HI,Dear,Thanks for your query to HCM virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns about the Cause of itchy painful lump on your shin. Cause of the Painful lump under chest near ribcage- You had a history of attack/assault 8 mths back,due to which this pain started and still recurs, and for this reason you need to take Tab Salpadol. -Since 2 months,you have found a lump with terrible pain near the center of your rib cage under the chest. With this history,it seems that you suffer from -Epigastric Hernia with obstructed contents,mostly pre-peritoneal fat with necrosis, causing sever pain. ALERTS/Caution- AS this Lump would complicate to recurrent obstructions going in to strangulation and would cause more serious pain and abdominal emergency,I would suggest you to consult ER Surgeon ,who would give his Second opinion also and would treat it accordingly. This Epigastric hernia occurs in your case due to the trauma 8 mths back,which has increased the silent weakness or hole. Since last 2 mths you noticed this lump, by chance,when its contents got obstructed and only by severe pain you are worried about it now. -As the its with very small duration, I would suggest you to Consult a ER Surgeon and get the physical examination and his Second Opinion on it. This would help you to plan treatment with your ER surgeon. Hope this reply would satisfy your query and worry with it If you feel satisfied with this reply,don t forget to hit thanks and write excellent review comments,which would improve my rating for new needy visitors to HCM. Welcome for any further query in this regard to HCM. Have a good day. With Regards, Dr.Savaskar M.N. M.S.Genl-CVTS, Senior Surgical Speciailst