Millionaire Health Advices

Treatment is directed at symptom control and prevention of complications that may arise by failing to treat the injury. Fibrocystic changes generally do not require any treatment and get better over time.

Lifestyle Changes:

These measures are implemented, not only because it could alleviate the symptoms associated with BBD, but also because of the advantages related to the overall health and wellness.

Eating a low-fat diet and the elimination of methylxanthines (coffee, tea, chocolate and carbonated drinks) produce improvement in 60% of cases and can be used to treat fibrocystic change, particularly if the pain is shown.

Although no direct association has established a short, was enacted smoking cessation and exercise regularly. Women who experience fat necrosis, must wear a bra like additional support.

Medications:

The BBD with infectious etiology, such as an abscess or mastitis, is treated with antibiotics, but the duration of therapy depends on the severity of symptoms and response to treatment. Patients usually require at least 1 week of oral antibiotics.

The choice of antibiotic depends on the suspected causative organism, usually gram-positive cocci. Acute mastitis is also treated with warm compresses.

In mastitis related to breastfeeding, breastfeeding should continue while the patient is mastitis.

As drug treatments include:

Diuretics poor results could be considered almost as placebos.

Progestogens: Based on the hypothesis that luteal insufficiency have shown a dubious activity in randomized studies against placebo. Have been implemented:

+ Topically: ointment between 1 and 10% of progesterone.

+ Vía parenteral: Hydroxyprogesterone (second phase of the cycle) and MPA (every 3 months).

+ Oral: norestestirone, Lynestrenol, didrogesterona second phase or throughout the cycle.

Bromocriptine: As antiprolactínico at doses of 2.5 mg per day has proved effective. However it should have its annoying side effects.

Danazol: As antigonadotrofínico, an initial dose of 200 mg a day, to reduce it to 100 mg per day as maintenance, the drug has proven more powerful, with relatively low side effects.

Tamoxifen: As anti-estrogen at doses of 10-20 mg per day, has shown efficacy in the treatment of mastalgia, but the possibility of inducing liver tumors has been recommended to relegate it to a second line.

Methyltestosterone: A dose of 5 mg on alternate days gave results similar to progestins, but has an obvious virilizing effect.

Evening primrose oil or evening primrose (Oenothara biennis) (primrose oil Evening): Rich in EFA (72% linoleic acid, and 7% acid?-Linolenic acid) is effective in cyclical mastalgia. It has the advantage of offering the patient a “natural product”, but its strength is several capsules a day, is expensive and not covered by Social Security.

Pyridoxine (vitamin B6): Based on that favors decarboxylation of dopa to dopamine, is supposed to inhibit PRL levels. It has been used at doses of 200 mg per day without significant clinical results.

Treatment of non-cyclical mastalgia: Not likely to respond to endocrine therapy, it is usually due to fibrorretractiles or inflammatory processes. Have been tested, with different results in each case:

- NSAID ‘s.

- Local injection + corticosteroid with local anesthetic.

- In cases of “trigger spot” not responsive to previous treatment may be considered local surgical excision (whose histopathology showed alterations).

Other treatments

- Vitamin A: Results difficult to interpret.

- Vitamin E: There are some good results with 600 IU per day of synthetic tocopherol acetate.

- Thyroid hormone: irregular results, except in hypothyroidism.

- Antihistamines: Results point.

- Tranquilizers: If you attach a picture of anxiety, but should be given with caution to avoid secondary boxes iatrogenic galactorrhea and breast tenderness.

Surgical treatment:

Surgical drainage of an abscess is done to prevent the spread of infection and symptomatic relief of pain or discomfort. Fibroadenomas, when symptomatic, can be removed completely.

Alternatively, if a patient under 35 years and the mass does not interrupt the quality of life, a core biopsy can be performed to establish, above all, that there is a disease of major proportions, so that condition may be managed conservatively.

For the same age, with less than 1 cm fibroadenomas could be expectant and perform surgery if you have sustained growth (greater than 2 cm), breast pain or concerns of the patient.

Surgical treatment of mastalgia, excisions larger than that of a “trigger spot” has been deducted from segmentectomy to subcutaneous mastectomy with implantation of prosthesis.

Excluding cases that had been done as prophylaxis of cancer, today can not be indicated, because the pictures do not improve obviously painful, but also may provoke painful squares of against other capsular shrinkage and foci of necrosis and loss of areola complex nipple.

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