Breast Pain Before Menses: Is That Normal?

Dr sahab mera masla yeh hai.

 mujhey mahwari aaney say pehle mere breat mein bohut  pain hoti hai.

taqreeban 10 din pehley heavy ho jati hai.pain startho jati hai halki halki

tell me pls its normal or mere mum kehti hai its normal

Dear Doctor, my problem is that before I get menses I do have pain in the breasts at least ten days prior. Tell me please is that normal?

re: heavy breasts

1. A good fitting bra may help to reduce the degree of pain by not allowing too much movement of the breasts. You may even go to sleep wearing it.

2. For pain: you may use Paracetamol (250-500mg 3-4 times daily). Perhaps start with a low dose

3. Limit sodium (table salt) intake.

4. Maintain good body weight, and eat healthy (fruits, vegetables)

If you have lumps on breast, it is advisable to see a doctor.

Hope this helps.

Re:tsalam

salam sir

               Hope you are fine ..but sir i am totally disagree with your suggestion because you don't even know the cause of pain in her breasts..you didn't even examine her ..so then why are you prescribing her tablets???? sorry sir but i think its wrong in all ways..OK ALlah hafiz

Zain606

Salam Baby

Even it is not ur age to tell some one how wud he know. I think who ever gave her suggestion according to his/best knowledge is fine and it is up to uses how wud she takes it.

How do u know her breast ??  still u r in that tender age who wish to write word Breast :)   Ask ur Mother about to participate in this forum and she can guide u how to get involve in others Breast :)

re: zain606

Clarification

It is correct that prescriptions are not to be given without seeing a patient. I have, in my suggestion, asked to see a doctor if she has a lump on breast. Over the counter medications such as acetaminophen is not considered a specific therapy as you may all know. However, for a cyclical pain this may help. As none had any problem with the other suggestions I made, I think you are in agreement with me. I have not prescribed any hormonal preparations, as you may see, which if I did, could have been considered a specific therapy. Also, I said "You may use" and not "Take", which implies a suggestion, and not a prescription. 

Being a physician myself, I do not see any point in some individuals making derogetary remarks, since it is unbecoming of a decent person. Anyway, I do agree that everyone's opinion should be respected. One question remains, if the patient comes and sees you (guessing you all are physicians), will you not give her any medications for her pain, while you are trying to find the exact reason for her problem. On a level of risk/benefit, I still think that she could try acetaminophen if the pain is severe.

I will be eager to read the comments of Zain606, Prozak and My Reply on my argument. I agree with some of the comments of My Reply, but I guess he would also give some medication to ease the pain while the patient is suffering and he being the doctor is trying to find the cause. I wonder what any physician would ask the patient do. Your comments are welcome.

As salamu alaikum.

re: tsalam

Ur suggestions and replies to various topics are highly appreciated as u are sending valueable information both from medical and islamic point of views. But, here i would not agree to u.

I agree that Paracetamol is considered as "O-T-C" and it not even need patient's examination to prescribe it but i think that this pain does not need any kind of analgesic (NSAIDS, etc)as it gets relieved after menses and it is mild, not hindering in anybody's daily routine and not causing much discomfort. All it needs is:

• daily bath with warm water.
• hot fomentation
• proper diet and rest

It is a transient pain and not cause much problems in life but use of NSAIDS excessively may create problems (as this pain occurs in each cycle, would u advise her to take analgesics in each cycle?)

I have told her to  consult lady surgeon for complete examination of breasts as I also kept the possibility of Lumps(the ones which cause mischieve before mense- i dont want to write the name) in my mind.

I hope u understand my point.

regards.

Point well taken

Dear Dr. Khan,

Your point is well taken. I just suggested Paracetamol and not any NSAIDs, as the latter brings its own problem with gastrointestinal problem. The sister mentioned that she is having "severe pain" (which is more than likely to cause much discomfort as you pointed out) and that to my opinion needs to be addressed.

One thing we both agree that she needs to see a lady doctor (gynecologist) for her problem.

I hope you will reconsider her history.

Best Regards

re: tsalam

Thanx for ur reply. I agree to u that "severe pain" should need to be addressed but the threshold of pain is different in every individual and every person explains his/her feelings of symptoms differently. and have u noticed that even her mother told her that it is Normal.

I value ur suggestions and advises on each and every topic.

regards.