[24F] Concerns about a non-movable abdominal mass and associated symptoms

Patient Description

A 24-year-old female presents with a firm, non-movable, golf ball-sized mass under the right ribs towards the back, which has been present for approximately six months. The mass is described as slightly lumpy and protrudes upon bending over. The surrounding area is tender, especially with applied pressure. Accompanying symptoms include irregular bowel movements with frequent constipation and lower back pain. The patient has experienced significant weight loss, attributed to dysphagia. There is no reported jaundice, fever, or night sweats. The patient has a family history of colon cancer (father) and a personal medical history of corrected scoliosis. The patient is allergic to penicillin and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Liver disease: The liver is located in the upper right abdomen, and a firm, non-movable mass in this area could suggest a liver condition. Liver diseases can cause a variety of symptoms, including abdominal pain, weight loss, and changes in bowel movements. However, liver diseases often also cause jaundice (yellowing of the skin and eyes), which you have not reported.

  • Kidney disease: The kidneys are located towards the back of the abdomen, and a mass in this area could suggest a kidney condition. Kidney diseases can cause a variety of symptoms, including lower back pain and changes in bowel movements. However, kidney diseases often also cause changes in urine color or frequency, which you have not reported.

  • Gastrointestinal conditions: Given your family history of colon cancer and your symptoms of weight loss and changes in bowel movements, a gastrointestinal condition could be a possibility. This could range from benign conditions like diverticulosis to more serious conditions like colon cancer.

  • Musculoskeletal conditions: Given your history of scoliosis, it's possible that the mass could be related to your musculoskeletal system. However, this would not explain your symptoms of weight loss and changes in bowel movements.

Please note that these are only possibilities, and a healthcare provider would need to evaluate you in person to make a definitive diagnosis.

What you can do

Given your symptoms and family history, it's important to seek medical attention as soon as possible. Here are some steps you can take:

  1. Schedule an appointment with your primary care provider. They can perform a physical examination and order any necessary tests, such as blood tests or imaging studies.

  2. Keep track of your symptoms. Note any changes in the size or feel of the mass, any changes in your bowel movements, and any new symptoms. This information can help your healthcare provider make a diagnosis.

  3. Maintain a healthy lifestyle. Eat a balanced diet, stay hydrated, get regular exercise, and get plenty of sleep. This can help your body stay strong and fight off illness.

What you should look out for

Here are some signs that you should seek medical attention immediately:

  • Severe abdominal pain
  • Blood in your stool
  • Sudden, unexplained weight loss
  • Jaundice (yellowing of the skin or eyes)
  • Fever or chills

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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9 mo ago

People Also Ask

What could cause a firm, non-movable mass under the ribs?

A firm, non-movable mass under the ribs could be due to several conditions, including liver disease, kidney disease, or a musculoskeletal issue. It is important to have it evaluated by a healthcare provider to determine the exact cause.

How can irregular bowel movements and constipation be related to a mass in the abdomen?

Irregular bowel movements and constipation can be related to a mass in the abdomen if the mass is pressing on the intestines or affecting the digestive system. This can lead to changes in bowel habits and should be assessed by a doctor.

What are the potential implications of significant weight loss and dysphagia?

Significant weight loss and dysphagia (difficulty swallowing) can be concerning symptoms that may indicate a serious underlying condition, such as a gastrointestinal disorder or cancer. These symptoms warrant prompt medical evaluation.

How does a family history of colon cancer affect my risk and symptoms?

A family history of colon cancer can increase your risk of developing the disease. It is important to discuss this with your healthcare provider, who may recommend earlier or more frequent screenings and evaluations based on your symptoms and family history.

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