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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Painful Knot On The Abdominal Area In An Elderly Person?

74 yoa has scholicias , syatstatic nerve she is complaining of a slight head ache moving very slow. . Knot (egg size) on right side that she can move up and down its been hurting for a week and seems to be getting larger. in abdomen area. she does have a hernia . the thing, seems to have the size of a large boiled egg. it is slightly conformed scared to squeeze. does not look like a broil. hurts upon sneezing ,coughing. standing sitting lying hurts.
posted on Mon, 8 Aug 2016
Twitter Fri, 2 Aug 2019 Answered on
Twitter Mon, 5 Aug 2019 Last reviewed on
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General Surgeon,  's  Response
Hi,

Noted the history related to 74 year old female with scoliosis, sciatica, headache and a movable tender mass in abdominal wall.
All the history is suggestivee of a probable hernia that is obstructed hence causing the pain and tenderness.
I would advise you tthe following in such a situation:
Consult a General Surgeon for the abdominal hernia as this may be an emergency so that a proper clinical evaluation,m examination and supportive investigatoins like CT scan of abdoen can be done.
At the same time needs review by a Physician and Orthoedic Surgeon about scoliosis, sciatica and MRI for the same.
She may need an urgent surgery for hernia to avoid further complicatoins of strangulation and so on.
Once the hernia part is over then concentrate on the sciatica part so that an appropriate spine surgery can solve her sciatcia and scoliosis problems at least to some extent reducing the needs for medicatoins.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant,
General Surgeon
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What Causes A Painful Knot On The Abdominal Area In An Elderly Person?

Hi, Noted the history related to 74 year old female with scoliosis, sciatica, headache and a movable tender mass in abdominal wall. All the history is suggestivee of a probable hernia that is obstructed hence causing the pain and tenderness. I would advise you tthe following in such a situation: Consult a General Surgeon for the abdominal hernia as this may be an emergency so that a proper clinical evaluation,m examination and supportive investigatoins like CT scan of abdoen can be done. At the same time needs review by a Physician and Orthoedic Surgeon about scoliosis, sciatica and MRI for the same. She may need an urgent surgery for hernia to avoid further complicatoins of strangulation and so on. Once the hernia part is over then concentrate on the sciatica part so that an appropriate spine surgery can solve her sciatcia and scoliosis problems at least to some extent reducing the needs for medicatoins. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon