[48F] With abdominal swelling and umbilical mass

What might be happening

Based on the symptoms you've described, there are a few potential explanations for your abdominal swelling and the knot near your belly button:

1. Hernia: The knot near your belly button that becomes more noticeable with coughing, straining, or standing could be a hernia. Hernias occur when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall. They can cause a noticeable lump and discomfort, especially when standing or straining.

2. Abdominal Mass: Given your history of an abdominal mass, it's possible that the swelling and knot are related to this condition. Abdominal masses can vary in cause, including benign growths, cysts, or other conditions that may require further evaluation.

3. Constipation: Your infrequent bowel movements and the need to strain could be contributing to the abdominal discomfort and swelling. Chronic constipation can lead to bloating and discomfort.

Typical treatments or testing for these conditions may include imaging studies like an ultrasound or CT scan to evaluate the abdominal area, as well as a physical examination by a healthcare provider. Treatment may vary depending on the underlying cause but could include lifestyle changes, medications, or surgical intervention if a hernia is confirmed.

What you can do

Abdominal Swelling and Knot:

• It is important to consult with a healthcare provider to evaluate the knot and swelling, especially since it has been present for several months and is causing discomfort. They can provide a proper diagnosis and discuss potential treatment options.
• Avoid heavy lifting or activities that increase abdominal pressure, as these can exacerbate a hernia if present.

Constipation:

• Increase your intake of dietary fiber through fruits, vegetables, and whole grains to help improve bowel regularity.
• Stay hydrated by drinking plenty of water throughout the day.
• Consider using over-the-counter stool softeners or laxatives as a temporary measure, but consult with a healthcare provider for long-term management strategies.

Back Pain:

• Practice good posture and use supportive footwear to help alleviate back pain when standing.
• Engage in gentle stretching exercises to improve flexibility and reduce tension in the back muscles.

You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

While your symptoms are not immediately life-threatening, it's important to seek medical attention if you experience any of the following:

• Severe or worsening abdominal pain
• Nausea or vomiting
• Changes in bowel habits that persist or worsen
• Any signs of infection, such as fever or redness around the knot

Remember, this information is not a substitute for professional medical advice. Please consult with a healthcare provider for a formal diagnosis and appropriate treatment.