[32F] Experiencing unexpected weight loss and painful abdominal mass

Patient Description

A 32-year-old female reports a significant, unintentional weight loss of 41 pounds over a period of 3 and a half months, from November 2023 to present. Additionally, the patient has discovered a hard, ball-shaped mass located centrally above the pubic area and below the belly button. The mass was first noticed a few days ago and has become increasingly painful and sensitive to touch. No recent injuries, fever, night sweats, changes in bowel habits, or blood in stool were reported. The patient's medical history is unremarkable with no known chronic illnesses or allergies to medications. The only medication being taken is ibuprofen for occasional headaches.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Lipoma: A lipoma is a slow-growing, fatty lump that's most often situated between your skin and the underlying muscle layer. They are usually not tender, but can be if they press on nerves or have blood vessels running through them. They are usually harmless and only need treatment if they bother you.

    • Treatment: If a lipoma is bothering you, a doctor might recommend surgical removal, steroid injections, or liposuction.
  • Hernia: A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place. Hernias are most common in the abdomen. They can be painful, especially when you cough, bend over, or lift a heavy object.

    • Treatment: If the hernia is growing larger or causing pain, your doctor may decide it's best to operate. Your doctor may repair your hernia by sewing the hole in the abdominal wall closed during surgery. This is most commonly done by patching the hole with surgical mesh.
  • Cancer: Unexplained weight loss and a hard lump are symptoms that can be associated with certain types of cancer, such as ovarian cancer or lymphoma. However, these symptoms can also be due to many other benign conditions. It's important to get these symptoms checked out, especially since they are new and have been changing.

    • Treatment: Treatment options depend on the type of cancer and its stage. The three principal treatments are surgery, radiation, and chemotherapy.

What you can do

Given your symptoms, it's important to seek medical attention promptly. While waiting for your appointment:

  1. Keep track of any new symptoms or changes in your existing symptoms.
  2. Try not to put pressure on the lump to avoid causing more pain.
  3. Maintain a balanced diet and stay hydrated.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Nausea or vomiting
  • Fever
  • Rapid increase in the size of the lump
  • Any sudden or severe changes in your health

Please remember that while I strive to provide accurate information, I am not a doctor. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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People Also Ask


What could cause unintentional weight loss and a hard abdominal mass?

Unintentional weight loss and a hard abdominal mass can be caused by various conditions, including lipomas, hernias, or potentially cancer. It's important to consult a healthcare provider for a proper diagnosis.


How can a hernia be identified and treated?

A hernia can be identified by a noticeable bulge in the abdomen, which may be painful, especially during physical activities. Treatment often involves surgical repair, especially if the hernia is causing pain or growing larger.


What are the symptoms of a lipoma and when should it be treated?

A lipoma is a soft, fatty lump that grows slowly under the skin. It is usually painless but can become tender if it presses on nerves. Treatment is generally not necessary unless it causes discomfort, in which case surgical removal may be recommended.


When should I be concerned about a lump being cancerous?

A lump may be concerning if it is hard, rapidly growing, or accompanied by symptoms like unexplained weight loss. It's important to seek medical evaluation to rule out cancer or other serious conditions.


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