Breast Pain: What It Could Mean for Your Health - Breast and Thyroid

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About breast cancer?


My mother is about 52 or 53 years old.
Recently, after running quickly, she said she experienced significant pain and discomfort in her right chest.
She hasn't had her period for quite some time, around 2 to 3 years.
I'm not sure if this is something serious or if I'm just overreacting.
My mother has been vegetarian for many years and usually eats a lot of grains, like mixed grain rice, as well as vegetables and tofu.
However, she still occasionally consumes some processed foods, such as vegetarian ham and vegetarian chicken.

Xiānggū, 10~19 year old female. Ask Date: 2012/03/11

Dr. Xie Wenhuai reply Breast and Thyroid


Chest pain may involve several considerations, including myocardial ischemia (angina, typically on the left side); pain caused by excessive muscle strain (possibly due to lack of exercise, where even slight physical activity can lead to discomfort); the possibility of aortic dissection, which is often associated with hypertension, but based on the mother's description, this can likely be ruled out; and idiopathic neuralgia (women, due to breast weight, often report chest pain).
This information is for reference, and observation may be warranted.

Reply Date: 2012/03/11

More Info


Breast pain, or mastalgia, is a common issue that many women experience at some point in their lives. It can arise from various causes, and understanding these can help in managing the discomfort and addressing any underlying health concerns. In your mother's case, given her age and recent physical activity, there are several factors to consider.

Firstly, breast pain can be categorized into cyclical and non-cyclical pain. Cyclical breast pain is often linked to hormonal changes associated with the menstrual cycle, which may not be applicable to your mother since she has not had her period for a couple of years, indicating she is likely in menopause. Non-cyclical breast pain, on the other hand, can be caused by a variety of factors including physical trauma, hormonal imbalances, or even conditions affecting the breast tissue itself.

In your mother's situation, the sudden onset of pain after running could suggest a musculoskeletal issue, such as a strain or sprain of the chest muscles. The breasts are supported by ligaments and muscle tissue, and vigorous activity can sometimes lead to discomfort if the muscles are overexerted or if there is inadequate support from a well-fitted sports bra. This type of pain is usually localized and can be exacerbated by movement.

Another possibility is that the pain could be related to changes in breast tissue. As women age, breast tissue can become more fibrous and less fatty, which may lead to discomfort. Additionally, conditions such as fibrocystic breast changes or benign cysts can also cause localized pain. While these conditions are generally not serious, they can be uncomfortable and may require monitoring.

Given that your mother has been eating a plant-based diet, it is essential to ensure she is getting adequate nutrition, particularly in terms of essential fatty acids, vitamins, and minerals that support overall health. A diet high in whole grains, vegetables, and legumes is beneficial, but it is also important to limit processed foods, even if they are plant-based, as they can contain additives that may affect hormonal balance.

While it is understandable to be concerned about your mother's health, it is crucial to approach the situation with a level head. If the pain persists, worsens, or is accompanied by other symptoms such as swelling, changes in breast appearance, or discharge, it would be wise for her to consult a healthcare professional. A thorough examination, possibly including imaging studies like a mammogram or ultrasound, may be necessary to rule out any serious conditions, including breast cancer, although the likelihood of breast cancer presenting as sudden pain in a woman of her age without other symptoms is relatively low.

In summary, while breast pain can be concerning, it is often benign and related to non-serious causes. Encouraging your mother to maintain a healthy lifestyle, including a balanced diet and regular physical activity, while also seeking medical advice if the pain continues, is the best course of action. Regular self-examinations and awareness of any changes in her breasts will also empower her to take charge of her health.

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