Breast hyperplasia Nipple discharge

Some women have breast hyperplasia and sometimes accidentally find breast pain, and some secretions can be squeezed out of bilateral or unilateral nipples, especially before menstruation. For this reason, many women worry about the occurrence of breast hyperplasia. In fact, this phenomenon is called nipple discharge due to fibrocystic fibrosis. So, let us take a look at what kind of disease this is. How should we women take care of our breasts in our daily lives?

1. Concept

Nipple discharge is a common symptom of breast disease and can be divided into physiological discharge and pathological discharge. Physiological discharge refers to lactation during pregnancy and lactation, bilateral nipple discharge caused by oral contraceptives or sedatives, and unilateral or bilateral small amounts of discharge in postmenopausal women. Pathological discharge refers to intermittent or persistent nipple discharge from one or more ducts on one or both sides under non-physiological circumstances, lasting from months to years.

II. Causes 1. Diencephalic diseases or pituitary lesions, such as diencephalic and adjacent tissue tumors, prolactin adenoma, pineal tumor, hyperpituitarism, acromegaly, etc.;

2. Endocrine system diseases, such as primary hypothyroidism, adrenal tumor, etc.;

3. Chest diseases, such as chronic mastitis, chest herpes zoster, etc.;

4. Side effects of drugs, such as hormone drugs, can cause endocrine dysfunction in the human body, stimulate prolactin secretion, and lead to breast discharge;

5. Local stimulation of the breast and systemic stress response, such as frequent playing or sucking of nipples, severe mental trauma and other factors, can also lead to a transient increase in prolactin and cause breast discharge.

3. Clinical manifestations If the nipple discharge is from one nipple, it is often related to the following breast diseases:

1. Mammary duct ectasia

For some patients with this disease, the first symptom is nipple discharge. The color of the discharge is mostly brown, and a few are bloody. This disease is more common in non-lactating or menopausal women over 40 years old. There is a lump adhered to the skin in the areola area where discharge occurs, which is usually less than 3 cm in diameter. The axillary lymph nodes on the same side may be enlarged, soft, and tender.

2. Intraductal papilloma

This disease is more common in people aged 40 to 50. The tumor mostly occurs in the area near the nipple. The tumor is very small, has a pedicle and villi, and has many thin-walled blood vessels, so it is easy to bleed. When palpating the patient's breasts, sometimes a cherry-sized lump can be found under the areola, which is soft, smooth and movable.

3. Breast cystic hyperplasia

It is more common in women of childbearing age. The nipple discharge of some patients is yellow-green, brown, bloody or colorless serous. This disease has two characteristics: one is that it manifests as periodic breast pain, which is more common or worsens before menstruation. Second, breast lumps are often multiple and can be seen on one side or both sides. They can also be limited to one part of the breast or dispersed throughout the breast. The lumps are nodular and of varying sizes, tough but not hard, not adhered to the skin, and have unclear boundaries with surrounding tissues. The lumps may shrink after menstruation.

4. Breast cancer

Some breast cancer patients have bright red or dark red nipple discharge, and sometimes clear water discharge that is colorless and transparent, occasionally sticky, and leaves no trace after discharge. The two peak incidence periods of this disease are 45 to 49 years old and 60 to 64 years old. Patients may accidentally discover a breast lump, which is usually located at the upper inner or outer limit, is painless, and gradually grows larger. In the late stage of lesions, orange peel-like skin changes and satellite nodules appear. The axillary lymph nodes are enlarged and hard, and fuse into clumps as the disease progresses. IV. Treatment methods 1. False discharge

When dealing with nipple discharge, you should first distinguish between true and false discharge. False discharge can be treated locally accordingly.

2. Treatment of true discharge

(1) Treatment of non-neoplastic discharge is often caused by mammary duct ectasia, cystic breast hyperplasia, etc. The former can be treated with drugs or surgery, and the latter can be treated with traditional Chinese medicine, drugs or surgery.

(2) Treatment of tumorous discharge is often caused by intraductal papilloma or intraductal papillary carcinoma. The former should undergo local segmental resection, while the latter should undergo radical mastectomy.

3. Care for women’s breasts

1. Good Mood

That’s right, the thing that breast hyperplasia fears most is that you are in a good mood! Because the mood is good, the normal ovulation of the ovaries will not be hindered by bad emotions, the secretion of progesterone will not decrease, the breast will not proliferate due to the unilateral stimulation of estrogen, and the already proliferated breast will gradually recover under the care of progesterone.

2. Sleeping habits

Sleep is not only beneficial to endocrine balance, but also provides a good environment for various hormones in the body to exert their healthy effects in a balanced manner. There is power in unity, and the synergistic cooperation of various hormones can naturally defeat breast hyperplasia.

3. Regulate menstruation

Clinically, it has been found that women with irregular menstrual cycles are more prone to breast hyperplasia than others. By regulating endocrine and menstruation, breast hyperplasia can also be prevented and treated.

4. Low-fat, high-fiber diet

Follow the "low-fat, high-fiber" dietary principles, eat more whole-grain foods, beans and vegetables, increase the body's metabolic pathways, and reduce adverse stimulation to the breast. Also, control the intake of animal protein to avoid excessive estrogen and breast hyperplasia.

5. Supplement vitamins and minerals

If the human body lacks B vitamins, vitamin C or minerals such as calcium and magnesium, the synthesis of prostaglandin E will be affected, and the breast will experience or worsen hyperplasia under the excessive stimulation of other hormones.