[25F] With back lump, gastrointestinal symptoms, and systemic signs

Patient Description

A 25-year-old female presents with a hard lump on the shoulder blade that has been present for a few weeks and has changed in size over the last two weeks. The lump is painful but not associated with redness or warmth. The patient also reports experiencing vomiting, nausea, back pain, stomach ache, chills, hot flashes, weight loss, night sweats, fatigue, and general weakness. There is no recent travel history or use of tobacco, alcohol, or recreational drugs. The patient's medical history includes anemia diagnosed four years ago. There is a family history of cancer, although the specific type was not disclosed.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing. It's important to remember that these are just possibilities, and you should consult a healthcare professional for a formal diagnosis.

  1. Lump on your back: The hard lump on your back that has changed in size over the past few weeks, along with pain, could be a benign condition like a lipoma or cyst. However, given the associated symptoms of weight loss, night sweats, and fatigue, it is important to rule out more serious conditions such as a tumor or infection. A healthcare provider may recommend imaging tests like an ultrasound or MRI, and possibly a biopsy to determine the nature of the lump.

  2. Nausea, vomiting, and stomach ache: These symptoms could be related to a gastrointestinal issue such as gastritis, an ulcer, or an infection. However, they could also be related to systemic conditions, especially if they are occurring alongside other symptoms like fatigue and weight loss. Blood tests, stool tests, or imaging studies might be necessary to identify the cause.

  3. Back pain: This could be related to the lump on your back, especially if it is pressing on nerves or muscles. Alternatively, it could be a separate musculoskeletal issue. A healthcare provider might suggest physical examination and imaging to assess the cause.

What you can do

Lump on your back: It's important to have this evaluated by a healthcare professional as soon as possible, especially given the changes in size and associated symptoms. They may perform imaging or a biopsy to determine the cause.

Nausea, vomiting, and stomach ache: Try to stay hydrated by sipping clear fluids. Eating small, bland meals may help reduce nausea. Over-the-counter medications like antacids or anti-nausea medications might provide temporary relief, but it's important to consult a healthcare provider for a proper diagnosis and treatment plan.

Back pain: Applying a warm compress or taking over-the-counter pain relievers like ibuprofen may help alleviate discomfort. However, it's crucial to have this evaluated, especially if it's related to the lump.

General symptoms: Keep track of your symptoms, including any changes or new symptoms that arise. You can use MDandMe to journal your symptoms, track progress, and share this information with your healthcare provider.

What you should look out for

Given the combination of your symptoms, it's important to seek medical attention promptly. Reasons to seek care more urgently include:

  • Rapid increase in the size of the lump
  • Severe or worsening pain
  • Persistent vomiting or inability to keep fluids down
  • Significant weight loss or weakness
  • Any new or concerning symptoms

Remember, while I can provide information and suggestions, it's essential to consult with a healthcare professional for a thorough evaluation and appropriate treatment.

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1 mo ago

People Also Ask


What could cause a hard lump on the shoulder blade that changes in size?

A hard lump on the shoulder blade that changes in size could be due to benign conditions like a lipoma or cyst. However, it could also indicate more serious issues such as a tumor or infection, especially if accompanied by other symptoms like weight loss and fatigue. It's important to have it evaluated by a healthcare professional.


Are nausea and vomiting related to a lump on the back?

Nausea and vomiting could be related to a gastrointestinal issue or a systemic condition, especially if they occur alongside other symptoms like fatigue and weight loss. While they might not be directly related to the lump, it's important to consider all symptoms together and consult a healthcare provider.


What are the potential causes of back pain in this context?

Back pain in this context could be related to the lump if it is pressing on nerves or muscles. It could also be a separate musculoskeletal issue. A healthcare provider can perform a physical examination and imaging to determine the cause.


When should I seek medical attention for symptoms like weight loss and night sweats?

You should seek medical attention if you experience a rapid increase in the size of the lump, severe or worsening pain, persistent vomiting, significant weight loss, or any new concerning symptoms. These could indicate a more serious underlying condition that requires prompt evaluation.


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