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Are Tightness And Lump Under Rib Cage Signs Of Enlarged Spleen?

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Posted on Fri, 27 Dec 2013
Question: Hi, I am having what feels like a lump when I bend below my left breast under my ribcage. Also accompanied with a dull pain and a tightness and heaviness feeling in that same area. Could this be an enlarged spleen?
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Answered by Dr. Anshul Varshney (18 minutes later)
Brief Answer: Ultrasound Abdomen to clear the picture Detailed Answer: Dear Friend, A lump in the area you are describing (Left Hypochondrium) , this area has spleen, so if you are feeling a lump there, it might be a spleenic lump. The spleen usually grows towards the Right lower abdomen. It's very difficult to say its spleen or not without an examination. Do you have any fever , anemia , weight loss, night sweats or do you feel any lymph nodes? I suggest you for a physical examination followed by Ultrasound Abdomen , General Blood Picture. Ultrasound Abdomen will clear most of the picture , that is spleen enlargement of malaria , leukemia , lymphoma , spleenic abscess, cyst. It's also possible that there is nothing and you are just feeling your fat , or a lipoma there. But , yes, it's always better to be sure. Remaining investigations and the treatment would depend on Ultrasound report. Wish you Good luck. I hope i am able to solve your query , if you have any other query , you may ask me.
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Above answer was peer-reviewed by : Dr. Shanthi.E
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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Are Tightness And Lump Under Rib Cage Signs Of Enlarged Spleen?

Brief Answer: Ultrasound Abdomen to clear the picture Detailed Answer: Dear Friend, A lump in the area you are describing (Left Hypochondrium) , this area has spleen, so if you are feeling a lump there, it might be a spleenic lump. The spleen usually grows towards the Right lower abdomen. It's very difficult to say its spleen or not without an examination. Do you have any fever , anemia , weight loss, night sweats or do you feel any lymph nodes? I suggest you for a physical examination followed by Ultrasound Abdomen , General Blood Picture. Ultrasound Abdomen will clear most of the picture , that is spleen enlargement of malaria , leukemia , lymphoma , spleenic abscess, cyst. It's also possible that there is nothing and you are just feeling your fat , or a lipoma there. But , yes, it's always better to be sure. Remaining investigations and the treatment would depend on Ultrasound report. Wish you Good luck. I hope i am able to solve your query , if you have any other query , you may ask me.