[60F] Experiencing painful abdominal lump with night sweats

What might be happening

Based on the information you've provided, possible explanations for the lump in your left upper quadrant of your abdomen include:

• Splenic enlargement (Splenomegaly): The spleen is located in the left upper quadrant of the abdomen. Conditions such as infections, liver diseases, blood diseases, or cancer can cause it to swell.

  • Diagnosis often involves imaging tests such as an ultrasound or CT scan. Treatment depends on the underlying cause.

• Stomach or pancreatic issues: Given your mother's history of pancreatic cancer, it's important to consider conditions related to the stomach and pancreas. This could include gastritis, peptic ulcers, or even pancreatic cancer.

  • Diagnosis often involves endoscopy or imaging tests. Treatment depends on the underlying cause.

• Abdominal wall hernia: This is a condition where the abdominal wall weakens and allows a part of the intestine or another organ to protrude. It can cause a lump and pain.

  • Diagnosis is usually clinical but may involve imaging tests. Treatment usually involves surgery.

• Lipoma or other benign tumors: These are non-cancerous lumps that form in the fat cells. They are usually not painful unless they press on nerves or have a supply of blood vessels.

  • Diagnosis is usually clinical but may involve a biopsy. Treatment is usually not necessary unless the lipoma is bothersome.

What you can do

Given the duration and severity of your symptoms, it is important to seek medical attention. A healthcare professional can perform a physical examination and possibly order further tests such as blood tests, ultrasound, or CT scan to determine the cause of the lump and appropriate treatment.

What you should look out for

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

• Sudden, severe abdominal pain
• Blood in your stool or dark, tarry stools
• Unexplained weight loss
• Persistent vomiting or vomiting blood
• Jaundice (yellowing of the skin and eyes)

Please remember that while I strive to provide accurate information, I am an AI and not a substitute for professional medical advice. Always consult with a healthcare professional for accurate information.