Why Do I Have A Painful Swelling In My Right Abdominal Area From The Belly Button To The Back?
From the history you have provided I am suspicious that the pain and swelling which you appreciate near your belly button (or umbilicus) is most likely related to a hernia. We commonly refer to this as an umbilical hernia or ventral hernia. A hernia occurs when a small area of weakness in the abdominal muscles allows for a portion of the intestines to protrude through the muscle. This gives a sensation of swelling or a "lump" as some people describe.
I see you have had previous abdominal surgeries - sometimes this can contribute to an increased likelihood of developing a hernia. Hernias can commonly cause intermittent symptoms of pain or even bloating. Generally this is not a life threatening condition. Sometimes, however, if the hernia is large enough it can cause significant problems with the function of the intestines.
How do we fix a hernia? If your physician evaluates you, he or she may recommend you have the hernia repaired. This is done via a minor surgical procedure where the surgeon reinforces the abdominal wall and corrects the small defect made by the weakened area of muscle.
I would suggest you consider seeing a physician for an evaluation to see if you might be a candidate for a surgical intervention.
I hope this information has been helpful and adequate for you. I am available for your followups if needed. Thank you again for your query.
Regards,
Dr. Robert Galamaga
The answer to your query is no - surgery is not always indicated. Sometimes some gentle exercises to strengthen the abdominal wall may be helpful. I think a good physical exam by a doctor will also establish a baseline to compare to in the future if you develop additional symptoms. Surgery is always a last resort and while it can solve many problems there can be short and long term effects as well which is why it is saved as a last resort and consideration. A hernia surgery is usually quite routine should a surgein recommend this and usually there is no need for additional surgery after the hernia is corrected.
Thank you again for the query. I wish you continued optimal health and happiness in the future.
Respectfully,
Dr. Galamaga