Motion Sickness and Unusual Bumps on the Buttocks - Family Medicine

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Hard lumps in the buttocks and motion sickness?


1.
Recently, I started feeling a bit nauseous shortly after getting into a car, experiencing a sensation similar to having something stuck in my throat, but without any dizziness.
Is this motion sickness? If so, why have I suddenly become prone to it when I have never experienced motion sickness before? (I haven't been in a car much lately due to the pandemic, and previously I could use my phone while driving on winding roads without any issues.)
2.
A few months ago, I noticed a round protrusion on the flesh of my buttocks, about the size that could be covered by the tip of my index finger.
When I pinch it, it feels like there is something inside.
It appears to be a light black circular shape, possibly a bit grayish (since I looked at it in the mirror, it's somewhat unclear, but it is definitely not as dark as a mole).
It doesn't hurt when I touch or press on it, and it hasn't grown in size over the past few months (even if it has, I haven't noticed any significant change).
The surface does not have any openings.
I would like to know what this could possibly be, and if sitting on a hard chair or floor and pressing against it would have any implications.

Niming, 10~19 year old female. Ask Date: 2021/07/28

Dr. Xiao Yongxun reply Family Medicine


Dear Miss Anonymous:
1.
Dizziness generally refers to sensations such as vertigo, lightheadedness, feeling faint, blurred vision, and a sense of impending loss of consciousness, as well as feelings of heaviness in the head and unsteadiness, or a complete blackout.
2.
Nausea is an uncomfortable sensation that feels like you are about to vomit.
If accompanied by contractions of the gastrointestinal tract and abdominal muscles that forcefully expel stomach contents through the mouth, it is termed vomiting.
3.
Based on your statement, "I recently started feeling a bit nauseous shortly after getting in the car, similar to the sensation of having something stuck in my throat, but without dizziness," it seems more aligned with nausea.
However, differential diagnosis should consider many diseases, with common ones including infectious diseases, gastrointestinal disorders, central nervous system diseases, metabolic issues, drug or toxin-related causes, glaucoma, myocardial infarction, radiation therapy, and bowel obstruction, among others.
It is advisable to consult with your family physician for examination and discussion before making any decisions, or to directly visit a gastroenterology clinic at a regional hospital or higher.
4.
The protrusion on your buttocks also has several potential diagnoses; common causes include fibromas, moles, lipomas, hemangiomas, abscesses, neurofibromas, and sebaceous cysts.
Clinically, we do advise patients to monitor for changes in size or color to assess the possibility of malignancy.
However, it is still recommended that you first consult with your family physician for examination and discussion before making any decisions, or to directly visit a dermatology clinic at a regional hospital or higher.

Reply Date: 2021/07/28

More Info


Understanding motion sickness and unusual bumps on the buttocks involves addressing two distinct medical concerns: the sudden onset of motion sickness and the nature of a bump on the skin.
1. Motion Sickness: The symptoms you describe, such as nausea without dizziness, can indeed be indicative of motion sickness, even if you have not experienced it before. Motion sickness occurs when there is a disconnect between the sensory signals your brain receives. For example, when you are in a moving vehicle, your inner ear (which helps control balance) senses motion, but your eyes may not see the same movement if you are looking at something stationary inside the vehicle. This mismatch can lead to feelings of nausea.
The sudden onset of motion sickness after a long period of not traveling could be attributed to several factors. Firstly, your body may have become less accustomed to the sensations of movement due to the lack of travel during the pandemic. Additionally, stress and anxiety, which have been heightened during the pandemic, can also contribute to increased sensitivity to motion. It's also worth noting that certain medications, dehydration, or even changes in diet can affect your susceptibility to motion sickness.
To manage this condition, consider the following strategies:
- Gradual Exposure: Try taking short trips to help your body readjust to the sensation of movement.

- Focus on the Horizon: Looking at a stable point in the distance can help your brain reconcile the conflicting signals.

- Stay Hydrated: Dehydration can exacerbate nausea, so ensure you drink enough fluids.

- Ginger or Peppermint: These natural remedies are known to help alleviate nausea.

- Medications: Over-the-counter options like meclizine or dimenhydrinate can be effective if taken before travel.

2. Unusual Bump on the Buttocks: The bump you describe sounds like it could be a lipoma, which is a benign tumor made of fat tissue. These are typically soft, movable, and painless, and they can vary in size. The fact that it has not changed significantly over several months is a good sign, as rapid growth or changes in appearance could warrant further investigation.
Other possibilities for a bump could include a sebaceous cyst, which is a blocked oil gland, or a dermatofibroma, which is a benign growth of fibrous tissue. Since the bump is not painful and has remained stable, it is likely not a cause for concern. However, if you notice any changes in size, color, or if it becomes painful, it would be advisable to consult a healthcare professional for an evaluation.

Regarding your concern about sitting on hard surfaces, it is generally safe unless the bump becomes painful or irritated. If you experience discomfort or if the bump changes in any way, it would be prudent to seek medical advice.
In summary, both motion sickness and skin bumps can be managed effectively with appropriate strategies and monitoring. If symptoms persist or worsen, consulting with a healthcare provider is always the best course of action.

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