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Suggest Treatment For Knot Under The Ribs

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Posted on Sat, 23 Apr 2016
Question: I have a small eraser knot just under the skin about an inch under my left rib cage
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
Please give additional information.

Detailed Answer:
Hi.
Thanks for your query, albeit short and specific.
To recapitulate: Male/59 - have a small eraser knot under the skin - about an inch under the left rib cage - Medication tried- Doxy and Lorazepam...

Under the skin means looks to be free from skin.
Seems to be without pain or tenderness.

The most probable diagnosis is:
Lipoma - this is knot like swelling which moves easily, non-tender, must have been present for a long time and gradually growing. There may be similar small or large present elsewhere in the body.

There can be other reasons like a sebaceous cyst, mass from the muscles itself or a small hernia and so on for which I need more details.
Please give additional information:
Since how long is the knot?
What is exact size?
Is there any pain or tenderness?
Is it XXXXXXX in spite the muscles of abdomen are made tight?
Does it increase in size on coughing or straining and reduces and go back to be not palpable on lying down?
Any other information that you would like to share.

I hope this answer helps you to et an early and proper diagnosis and helps in planning a treatment if necessary.


Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. T Chandrakant (1 hour later)
I feels like a hardened pencil eraser that sits atop an old fashioned pencil. I just noticed it for the first time to night. My stomach was somewhat bloated after a meal. it is not XXXXXXX It seems to be about 1/4 round. There is no pain and I wouldn't have even noticed it except the swelling of my stomach. I've been on medication for a prostate issue. I had lost about 15 lbs. due to diet and running. However my stomach seemed swollen in the last fort five days, My regular bowel movement has altered slightly so I have go twice in each morning as though there might be a blockage. Other related/unrelated issues are swollen tonsils, tiredness, and some lower back pain on each side. I haven't eaten much today so was surprised at the swelling and then the knot. The knot is hard, causes no pain. I noticed that the general area is affected by my posture when sitting.
doctor
Answered by Dr. T Chandrakant (4 hours later)
Brief Answer:
Clinical evaluation and investigations for all the problems you mentioned.

Detailed Answer:
Noted your history on feedback about bloating of stomach and noticing this hard lump today only. Also noted about prostate treatment, losing weight going twice for BM, swollen tonsils, tiredness and back pain. The knot is hard without any pain...

I think that you should get your stools, urine and blood tested.
Also get an ultrasonography of the abdomen, the abdominal wall to know what the swelling probably mat be, FNAC if required or excision of the mass to get rid of the swelling and to get an accurate diagnosis.
Although this is of short duration the description does not fit well into any of the known problems.

Hence the need to get a clinical evaluation, preferably by a General Surgeon and
further management of all the issues you raised above.

I hope this answer 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. Vaishalee Punj
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Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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Suggest Treatment For Knot Under The Ribs

Brief Answer: Please give additional information. Detailed Answer: Hi. Thanks for your query, albeit short and specific. To recapitulate: Male/59 - have a small eraser knot under the skin - about an inch under the left rib cage - Medication tried- Doxy and Lorazepam... Under the skin means looks to be free from skin. Seems to be without pain or tenderness. The most probable diagnosis is: Lipoma - this is knot like swelling which moves easily, non-tender, must have been present for a long time and gradually growing. There may be similar small or large present elsewhere in the body. There can be other reasons like a sebaceous cyst, mass from the muscles itself or a small hernia and so on for which I need more details. Please give additional information: Since how long is the knot? What is exact size? Is there any pain or tenderness? Is it XXXXXXX in spite the muscles of abdomen are made tight? Does it increase in size on coughing or straining and reduces and go back to be not palpable on lying down? Any other information that you would like to share. I hope this answer helps you to et an early and proper diagnosis and helps in planning a treatment if necessary.