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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause A 'tenseness' In The Middle Of The Stomach?

I have a problem with 'what I think is maybe gastro'. However, I have had an abdominal ultrasound, HIDA scan, EGD/colonoscopy, and a CT of the abdomen that have shown nothing. My PCP thinks that I possibly have IBS. However, things seem to be normal in that area. My 'problem' is that I have a 'tenseness' in the middle of my stomach just below the breastbone and belly button. It does not hurt all the time but there is the tenseness. Sometimes it feels like something is sitting right under the breastbone. When I touch/feel the area it is hard and if I press on it, sometimes it hurts just a little. I don't know what else to try except MRI to try to figure out what this is, but I feel like it is something that is either being overlooked OR we have not gone in the right direction.
Wed, 26 Feb 2014
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General Surgeon 's  Response
Hi. The probable diagnosis after reading your history and the findings is :
small epigastric hernia , so easily overlooked. There is entrapment of the fat through small defects of linea alba ( midline) which come and goes. Please check for this.
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What Could Cause A 'tenseness' In The Middle Of The Stomach?

Hi. The probable diagnosis after reading your history and the findings is : small epigastric hernia , so easily overlooked. There is entrapment of the fat through small defects of linea alba ( midline) which come and goes. Please check for this.