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Sore above belly button, lump, burning sensation, nausea. Muscle strain?

I have soreness above my belly button. When I stand I can feel a lump there... cannot feel it when I lie down. I ve also been having pain in my right side... on and off... sort of a burning sensation. I had the same thing a year ago. OB checked me and said everything looked fine. Regular GP said he thought muscle strain. I don t recall the lump then though. I ve had these symptoms for a couple of weeks. Last week I started with on and off nausea . What can this be?
Sat, 20 Oct 2012
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Internal Medicine Specialist 's  Response
Hi Deirdrelund,
Thanks for writing in to Healthcare Magic!
Feeling a lump in epigastrium can be due to hernia- epigastric hernia that is the abdominal contents come out to lie under the skin due to weak local tissues and weak muscles.
Another possibility is of a lipoma or a cyst.
Some times a lean and thin person can feel the aorta as a lump but then it would be having a feeling of pulsations.
It needs an local physical examination to come to a conclusion, so I would like you to get reviewed by a surgeon of your locality and follow the advise for further management.
If you have any further query please let me know I would try to answer it for you.
Wish you a great health!
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Critical Care Specialist Dr. Sadiq Mughal's  Response
Hi thanks for question,

You’re having soreness and lump above your umbilicus (belly button)
you cannot feel it when you lie dawn.
It is associated with burning sensation and now nausea off and on.
From the symptom you have described it looks to be an epigastric hernia, through which part of your stomach herniates when you stand up and disappear when you lie dawn.
The herniated portion of stomach is giving you burning sensation, nausea and pain.
Get yourself examined by surgeon to know what exactly it is.
Hope I answered your question.
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