Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
154 Doctors are Online

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.
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor