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Noticed hard lump in stomach, no pain. What could be this? - Online Doctor Chats

Date : 08-Aug-2013
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
Doctor:Dr. XXXXXXX here
Doctor:How can I help you?
User:Hello Dr.
User:3 weeks back i noticed 2 lumps in my stomach
Doctor:Yes, please proceed with your query.
User:it feels hard but is not paining
Doctor:Can you specify the exact location - is it above the belly button or below it?
Doctor:Right side or left side?
User:one is to the left of the belly button
User:the other is on the extreme left
Doctor:Is it above or below?
Doctor:Do you feel the lump or is visually seen?
Doctor:Can you specify the size of the lump?
User:both are in the middle of the belly button
User:i can feel it and sometimes when lying dow in can be slightly seen
User:i have become paranoid after reading in the internet
Doctor:May I know the size of the two lumps?
User:it is about 45 cm in legth and 2 cm in width i guess
User:4-5 cm*
Doctor:Do not worry. Please answer some of my questions and I shall guide you.
Doctor:Are you able to feel the borders of both the lumps? I mean are you able to XXXXXXX the borders completely on all sides?
Doctor:Are you able to move the lump around?
Doctor:If you press on the lump, does it disappear?
Doctor:Is it hard to feel (as you feel the forehead) or is it soft to feel?
User:not as hard as forehead
User:not too soft as well
Doctor:Is it tender to touch / pressure?
Doctor:Do you feel the lump increases/produces an impulse while you cough?
User:i am not sure
User:i feel my stomch jerking
User:when i cough
User:not sure if that is the one translating into the lump
Doctor:Let me brief you.
Doctor:The most common lumps on the abdominal wall are either hernia's or soft benign tumour like lipoma.
Doctor:However by your description, I am unable to differentiate / classify the lump as lipoma or hernia.
Doctor:Lipoma is a soft to firm lump that can arise anywhere in the body. Classically, this lump has clear borders and moves slightly when pushed.
Doctor:Hernia on the other had is fixed to a region. It disappears when you press on it in the initial stages.
Doctor:It doesn't disappear if it is not reducible. However such irreducible hernia present with pain too.
User:i do not have any pain
User:i am very worried if this could be come cancer
User:colon cancer or something
Doctor:When I asked you a few questions, perhaps as a layman you were not able to completely follow my instructions. A doctor who can physically examine this lump will look at those features and classify this lump into hernia or lipoma.
Doctor:Any cancer present with debilitation symptoms. You will have problems with stool - difficulty in passing stool, presence of blood in stool. You might be losing weight without any obvious causes.
Doctor:Since you do not report such causes, I do not feel this lump is related to colon cancer.
Doctor:Besides this, colon cancer is an intraabdominal problem where lumps and tumour is formed within the abdomen. It cannot be felt outside.
Doctor:Further, colon cancer with lymph node swelling are few cms (1-2 cms dilated).
Doctor:A lymphnode swelling of above 4-5 cms without obvious symptoms is very, very unlikely.
Doctor:Are you following?
User:yes sir
Doctor:So, I do not think what you have is related to colon cancer.
Doctor:Like I said earlier, the possibilities are hernia or benign lipoma.
Doctor:You need to consult a doctor for physical examination and may be an ultrasound scan of the lump.
User:ok , would you suggest someone?
Doctor:The exact cause of the lump will be determined with the tests.
Doctor:May I know your location?
User:bannerghatta road
Doctor:I am not well aware of doctors in that part of bangalore. However any general surgeons can be able to examine and order for ultrasound scan. If you stay closeby Fortis /Apollo Hospital, then you can visit General Surgeon there.
Doctor:St. John's Hospital general surgeon is the next best available option.
Doctor:Have you followed?
Doctor:Do you have any questions?
Doctor:Are you with me?
User:sorry about that
User:yes i have some questions
Doctor:Please proceed.
User:my cousin who has done his mbbs, told me it could also be neuro-fibroms or something
User:could this also be a reason?
User:and yes i stay close to fortis
Doctor:Yes. Neurofibroma is one of the differential diagnosis (close possibility) of lipoma.
Doctor:Lipoma is a benign condition; and neurofibroma a similar benign condition of nerves.
Doctor:Both lipoma and neurofibroma are common condition. They are harmless too.
User:Oh is it? they say it is a tumour in internet
User:both of them
User:so tumour is a genral word then for any inflammation?
Doctor:Yes, both these by definition are tumour. But unlike what you read about colon cancer, these are absolutely benign and harmless.
User:are there any chances of them turning cancerous?
Doctor:Infact we often do not choose to treat it. You can live your life normally with these type of tumour.
User:do i need to get an appointment with a specialist or any general surgeon?
Doctor:The possibility of cancerous changes in these type of condition is very, very less. 1 in 0000 or more.
Doctor:It is that rare...
Doctor:Any general surgeon is capable of diagnosing this condition. A few doctor may order for ultrasound check and FNAC to confirm the condition.
Doctor:But what ever the approach is you need not be concerned.
Doctor:Have you followed what I said?
Doctor:Do you have any questions?
User:ok sir
User:no more questions
User:thanks for clarifying my doubts
Doctor:If there are no more questions, I see that you have also posted a question to us.
User:yes i have
Doctor:Do you want a reply there too?
User:that is not required
Doctor:Can I then remove that question from my board?
User:yes please
Doctor:Thank you.
Doctor:You can chat with us again if you have any further doubts.
Doctor:Bye for now.
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