyclical breast pain or breast lumpiness.  recommended dose, because high doses can be
              (For an attack of mastitis, follow the specific  harmful. To boost your intake of B from your
                                                                                  6
              advice on the opposite page.)                 diet, eat foods such as poultry, eggs, soy, oats,
                                                            whole-grain bread and cereal, bananas, and nuts.
              ● Keep a journal for 2 or 3 menstrual cycles, noting
                                                                              Foods containing B
                                                                                             6
              when your breasts become lumpy or sore and when                 If you prefer not to take
              the symptoms pass. This will help you decide if the             vitamin supplements, eat
              problem is related to your menstrual cycle.                         foods that are rich
                                                                                     6
              ● Make sure that all your bras fit properly. Try                    in B , such as nuts,
                                                                                   bananas, and
              wearing a larger size the week before your period,                   whole-grain bread.
              and/or wear a support bra, such as a sports bra,
              to reduce breast movement. You may find that
              wearing a soft bra at night also helps to make you
              feel more comfortable.
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