Get your Health question answered in 3 easy steps

156 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

Constipated, losing weight, felt lump behind belly button. Diagnosed with enlarged spleen. Treatment?

Answered by
Dr.
Dr. G.Srinivasan

Urologist

Practicing since :1991

Answered : 1414 Questions

default
Posted on Thu, 14 Feb 2013 in Digestion and Bowels
Question: My Father has been in quite a lot of pain for 5 weeks now. He is hardly eating and has constipation and as a results he has lost quite a bit of weight. His family Doctor diagnosed an enlarged spleen and said he would need an ultrasound, but it would take some weeks. In the meantime the pain got so severe that he had to go to emergency and a Doctor there said he needed an urgent CT scan. As we are in the UK and the health system is terrible due to lack of money, he is still awaiting this urgent scan almost three weeks later. He will finally have it next week. However yesterday he felt a hard lump behind his belly button and it stinks. What is going on?
doctor
Answered by Dr. G.Srinivasan 4 hours later
Hi,
Welcome to XXXXXXX
I noted the detailed history.
In my opinion, he either has umbilical hernia that has become obstructed or a secondary deposit form a primary tumor elsewhere( most probably bowels)
He needs , more importantly, clinical examination to look for features of intestinal obstruction, where the history would be constipation, not passing flatus, vomiting and abdominal distension.
Examination would reveal abdominal distension, lack of bowel sounds and an empty rectum on rectal examination . CT is not mandatory for clinical diagnosis and a ER SURGEON should be able to help him even without a CT.
I would suggest to see a surgeon at the ER asap.
Hope this helps. Kindly write back for doubts if any.
BEST REGARDS
DR GS
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. G.Srinivasan 15 hours later
Dear Dr.GS,

Thank you very much for your answer.

I forgot to mention yesterday that he has had no vomiting and his abdomen is not distended. He does however have a lot of flatulance and seems to be constantly burping! He gets very full after only eating a small amount and is very fatigued.
His pain is on the left handside under his ribcage. After doing some online research last week, I found that one of the causes of an enlarged spleen was Hodgkins lymphoma which my Father has. He was able to see his family Dr. today and he said that my Father most likely has an infection in his belly button and has prescribed antibiotics and drops.

Does this information lead you to change your opinion or do you still maintain your original diagnosis?

Thank you in advance.

Kind Regards
XXXXXXX
doctor
Answered by Dr. G.Srinivasan 5 hours later
Hi Ms. XXXXXXX

Welcome back. Thanks for the additional information.
The enlarged spleen alone should not give rise to loss of appetite, burping and excessive flatulence. I suspect something in his stomach like gastritis/ ulcer/ lymphoma causing the above symptoms.
From the opinion of your family doctor, i realize that he has infection of the belly button, called OMPHALITIS.
Since there is no abdominal distension or constipation, i would rather wait for a while to see if his belly button problem gets better in the next few days, with the given treatment.
If CT scan does not reveal anything significantly, i would recommend a GASTROSCOPY to look at the stomach.
Hope this helps.
Best regards
DR GS

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. G.Srinivasan 25 hours later
Dear Dr.GS

Thank you very much for your help and advice as My Father, Mother and I are very grateful for your opinion. When my Father goes for his scan he will definitely mention everything you have written. I have printed out all your replies.

If I require any further advice from you after my Fathers scan, I will definitely be in touch. However if I don't need to contact you then I wish to convey my thanks to you yet again.

All the best.

Best regards XXXXXXX
doctor
Answered by Dr. G.Srinivasan 3 hours later
Hi Ms. XXXXXXX

Welcome back.

I am happy to read your words on my appreciation. This is the best thing about my profession, helping somebody who needs it, even from a remote place.
Probably internet would be within the top 10 inventions of the century!
I wish him best health and best wishes for your family.

Regards
DR GS



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on

Recent questions on Hodgkin's lymphoma

doctor1 MD

Hi. A close male relative has been diagnosed with NHL. General health was very good apart from a fairly minor stroke six months ago and aortic aneurism surgery six years ago. He is 81 years old and symptoms include weight loss, lack of appetite, fever, night sweats, rigors, bladder infection. Has been taking steroids for five days and will continue until strong enough for chemotherapy. Lymph nodes swollen in abdomen, neck, and underarms. Neck node excision confirmed NHL. Any evaluation would be greatly appreciated. Thank you.

doctor1 MD

Hi my 5 year old daughter has a small ball type lump on her right side of her neck She said last week her neck hurts that s when I found it - left it a week to see if it would go but it s still there . My brother has non hodgkins lymphoma and his tumours were found on his neck should I be worried ?..

doctor1 MD

My 61 yr old brother has non-hodgkins lymphoma and was diagnosed 7 years ago. He was in remission for almost 2 1/2 years until about 3 months ago. He has had #2 of 6 rounds of chemo this time, but has been very ill for the last 2 months and is now hospitalized. The cat scan showed lesions on the brain and on his lungs, but the doctors are saying they don't know what the lesions are. His oncologist has been called (but is about 1 & 1/2 hours away from the hospital where my brother is) and said he couldn't make recommendations or offer any advice without an MRI, which my brother is refusing to get done right now. Both red and white cell counts are low and 2 units of blood were being administered this morning, however, temperature went up and they discontinued it because of fever. Can you tell me if you think the lesions are cancer that has spread to the brain. My niece said someone from the oncologist's office says they don't think so. I'm looking for a professional, honest answer so I know how to best work with family members and my bother's ongoing treatment.

doctor1 MD

I had non-hodgkins lymphoma recently. My PET scan in April was clear.
When I went to my GP he checked my PSA and found it jumped from .6 in 2009 to 4.4. I am going to see my oncologist first but does this ever happen because of my radiation and Chemo?

doctor1 MD

My mother is an active, young, 82 yo who started experiencing weakness, lethargy, dizziness and mobility problems 3 months ago. Now she can barely walk. A recent MRI shows she has multiple lesions on her frontal and parietal lobes. PET scan was...

doctor1 MD

Hello! I am a 61 year old female who is experiencing post-menopausal bleeding four years after menopause . I delivered two babies and then had my tubes tied when I was 26 in 1982. I developed Hodgkin's Lymphoma in 2005 and went into remission...

doctor1 MD

Is it safe to take cannabis oil for lymphoma if you have had your spleen removed