I Have A Nodule In Lower Left Abd Which Is

Posted on Wed, 8 Jan 2020

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 8 Jan 2020 Answered on

Last reviewed on

Question : I have a nodule in lower left abd which is painful to touch and when sitting. Doctor has done pain blocks twice and I am taking gabapentin. Pain goes away for a while but returns. Doc is now referring me to a surgeon for opinion. I am quite worried that this could be something bad. I have no other symptoms. I am 68.

Answered by Dr. T Chandrakant (48 minutes later)

Brief Answer:
Please give details and post photographs if visible and possible

Detailed Answer:
Hi.
Thanks for your query.
Noted the history and understood the concerns.
Please provide additional information for me to assist you better:
Nodule:
Since when is it present?
Size?
Is it mobile?
Does it reduce on pressure and enlarge on coughing or straining?
Where exactly is it present? Please post a photo if visible.
Any investigations like Ultrasound or CT scan?
What was the diagnosis told by your previous Doctors?
Any other information please.

Dr T Chandrakant.
General Surgeon.

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

Follow up: Dr. T Chandrakant (34 minutes later)

It has been present since about February although I have had same pain in the past. It has become more painful in the last several months esp. when sitting. I don't know the size but it is located on lower left abd close to a surgical scar. I would guess the size as 1-2 inches? It does not reduce on coughing or straining. No scans. Doctors diagnosis is nerve bundle.

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
What was surgery done?

Detailed Answer:
Thanks for your feedback.
Was the surgical scar for hernia repair?

1-2 inches is a big lump and may not be nerve bundle.

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

Follow up: Dr. T Chandrakant (48 minutes later)

Partial hysterectomy first then second one for full hysterectomy later. Size of area I am not sure of because I cannot feel it but doctor can.

Answered by Dr. T Chandrakant (11 minutes later)

Brief Answer:
Most probably hernia

Detailed Answer:
The most probable cause I can think about is a hernia - an incisional hernia.
Please consult a Surgeon for clinical examination.
Additional confirmation by an Ultrasonography / CT scan can help to get the exact cause and a proper diagnosis gives a chance for proper management.
Please post the feedback once all these things are done.

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