[35F] With asymptomatic palpable abdominal lump

Patient Description

A 35-year-old female reports a small, hard, non-painful lump at the top of her stomach, which has been present for approximately two months. The lump is more noticeable when standing and less so when sitting down, and it has remained consistent in size and appearance without any associated symptoms. The patient has no significant past medical history, no known drug allergies, and is not currently on any medications. There have been no changes in bowel habits, no unexplained weight loss, and no episodes of severe abdominal pain or vomiting.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for the lump you're feeling:

  • Lipoma: A lipoma is a slow-growing, fatty lump that's most often situated between your skin and the underlying muscle layer. Lipomas are usually small, soft to the touch, and move easily when you press on them. They are typically not painful unless they press on nerves or contain many blood vessels.

  • Hernia: A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place. In the abdomen, a hernia usually involves a piece of bowel, or the omentum, which is a fatty apron that hangs down from the mid portion of the colon (large intestine), protruding through a weak area in the abdominal wall. Hernias are often more noticeable when standing, lifting heavy objects, or straining.

  • Cyst: A cyst is a sac-like pocket of tissue that contains fluid, air, or other substances. They can grow almost anywhere in the body or under your skin.

  • Abdominal mass: An abdominal mass is any localized enlargement or swelling in the abdomen. Depending on its location, the mass may be caused by a tumor or disease of the liver, stomach, or other organs.

Please note that this is not a comprehensive list and other conditions may also explain your symptoms.

What you can do

Given that the lump has been present for two months, it would be a good idea to consult with a healthcare provider for a proper evaluation. They may perform a physical examination and possibly order imaging tests to determine the cause of the lump.

In the meantime, you can monitor the lump for any changes in size, shape, or pain level. If you notice any sudden changes or if the lump becomes painful, seek medical attention immediately.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Sudden, severe abdominal pain
  • Nausea or vomiting
  • Fever or chills
  • Changes in bowel habits, such as constipation or diarrhea
  • Unexplained weight loss

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare provider for a proper diagnosis and treatment.

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People Also Ask


What is a lipoma and how can it be identified?

A lipoma is a slow-growing, fatty lump that is usually soft to the touch and moves easily when pressed. It is typically not painful and is located between the skin and the underlying muscle layer.


How can I tell if a lump is a hernia?

A hernia often presents as a lump that becomes more noticeable when standing, lifting heavy objects, or straining. It may also be associated with discomfort or a dragging sensation in the abdomen.


What are the common symptoms of a cyst?

Cysts are sac-like pockets of tissue that can contain fluid, air, or other substances. They are usually non-painful and can grow almost anywhere in the body. Some cysts may cause discomfort if they press on nearby structures.


When should I be concerned about an abdominal mass?

You should be concerned about an abdominal mass if it is accompanied by symptoms such as sudden, severe abdominal pain, nausea, vomiting, fever, changes in bowel habits, or unexplained weight loss. These could indicate a more serious condition that requires medical attention.


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