[53F] Experiencing abdominal bulging and leg numbness

Patient Description

A 53-year-old female reports a bulging sensation in the lower right abdomen, described as feeling like an 'inflating balloon,' which has been occurring every other day for the last couple of weeks. This bulging sensation is associated with a fullness in the lower stomach and an ache in the right leg, which feels like it's cutting off circulation, causing the leg to feel as if it's falling asleep. The ache is severe, rated 10 out of 10, and is exacerbated by walking. The patient has been experiencing the ache for a month, and there is no relief from any interventions. There is no history of trauma to the area, and the patient has not mentioned any other symptoms or medical history.

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Arora's Assessment

What might be happening

Based on the information you provided, the possible causes of your symptoms could be:

  • Inguinal Hernia: This condition occurs when part of your intestine or fat from the abdomen bulges through a weak spot in the lower abdominal wall, often in the inguinal canal located at the fold of your leg. The bulge can be painful, especially when you cough, bend over, or lift a heavy object. The sensation of fullness and the bulge that comes and goes are typical of a hernia.

    • Treatment typically involves surgery to repair the opening in the muscle wall. This surgery can often be performed laparoscopically, which involves smaller incisions, less pain, and a quicker recovery.
  • Femoral Hernia: This is a less common type of hernia that also occurs in the lower abdomen/groin area. It is more common in women, especially those who are pregnant or obese. The symptoms are similar to an inguinal hernia.

    • Treatment is similar to that of an inguinal hernia and typically involves surgery.
  • Lymphedema: This is a chronic condition characterized by swelling in the leg due to a blockage in the lymphatic system. However, this would not typically cause a bulge in the abdomen.

    • Treatment involves managing the symptoms and typically includes exercise, wrapping the leg, massage, and pneumatic compression.

What you can do

Given the severity of your symptoms and the possibility of a hernia, it is important to seek immediate medical attention. Hernias can lead to complications if not treated. In the meantime, avoid heavy lifting and any activities that cause strain on your abdomen.

What you should look out for

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

  • Sudden or severe pain in your abdomen or groin
  • Nausea or vomiting
  • The bulge becomes very painful or red
  • You are unable to pass gas or have a bowel movement

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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People Also Ask


What are the common symptoms of an inguinal hernia?

Common symptoms of an inguinal hernia include a bulge in the groin or scrotum, pain or discomfort in the groin area, especially when bending over, coughing, or lifting, and a feeling of heaviness or dragging in the groin.


How is a femoral hernia different from an inguinal hernia?

A femoral hernia occurs lower in the groin than an inguinal hernia and is more common in women. It can cause a bulge near the upper thigh and may lead to more serious complications due to its location.


What are the potential complications of an untreated hernia?

Potential complications of an untreated hernia include incarceration, where the hernia becomes stuck and cannot be pushed back in, and strangulation, where the blood supply to the herniated tissue is cut off, leading to tissue death and potentially life-threatening situations.


What are the treatment options for lymphedema?

Treatment options for lymphedema include exercise to encourage lymph fluid drainage, compression garments to reduce swelling, manual lymph drainage (a type of massage), and pneumatic compression devices. In some cases, surgery may be considered.


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