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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Intense Burning Sensation In Nipples?

I had the most intense burning sensation in my nipples tonight. It was much stronger in my left one but was present in the right as well. I have never experienced this before and it was pretty painful. If felt like someone was holding a hot poker to them. There is no discharge, lumps or skin changes present and the pain was not located any where besides the nipples. I am a RN and do have a little medical background and this is pretty worrisome to me.
Wed, 29 Jan 2014
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General & Family Physician 's  Response
Hello,
I have gone through your query and understand your concern.
It could be either due to allergy to fabrics/bra or a paget's disease or infection.
Paget's disease of the breast is a rare form of breast cancer in which the first clinical finding is usually a scaling of the nipple skin. It may also be associated with nipple redness and burning.

The first step in evaluating any patient with a change in the skin of the nipple is to obtain a careful history and perform a careful breast examination, followed by a diagnostic mammogram.
If the mammogram is negative and our clinical suspicion is low, we usually suggest that the patient place a cortisone cream on the nipple for two weeks.

If the condition has not responded completely to conservative treatment in two weeks, we proceed to a skin punch biopsy.
Most of our patients who do have a skin punch biopsy end up with a benign result. These patients simply require reassurance that there is no cancer present, and follow-up observation is all that is indicated.

Sometimes a moisturizing cream is helpful to control any nipple dryness.
If Paget's is positive, We remove the nipple (and any surrounding breast tissue) that contains breast cancer.

Hope this helps.
Please write back for further queries.
Wishing you good health.
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What Causes Intense Burning Sensation In Nipples?

Hello, I have gone through your query and understand your concern. It could be either due to allergy to fabrics/bra or a paget s disease or infection. Paget s disease of the breast is a rare form of breast cancer in which the first clinical finding is usually a scaling of the nipple skin. It may also be associated with nipple redness and burning. The first step in evaluating any patient with a change in the skin of the nipple is to obtain a careful history and perform a careful breast examination, followed by a diagnostic mammogram. If the mammogram is negative and our clinical suspicion is low, we usually suggest that the patient place a cortisone cream on the nipple for two weeks. If the condition has not responded completely to conservative treatment in two weeks, we proceed to a skin punch biopsy. Most of our patients who do have a skin punch biopsy end up with a benign result. These patients simply require reassurance that there is no cancer present, and follow-up observation is all that is indicated. Sometimes a moisturizing cream is helpful to control any nipple dryness. If Paget s is positive, We remove the nipple (and any surrounding breast tissue) that contains breast cancer. Hope this helps. Please write back for further queries. Wishing you good health.