What Causes A Lump On The Lower Abdomen While Having UTI?

Posted on Fri, 12 Aug 2016

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

Fri, 12 Aug 2016 Answered on

Mon, 29 Aug 2016 Last reviewed on

Question : I had what I thought were symptoms for a serious UTI; however, one day I noticed a small obvious lump had appeared in my lower left abdomen close to my hip bone. It hurt. I took generic Aleve. That helped the pain but the lump kept growing...lemon size...and now well past the size of my open palm. Sort of a small to medium sized eggplant size. The size changes have slown down but the pain has increased to a TEN! Now I'm completely confused about what this thing is. The entire time I have also noticed a pain the crease of my groin in the area but I was completely focused on the lump and pretty much ignored that smaller problem. Yesterday I was in screaming pain from that & have tried hard to see what it looks like. It hurts like a 20 when I move and I discovered skin appears to have a serious (non-itchy) fungal infection. Nothing seems related. I need a medical mind for this. By the way I am close to 78 years.

Answered by Dr. T Chandrakant (42 minutes later)

Brief Answer:
Please give additional information and post clear photographs if possible.

Detailed Answer:
Hi.
Thanks for you query and an elucidate history.
Read the history carefully and understood your concerns.
Please give some additional information:
- Since when is the lump present?
- Does it increase or give impulse to the palpating fingers on coughing and straining?
- Did it reduce on laying down or on manipulation in laying down position?
- Is it fixed or mobile?
- Is it single or a conglomeration of many- giving a bosselated appearance?
- Is is soft, firm or hard?
- Any other information that you would like to share?
- Any investigations/ medication?

I would advise you to go to ER/ General Surgeon for clinical evaluation, examination, high resolution ultrasonography and FNAC - fine needle aspiration cytology and further tests as may be required.

I can understand the difficulty in getting photos os such area- please post clear and focused photos ONLY if possible as they help sometimes for on-the-spot diagnosis.

I hope this answers your query. Please feel free to ask for further relevant queries if you feel that there is a gap of communication.

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

Follow up: Dr. T Chandrakant (42 minutes later)

RE: Please give some additional information:
- Since when is the lump present?
I'm not sure as I did not take notes and tried to contact my GP and then several. I had no luck; however, I believe I first noticed it approxl 1 month ago.

- Does it increase or give impulse to the palpating fingers on coughing and straining?
I don't know. It is far too painful for me overall. Sneezing, coughing, straining to get up & down are EXTREMELY painful.

- Did it reduce on laying down or on manipulation in laying down position?
I don't know.

- Is it fixed or mobile?
It remains always in the same place.

- Is is soft, firm or hard?
I think it has remained soft to firm. (sorry)

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
Rush to ER ASAP.

Detailed Answer:
Thanks for your feedback.
I hope by this time you should have reached the ER for clinical evaluation, examination and investigations to know what the problem is.
Please rush to ER.

Please give feedback.

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