Suggest Treatment For Hard Lump In Abdomen

Posted on Mon, 19 Oct 2015

Question: When lying on my back I feel a hard lump or organ between my belly button and my pelvis. About the size of an orange. Should I be concerned? I have been taking Vesicare for a few months.

Answered by Dr. Muhammad Ali Rauf (22 minutes later)

Brief Answer:
Need some details to guide you better

Detailed Answer:
Hello

Thank You for contacting HCM. My name is Dr Muhammad Ali Rauf & i will look into your problem.

There could be a number of causes for your complaint. I Would be in a better position to guide you anything if you answer following questions please:

1. since when have you noticed this lump/swelling?
2. does it aggravates if you cough or walk?
3. does it subsides when you lie down for longer time?
4. are you on any medication?
5. do you or anyone in the family has history of diabetes, hypertension or other illness?

I will be looking forward for the answers to conclude the discussion in the best interest of yours.
Thank You

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

Follow up: Dr. Muhammad Ali Rauf (56 minutes later)

First noticed a lump in February. It was movable somewhat.
Does not bother me when coughing or walking. Cannot feel it when standing.
Originally subsided when I had been up for 30 minutes or so, but now is still there if I lie down.
Take medication for blood pressure & cholesterol - both under control. In fact BP is now 115/62 or lower (upper number). Take omeprazole for acid and vesicore to make bladder empty - both started early this year. Also take Alendronate sodium for osteoporosis.
No diabetes.

Answered by Dr. Muhammad Ali Rauf (14 hours later)

Brief Answer:
Most probably divarication of rectus sheath

Detailed Answer:
Hello

Thank you for getting back with the answers. I have gone through them. Most probable differential in your case could be divarication of rectus sheath. In this, there is weakness of anterior abdominal wall muscles that can result in swelling/lump like feeling. I would suggest you to once visit hospital and get ultrasound of that lump done. it will confirm the status of anterior abdominal wall. if confirmed then visit a surgeon. he will discuss treatment options. In most cases physiotherapy & exercises are advised. If it causes significant symptoms then surgery is considered.

Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!

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