Medical history (history of illness) is an important component in the diagnosis of mastodynia (breast pain).
Family history
- Are there any gynecologic conditions in your family that are common?
Social history
Current medical history/systemic history (somatic and psychological complaints).
- Do you have chest pain?
- Where exactly is the pain localized? On both sides?
- Has the pain changed? Become stronger?* *
- Did the pain come on suddenly?* *
- Does the pain radiate?
- What is the character of the pain? Stabbing, dull, burning, tearing, etc.?
- Is the pain dependent on breathing?* * .
- Do you have shortness of breath?* *
- Does the pain intensify with exertion/movement or does it get better then?
- When does the pain occur? Are you dependent on external factors such as diet, stress, weather?
- When does the pain occur in relation to the cycle (before, during and independently of menstruation)?
- Have you noticed a feeling of tightness in the breast? Is the feeling of tightness cyclical or independent of the cycle?
- Have you noticed lumps in the breast?*
- Have you noticed any secretion of fluid from the nipple?
- Are there any other symptoms (e.g., nausea, vomiting, diarrhea, constipation, bloating, difficulty swallowing, heartburn, etc.) in addition to chest pain?
- Do you have accompanying symptoms such as fever or feeling sick?
Vegetative anamnesis including nutritional anamnesis.
- Is the cycle regular?
Self history including medication history.
- Pre-existing conditions (gynecological diseases, especially hormonal disorders).
- Operations
- Allergies
- Medication history
* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Information without guarantee)
