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What Causes Excruciating Burning Sensation In Breast And Stone In Urinary Bladder?
Question: PAST A .5 STONE THAT BLEAD ALITTTLE BIT.AND EXCRUSIATING BURNING IN BREAST EKG CAME OUT NORMAL DOCTOR SAID IT WAS IN BLADDER NOW. THAT WAS 10 DAYS AGO . IM STILL IN ALOT OF PAIN AND STILL CANT MOVE AROUND ALOT. AND IBU 800 JUST AINT CUTTING IT AND CHEST STILL BURNING. HOW LONG DO YOU THINK I SHOULD WATE FOR IT TO COME OUT CANT GET A GOOD NIGHT SLEEP. SHOULD I GO BACK TO EMERGENCY AFTER A CIRTAIN AMOUNT TIME. STILL FEELS LIKE SOMTHING THERE. STONE BEGAN 3 WEEKS AGO..WHAT SHOULD I DO.
Brief Answer:
I recommend as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
I understand your concern, and would like to explain that your symptoms seem to be related to the urinary stones, and a cardiac cause can be excluded to have any relationship with your symptomatology.
You should know that the majority of stones will pass spontaneously but may take 1-4 weeks; the progress of the stone should be monitored at a minimum of weekly intervals to assess the progression of the stone.
So you should be a little patient and wait. A stone that is moving is often more painful than a stone that is static. That is why you are in pain all the time.
Stones less than 5 mm in diameter pass spontaneously in up to 80% of people, while stones between 5 mm and 10 mm in diameter pass spontaneously in about 50% of people.
However, it is known that if a stone that has not passed within 1-2 months, it is unlikely to pass spontaneously and intervention therapy is needed.
From different guidelines, conservative management may be continued for up to three weeks unless you are unable to manage the pain, or further complications like infection or obstruction occur.
Regarding therapy with ibuprofen, I would consider switching into diclofenac IM or PR, which is very helpful for the relief of the severe pain of renal colic. NSAIDs are more effective than opioids (like morphine)for this indication and have less tendency to cause nausea.
However, in severe renal colic pain, parenteral morphine is required.(but this is not your case).
I recommend performing an urine analysis for infection and an abdominal ultrasound every week. If infection is confirmed, an antibiotic should be started.
I would recommend discussing with your attending physician, some other options besides hydration therapy, which could be helpful:
-Alkalinizing agents (eg, potassium citrate, sodium bicarbonate): For uric acid and cysteine calculi ( if the compound of the stone is confirmed by urinary tests)
- Corticosteroids (eg, prednisone, prednisolone)
-Calcium channel blockers (eg, nifedipine)
-Alpha blockers (eg, tamsulosin, terazosin)
These drugs can help you manage the pain.
If the situation doesn't improve, an endoscopic intervention may be considered ( as the stone is in the urinary bladder).
Hope to have been helpful!
Best wishes,
Dr. Iliri
I recommend as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
I understand your concern, and would like to explain that your symptoms seem to be related to the urinary stones, and a cardiac cause can be excluded to have any relationship with your symptomatology.
You should know that the majority of stones will pass spontaneously but may take 1-4 weeks; the progress of the stone should be monitored at a minimum of weekly intervals to assess the progression of the stone.
So you should be a little patient and wait. A stone that is moving is often more painful than a stone that is static. That is why you are in pain all the time.
Stones less than 5 mm in diameter pass spontaneously in up to 80% of people, while stones between 5 mm and 10 mm in diameter pass spontaneously in about 50% of people.
However, it is known that if a stone that has not passed within 1-2 months, it is unlikely to pass spontaneously and intervention therapy is needed.
From different guidelines, conservative management may be continued for up to three weeks unless you are unable to manage the pain, or further complications like infection or obstruction occur.
Regarding therapy with ibuprofen, I would consider switching into diclofenac IM or PR, which is very helpful for the relief of the severe pain of renal colic. NSAIDs are more effective than opioids (like morphine)for this indication and have less tendency to cause nausea.
However, in severe renal colic pain, parenteral morphine is required.(but this is not your case).
I recommend performing an urine analysis for infection and an abdominal ultrasound every week. If infection is confirmed, an antibiotic should be started.
I would recommend discussing with your attending physician, some other options besides hydration therapy, which could be helpful:
-Alkalinizing agents (eg, potassium citrate, sodium bicarbonate): For uric acid and cysteine calculi ( if the compound of the stone is confirmed by urinary tests)
- Corticosteroids (eg, prednisone, prednisolone)
-Calcium channel blockers (eg, nifedipine)
-Alpha blockers (eg, tamsulosin, terazosin)
These drugs can help you manage the pain.
If the situation doesn't improve, an endoscopic intervention may be considered ( as the stone is in the urinary bladder).
Hope to have been helpful!
Best wishes,
Dr. Iliri
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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