Hi and thanks for the query,
A clinical examination is always needed when a breast lump is noticed. Local lymph node enlargement must always be sought for to exclude possibility of a possible breast cancer
.. Based on the age and clinical characteristics of the lump, an ultrasound and/or needle biopsy might be sufficient. IN young ladies, these lumps generally called fibroadenomas are benign and respond to hormones.Fibromyalgia
is easily managed especially with the counsel of a rheumatologist
. A clinical evaluation of the abdomen, past medical history, drugs already taken , aggravating and relieving factors of the abdominal symptoms you are experiencing could be useful. Causes could range from peptic ulcer disease
, irritable bowel syndrome
, functional colopathy and some bacterial and fungal infections. A clinical evaluation, past history, abdominal ultrasound and stool exams and culture should be sufficient in guiding the main diagnosis.
I suggest you consult with a gastroenterologist.
Bain LE, MD.