There is a lump near the navel that hurts when pressed?
Hello Doctor, starting from March 22, I have been experiencing pain when pressing around my navel.
Initially, I thought it was a pimple, but I just checked and noticed that the appearance is the same as before, with no pimples or comedones on the skin.
The pain is beneath the skin, and when I press on it, it feels like there is a lump that does not move.
Pulling the skin around the navel does not affect its position, and the skin itself does not hurt.
What could this issue be? Is there a possibility that it could be a malignant tumor? Thank you!
Ms. Chen, 20~29 year old female. Ask Date: 2016/03/23
Dr. Li Zhonghuai reply Surgery
Hello! It is most likely a sebaceous cyst.
It is recommended to see a general surgeon for evaluation and possible excision; otherwise, it may rupture and drain pus, and if not completely removed, it could recur.
Changhua Hospital cares about your well-being!
Reply Date: 2016/03/23
More Info
Painful lumps near the belly button can be concerning, and it's essential to consider various potential causes before jumping to conclusions. Based on your description, it seems that you have a firm, non-mobile lump beneath the skin near your navel that causes pain when pressed. While I cannot provide a definitive diagnosis without a physical examination, I can outline some common causes and considerations regarding this type of symptom.
1. Hernia: One of the most common causes of a lump near the belly button is an umbilical hernia. This occurs when a portion of the intestine or fatty tissue pushes through a weak spot in the abdominal muscles. Hernias can be painful, especially when pressure is applied, and they may not be easily reducible (meaning they cannot be pushed back into the abdomen). If you notice any bulging or a lump that appears when you cough or strain, this could be a sign of a hernia.
2. Lipoma: A lipoma is a benign tumor made up of fatty tissue. These lumps are usually soft, movable, and painless, but they can sometimes become tender or painful if they press on surrounding tissues. If the lump feels firm and is not movable, it may not be a lipoma.
3. Cysts: Sebaceous cysts can develop in the skin and may feel like a lump under the skin. They are typically benign and can become painful if they become inflamed or infected. If the lump is firm and does not change in size, it may be a cyst.
4. Infection or Abscess: An infection in the area can lead to the formation of an abscess, which is a collection of pus that can feel like a lump. This would typically be accompanied by redness, warmth, and possibly fever. If you suspect an infection, it is crucial to seek medical attention.
5. Other Tumors: While less common, other types of tumors, both benign and malignant, can develop in the abdominal area. If there is any concern about the nature of the lump, especially if it is hard, fixed, or associated with other symptoms (such as weight loss, changes in appetite, or systemic symptoms), further evaluation is warranted.
6. Anxiety and Stress: It’s also worth noting that anxiety can manifest physically, leading to muscle tension and discomfort in various areas of the body, including the abdomen. However, this would not typically present as a distinct lump.
Given your concerns about the possibility of a malignant tumor, it is essential to consult with a healthcare provider for a thorough evaluation. They may perform a physical examination, and if necessary, imaging studies (such as an ultrasound or CT scan) to assess the lump's characteristics and determine the appropriate course of action.
In summary, while there are several benign explanations for a painful lump near the belly button, it is crucial to seek medical advice to rule out serious conditions and receive appropriate treatment. Early evaluation can provide peace of mind and ensure that any necessary interventions are undertaken promptly.
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