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Possibility of hernia - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I have a strange hard bump under my skin, relatively large to the left and a bit down from my belly button, before my hip. Wondering what your take on this is, it's been there for a few months.
Doctor :   Hi
Doctor :   Dr ccccc here
User :   Hey there!
Doctor :   Let me read your query
User :   Thanks for taking the time.
User :   Sure np, it's not visible from the outside but I can feel it if I push on it.
Doctor :   Ok
User :   It doesn't bother me normally, unless I push on it in which case it feels a little strange for a minute or two.
Doctor :   Is the lump movable freely over the skin?
User :   no, it feels like its almost like an organ or a bunch of stool hardened in my intestinal tract
User :   something of that sort
Doctor :   Can you specify the colur
User :   no coloration
Doctor :   Ok
Doctor :   i have to ask you few more questions to help you better
User :   but it does feel "lumpy"
Doctor :   Do you feel the size of bump increasing with exertion/ cough
Doctor :   There are just two probable causes for lump in the lower abdomen
User :   Somewhat, I guess (nothing noticable day-to-day)
Doctor :   1. hernia
Doctor :   2. lipoma
User :   are they serious?
Doctor :   3. intestinal diverticulus (very rare)
User :   because it has been there for months now (i am only 22)
User :   it hasn't bothered me
Doctor :   Are you an athelete?
Doctor :   Are do you work out heavy weights in the gym
User :   no definitely not, i am the opposite
User :   computer programmer, i stay at home generally
Doctor :   Ok
User :   don't do anything physical almost at all
Doctor :   Are you a little overweight?
Doctor :   Then the most probable cause could be hernia
Doctor :   The reason why i fell sois
Doctor :   1. the lump is not movable which rules out lipoma
User :   not overweight at all, in fact very skinny
User :   only 125lbs
Doctor :   2 you find some kind of increase in size with exertion
Doctor :   Ok
User :   right, yeah it is movable (to an extent)
Doctor :   3. the lump doesnt cause any pain
User :   no pain, but i do feel it
Doctor :   These are features more suggestive of hernia
User :   just not painful and i can't feel it unless i move it
User :   hehe, would a hernia be serious?
Doctor :   No not at all
Doctor :   its very easily corrected as considering your age will be successful too
Doctor :   The reason for hernia is weakining of the abdominal walls
Doctor :   Thus leading to prtrusion of the abdominal contents
User :   very interesting, what do you recommend i do?
Doctor :   This is corrected by placing a mesh inbetween the wall and the matter
Doctor :   I would rather advise you to get examined by a surgeon
Doctor :   Because physical examination will confirm the findings and guide better
User :   right
Doctor :   As being a online consulktation I cant confirm the diagnosis
User :   understood, but definitely not life-threatening or anything like that, correct (sorry, i am very paranoid when it comes to my health)
Doctor :   Its not life threathning
Doctor :   Its rather a simple surgery
User :   amazing, good
Doctor :   Its more common in elderly/ atheletes/ heavy weight lifters
User :   thats strange, since i dont do physical activity at all
Doctor :   The Hospitilazation will require only 5 days
User :   maybe my abdomen muscles are weakening since i dont use them?
Doctor :   It can also heridtery to have weak abdominal muscles
Doctor :   The most common region for hernia are one abdomen and the inguinal region as they already have the weakest shaeth
Doctor :   So no Defenitive etiology can be ruled out
Doctor :   Did you follow me
User :   yep
Doctor :   Is there anything else ican help you with?
User :   not really, but ill burn up my 15 minutes if you don't mind
Doctor :   Plz proceed with mediacal query
User :   will do
User :   my chest often cracks, in the center, from computer use
User :   is this normal to hear it cracking when i stretch my arms out due to the computer use?
Doctor :   I will also suggest you a link about hernia sure you will find it helpfull
Doctor :   WWW.WWWW.WW
Doctor :   Yes obsultely
Doctor :   Its normal And do you suffer from dandruff?
User :   no dandruff as far as i know
Doctor :   oK
User :   sometimes perhaps
Doctor :   Ok
Doctor :   cracking is heard due to overstreching of the joints
Doctor :   Probably you do it after a long sternous work
Doctor :   Thats absolutely acceptable
Doctor :   But cracking fingers frequently is not good
Doctor :   IT will lead to weakness and later nervouness
User :   yeah, i get the nervousness very badly (already)
User :   damn, you are pretty good :)
Doctor :   Resulting in difficulties in performing skilled work
Doctor :   Dont overstrech to often
User :   it says in wiki that hernias can also be caused by tight clothing
User :   that may be a problem as well
User :   incorrect posture, tight clothing
Doctor :   Yes
Doctor :   Those are more related to lifestyle but acount for very less incidence
User :   my lifestyle is pretty extremely bad, honestly, so i would not be suprised
User :   very bad lack of sleep, lots of time on the computer
Doctor :   The ultimate cause is weakness of abdominal muscles
Doctor :   So start practising healthy lifestyle
User :   if i excersize the abdominal muscles then it would get better or no?
Doctor :   Proper work ergonomics
Doctor :   They do but if there is an hernia then will require only surgical correction
Doctor :   God forbid if Hernia is present
User :   but they can get rid of it completely very easily?
Doctor :   Yes considering your age
Doctor :   And you should also adapt healthy lifestyle and moderate exercise follwing surgery to prevent recurrance
User :   i agree
User :   what would you consider "healthy"
User :   just to be clear on what i need to aim for
Doctor :   Ok
Doctor :   Let me breif you
Doctor :   Moderate exercise daily/ healthy regular food habits/ free from smoking/ moderate alcohol consumption
Doctor :   Proper time for work schedule/ practise meditation/ yoga
Doctor :   Proper sleep the final one
User :   does meditation really help?
User :   also, i do smoke, about 1/2 pack a day (as i work, since i work at home)
Doctor :   Yes will reduce stress levels and improve sleep giving ample rerst tpo body
User :   i never consume alchohol
Doctor :   Thats good
Doctor :   * rest to body
User :   i just don't like it, not for me
User :   so i will read up on meditation, generally
User :   how many times do you meditate per day?
Doctor :   Yes sure will relive your stress which is more common in your profession
Doctor :   Atleast twice
User :   and for how long?
Doctor :   If time permits i do in free time too
Doctor :   Half an hour
User :   that isn't bad at all, i could easily find the time for that
User :   when you wakeup and before you sleep?
Doctor :   Yes you should and will find life energetic follwing it
Doctor :   Yes that will be apt , But you can also fix your own schedule
User :   are you allowed to give me your email address? you are the best doctor i've spoken with and i'd like to update you on how im doing, if you don't mind
User :   i would really like to make a lifestyle change now, after talking with you
Doctor :   YYYY@YYYY
Doctor :   You are welcome
User :   will i get you specifically?
Doctor :   Just specify my name i will receive it
Doctor :   Dr xxxx
User :   ok :)
Doctor :   In the subject you can specify
User :   cool, i will save these logs as well
User :   and focus on making change
User :   i just want to see an increase in quality of life
Doctor :   Ya
User :   i make alot of money for my age, i am 22 and i make 100k/year
Doctor :   wishing you all the best
User :   my profession is extremely stressful
Doctor :   Thats great but healt first then wealth
User :   i work ALOT
Doctor :   *health
User :   yeah i totally agree, after alot of stuff that i don't have the time to mention
User :   trust me, i know you are right, lol
Doctor :   Thanks for consulting me
Doctor :   Plz provide your feedback
Doctor :   Bye for now
User :   np, hope you have success fiscally and physically (not in that order!)
User :   bye!
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