
What Does Abdominal Indentations On The Surface Of The Right Lower Abdomen Indicate?

What you have described here seems like fibrosis (hardening of the tissue underneath) of the intraabdominal tissues which are pulling the skin down making it dimpled.
This might have been caused due either to the gastric surgery in the past or due to the spinal surgery whereby his bowels and bladders are not functioning on their own and the tissue are acting as non-functioning elements in the abdomen causing the fibrosis of themselves. And hence the rectal compaints are also coming up.
So please see a good physician or gastroenterologist for this, one Ultrasound abdomen will immediately help one understand the nature of the tissues around the mass and dimple, the reason of distension of abdomen and they'll see if the breathlessness is part of his CHF or due to the excess fluid in the abdomen or due to any progressing fibrosis of other tissues like lungs.
For sure, you should not wait for long.
I hope this guides you to take further steps. please let me know if any other help you need for this.

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