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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For A Painful Lump Below The Rib Cage

I have found a lump the size of a ping pong ball on my stomach a few inches below my rib cage. It seems to decrease in size depending on if I am sitting down or standing up. When I press on it or apply pressure there iss a little pain/strain. Only other symptoms is that I do suffer from indigestion quaite alot and my stomach in general seems quite bloated. Thank you
Mon, 30 Nov 2015
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General Surgeon,  's  Response
Hi,Dear,Welcome with your query to HCM.
Studied your query in full depth of its details.Reviewed it in context of your health concerns.
Based On the facts, You mostly seem to suffer from-
Painful Epigastric Hernia with Entrapment of Mesentery or Omental tissue.Reflex pyloric and other intestinal spasms would cause bloating in the abdomen.
Prominence of the stomach lump on standing -indicates popping up of the intra abdominal contents through the weakness of the Epigastric Ventral Hernia.
Treatment-
Repair of the Epigastric Hernia-as a planned surgical procedure is needed.
USG study of this lump would help in assesing the surgical plan in your case.
Second opinion from Surgeon would be helpful to you.

Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.
Welcome any further query in this regard,which would be replied in next
session.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
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Suggest Treatment For A Painful Lump Below The Rib Cage

Hi,Dear,Welcome with your query to HCM. Studied your query in full depth of its details.Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from- Painful Epigastric Hernia with Entrapment of Mesentery or Omental tissue.Reflex pyloric and other intestinal spasms would cause bloating in the abdomen. Prominence of the stomach lump on standing -indicates popping up of the intra abdominal contents through the weakness of the Epigastric Ventral Hernia. Treatment- Repair of the Epigastric Hernia-as a planned surgical procedure is needed. USG study of this lump would help in assesing the surgical plan in your case. Second opinion from Surgeon would be helpful to you. Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery. Welcome any further query in this regard,which would be replied in next session. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist