Sometimes, a lump can be felt near the left rib cage, close to the stomach?
Hello doctor, recently when I lie in bed or sit down, I sometimes feel a small, round, protruding lump near my left rib close to the stomach.
However, I usually can't feel it or touch it unless I accidentally touch it or adjust my position.
When I stand up, I generally can't feel it at all.
I'm not sure how long this has been happening; I just remember thinking it was a skin rash before, but I discovered yesterday that it seems to be inside...
I would like to ask the doctor if this is normal? Could it be cartilage?
Mr. Lai, 20~29 year old female. Ask Date: 2021/09/12
Dr. Zhou Ziguang reply Pulmonology
Hello: Please visit the pulmonology department for evaluation and treatment by a physician.
Reply Date: 2021/09/12
More Info
When it comes to a bump near the left rib, particularly in the area close to the stomach, there are several factors to consider in determining whether it is normal or a cause for concern. Based on your description, it seems that the bump is not consistently palpable and is only noticeable in certain positions, which can provide some clues about its nature.
Firstly, it is essential to understand that the human body has various structures in the abdominal area, including muscles, fat, organs, and connective tissues. A bump that is only felt when lying down or adjusting your position may indicate that it is related to the soft tissues or structures in that area rather than a solid mass or a bone-related issue.
Here are some potential explanations for the bump you are experiencing:
1. Fatty Tissue or Lipoma: It is possible that the bump is a benign fatty tissue growth known as a lipoma. These are soft, movable lumps that can occur anywhere in the body and are generally harmless. They can sometimes be more noticeable when lying down or changing positions.
2. Muscle Tension or Spasm: If you have been experiencing muscle tension or spasms in the abdominal area, this could lead to a temporary bump or tightness that may feel like a lump. This is often related to posture, physical activity, or stress.
3. Hernia: A hernia occurs when an organ or tissue protrudes through a weak spot in the surrounding muscle or connective tissue. If the bump is more pronounced when you are lying down or straining, it could potentially be a hernia. However, hernias are usually associated with pain or discomfort, especially when pressure is applied.
4. Rib or Cartilage Issues: While it is less common, issues with the rib cage or costal cartilage can sometimes present as a bump or irregularity. Conditions such as costochondritis, which is inflammation of the cartilage connecting the ribs to the sternum, can cause localized tenderness and swelling.
5. Gastrointestinal Issues: Sometimes, gastrointestinal conditions, such as an enlarged organ (like the spleen or liver) or even gas buildup, can create a sensation of fullness or a bump in the abdominal area.
Given that the bump is not consistently palpable and does not cause you discomfort, it may not be a significant concern. However, it is always prudent to consult with a healthcare professional for a thorough evaluation, especially if you notice any changes in size, shape, or associated symptoms such as pain, discomfort, or changes in bowel habits.
In summary, while it is possible that the bump is a benign structure such as fatty tissue or a muscle-related issue, it is essential to monitor it and seek medical advice if you have any concerns. A healthcare provider may recommend imaging studies, such as an ultrasound or CT scan, to better understand the nature of the bump and to rule out any underlying conditions. Regular check-ups and being attentive to your body are key to maintaining your health and addressing any potential issues early on.
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