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What Causes Left-sided Painful Mass In Abdomen?

Posted on Thu, 30 Jul 2015

Question: On my left side of abdomen i have a painful mass. Its about 4 fingers across and 2 fingers down going from belly button towards the left. The lump itself is about golf ball size. It doesnt hurt any more or less when i eat or go to bathroom which is all the same as ussual no constipation or diarrea. Its really painful if i press on it and moderately painful continuously without fussing with it. Just wondering what it may be i didnt think any organs were in that area except intestines. Could cyst be on ovary up that high or spleen be felt in that area

Answered by Dr. T Chandrakant (2 hours later)

Brief Answer:
proper evaluation and CT

Detailed Answer:
Thanks for your query, read and understood your concerns.
May I please know a few more details to correlate:
-Is the lump fixed in position?
- Since how long the lump present?
-Does it appear to be in the abdominal wall? It can be felt even on Making abdominal wall tight like trying to lift the head and legs in lying down position. This is then indicative of an infected sebaceous cyst or obstructed hernia or so. Lipoma do not hurt in usual occurrence.

-Or disappears on tightening the abdominal wall, if so it may be intra-abdominal mass like lymph node mass or a cyst or mass from intestine.

I would advise you the following:
Get a clinical evaluation and examination by a General Surgean.
CT scan to get a confirmation
And surgery for getting rid of the disease.
And get a confirmed diagnosis.

I hope this answer helps you.
Please feel free to ask relevant questions or if you feel that there is a gap of communication.

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

Follow up: Dr. T Chandrakant (31 minutes later)

Yea its fixed i can move it a bit with fingers.. Its been there about 2 weeks. Its hard to feel lying down and cant feel it when tightening muscles but it makes it hurt alot when i do tighten them

Answered by Dr. T Chandrakant (5 minutes later)

Brief Answer:
Clinical examination and surgery if needed.

Detailed Answer:
Thanks for your feedback.
Please get this checked by a General Surgeon ASAP and further investigations if your Surgeon feels so and get operated.
Since it is 2 weeks it is better not to linger on more.

Please let me know the findings with your Surgeon / investigations.

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

Follow up: Dr. T Chandrakant (3 hours later)

Ok thanks i have an appt with dr but not for another week. Im fine otherwise just tired and have a low grade fever never goes higher than 100.2 at least tge times i checked it. I did have this a monrh ago but it only lasted a few days and quit hurting soi just ignored it but it came back with a vengence 2 weeks ago

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
Better to get started on proper medicines.

Detailed Answer:
This again is not a good indication - of having low grade fever.
It would be advisable to get started on antibiotics and anti-inflammatory medicines.
One more week - let us hope nothing serious happens. It is better to consult a Doctor may be at Urgent care or ER and get examined and get started on medicines.

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

Follow up: Dr. T Chandrakant (11 hours later)

Ok thank you if I cant get Dr to move my appt to monday i will go to ER no urgent care in my area. Thanks for your help

Answered by Dr. T Chandrakant (3 minutes later)

Brief Answer:
Most welcome.

Detailed Answer:
Thanks for your appreciation.
You are most welcome.
...
You may please rate this answer before closure of the discussion and can certainly contact me on the bellow link in future, whenever you may need me.
http://bit.ly/askdrtchandrakant

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

Follow up: Dr. T Chandrakant (28 hours later)

Went to Dr today he got me an appt for an EGD next week with specialist. I froze up when he told me so i didnt ask but is there any less invasive way to check things out before doing that? Im terrified of be

Answered by Dr. T Chandrakant (8 minutes later)

Brief Answer:
Please do not worry, this is routine procedure.

Detailed Answer:
Please do not worry. EGD is a routine procedure and is painless is done and get done properly.
What about the CT scan. This is more important to find the origin and nature of the lump.
Did your Doctor examine it ?

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

Follow up: Dr. T Chandrakant (11 minutes later)

Yes he just said it was odd and pushed on lump which hurt and slmost made me puke lol. I had a ct scan back in april of abdomen/pelvis from a visit to ER for fever, severe lower back and leg cramps with what I called "jelly legs" all it showed was right kidney cyst and early degeneration of spine on report. Said i may have been passing kidney stones and my pottasium was slightly low at the time but the stones were no longer there and it stopped a day or two later. Anyways he saw that I had ct scan in april and said nothing showed up on repor then and scheduled me for the egd. t

Answered by Dr. T Chandrakant (2 hours later)

Brief Answer:
Fresh CT

Detailed Answer:
Thanks for your feedback.
If your doctor pushed on the lump, and if could palpate it, he should have asked st least an ultrasonography and preferably CT scan to find out diagnosis about the lump.
I doubt about what EGD would find.
Please discuss this with your Doctor and insist for CT also
I hope this helps you.

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

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