Mary L. Coan, MD
Specialty: Family Medicine
Location and Office HoursIntegrative Family Care at The Springs
4 Coulter Rd
Clifton Springs, NY 14432
How can I eat healthy if my family doesn't support me?
Cathy Silva, Nutrition & Dietetics, answeredYour family does not need to support you. You are 100% responsible for yourself and your actions. Start to focus on what you can do. Also seek out the support you need from a person with the expertise to help you achieve your goal.
What causes pain in my breast?
Deanna Attai, MD, Surgery, answered
Breast pain is extremely common; the medical term for breast pain is mastalgia or mastodynia. The pain is often cyclic, which means that it occurs in relation to (often just before) the menstrual cycle, and is often related to changes in the level of estrogen and progesterone. The pains are at times severe, and most commonly occur in the upper outer breast and may also extend to the nipple or underarm. Usually the pains resolve after the menstrual period begins.
Non-cyclic mastalgia refers to pains which are not related to the menstrual period. Often, only one breast will have pain, and it may be localized to a single pinpoint area. The pains may be fairly constant and “aching” in nature, or may be sharp, burning, or stabbing in character. Evaluation to rule out a specific mass or cyst is indicated, but most times, the pains are not related to any specific lesion (including cancer), and often resolve over time. Pulled chest wall muscles, pinched nerves, or costochrondritis (inflammation of the cartilage of the ribcage) may also cause pain which appears to originate in the breasts.
Careful history and examination can usually rule out a significant cause of the pain. Often, a mammogram or ultrasound will be done to ensure that there is no mass or other specific lesion causing the pain. If no specific abnormality is found, simple maneuvers such as reducing intake of caffeine, salt, and tobacco, wearing a supportive bra, and using over-the-counter medications such as ibuprofen during the premenstrual period will help to control symptoms. Vitamin E, B-complex vitamins, and Evening Primrose Oil have also shown benefit in some patients in treating persistent pain, but none has been proven effective in placebo-controlled clinical trials. For more severe cases, hormonal agents may also be indicated. Persistent pains or pains associated with any mass or lump require evaluation by a physician.Helpful? 1 person found this helpful.
What are natural treatments for women's health issues?
Calcium: There is a link between lower dietary intake of calcium and symptoms of premenstrual syndrome (PMS). Calcium supplementation has been suggested in various clinical trials to decrease overall symptoms associated with PMS, such as depressed mood, water retention, and pain.
Lactobacillus acidophilus: Multiple human studies report that Lactobacillus acidophilus vaginal suppositories are effective in the treatment of bacterial vaginosis. Additional research is necessary before a firm conclusion can be reached. Patients with persistent vaginal discomfort are advised to seek medical attention.
Rose hip: Rose hips are the fruits that develop from the blossoms of the wild rose (Rosaspp.). They are typically orange to red in color, but some species may be purple or black. Estimates of the number of women who experience menstrual cramps with dysmenorrhea range from 50-93%. In 10-26% of women, this pain may be severe. Herbalists have recommended aromatherapy, the therapeutic use of essential oils from plants, as a treatment for menstrual cramps. The oils are absorbed into the body via the olfactory system and the skin. Lavender, clary sage, and rose are three of the oils traditionally used to treat dysmenorrhea.
Sage: Sage (Salvia officinalis) may contain compounds with mild estrogenic activity. In theory, estrogenic compounds may decrease menopausal symptoms. Sage has been tested against menopausal symptoms with promising results.
Vitamin D: Without sufficient vitamin D, inadequate calcium is absorbed and the resulting elevated parathyroid (PTH) secretion causes increased bone resorption. This may weaken bones and increase the risk of fracture. Vitamin D supplementation has been shown to slow osteoporosis and reduce fracture, particularly when taken with calcium.
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