Essential Health Checkups: Addressing Your Concerns and Symptoms

Q: Essential Health Checkups: Addressing Your Concerns and Symptoms

Dear Mr. <br>Chen：<br>1. <br>A superficial lipoma in the abdominal area, if it has not increased in size or shown any other significant changes, is generally not a concern. <br>However, if it continues to grow, it is advisable to follow up with a general surgery outpatient clinic

Physical examination

Hello Doctor, I have health anxiety, so I am very sensitive to changes in my body.
I am particularly afraid of serious illnesses like cancer and often overthink minor issues (the family medicine doctors I’ve seen say I tend to overreact).
I have undergone many tests and would like to ask if there are any additional tests I should consider at my age.
The tests I have completed include basic blood tests, urinalysis, abdominal ultrasound, electrocardiogram (ECG), exercise ECG, echocardiogram (both done two years ago), gastroscopy, bladder ultrasound, kidney ultrasound, nasopharyngoscopy, and testicular examination.
However, these were all done at a clinic.
I initially planned to have a colonoscopy, but my doctor assessed that it was not necessary, so I only had a sigmoidoscopy instead.

I am not very fond of exercising, and I had a car accident two years ago that resulted in a left arm fracture, which led to over two years of inactivity, so my physical condition is not great.
I often experience pain in various areas of my body.
Currently, the muscles around my navel are very hard and painful to the touch, and I am unsure if this is serious.
Additionally, I have a lipoma in my abdomen.
I have asked several family medicine doctors about it, and they all said it’s nothing to worry about.
Is that true?
Regarding whether I need to undergo any other tests and the issue with the muscles near my navel, I would appreciate your advice.
Thank you for taking the time to answer my questions, Doctor! I am truly grateful.

Mr. Chen, 20~29 year old female. Ask Date: 2023/01/13

Dr. Xiao Yongxun reply Family Medicine

Dear Mr.
Chen:
1.
A superficial lipoma in the abdominal area, if it has not increased in size or shown any other significant changes, is generally not a concern.
However, if it continues to grow, it is advisable to follow up with a general surgery outpatient clinic at a regional hospital or higher for evaluation and possible excision for biopsy.
I fundamentally agree with your family physician's assessment.
2.
Considering only the statement "the muscles around the navel are very hard and painful upon palpation," there are numerous potential conditions to consider.
However, since this has persisted for several days, the likelihood of a serious issue is low.
If you remain concerned, you may follow up with a gastroenterologist or general surgeon at a regional hospital or higher for further evaluation.
Overall, I still concur with your family physician's opinion and management plan.
3.
Given your hypochondriasis, along with the natural aging process or inherent health issues, there may be physiological or pathological changes occurring.
It is recommended that you have a thorough discussion with your trusted family physician regarding these concerns.

Reply Date: 2023/01/13

More Info

Hello! Thank you for reaching out with your concerns regarding your health and the anxiety that often accompanies it. It’s understandable to feel heightened sensitivity to bodily changes, especially when you have a history of health anxiety. This can lead to a cycle of worry and excessive checking, which can be exhausting and distressing.

From what you've described, it seems you have undergone a comprehensive range of tests, including blood tests, urine tests, abdominal ultrasounds, electrocardiograms, and more. These are all important evaluations that can help rule out serious conditions. The fact that multiple healthcare providers have reassured you that your concerns are unfounded is a positive sign. However, I understand that reassurance can sometimes feel insufficient, especially when anxiety is involved.

Regarding your question about whether there are any additional tests you should consider, it’s essential to focus on your symptoms and overall health rather than solely on the fear of potential illnesses. Since you mentioned experiencing pain around your navel and having a history of a fatty tumor, it would be wise to discuss these specific symptoms with your healthcare provider. They may recommend further imaging or evaluation if they deem it necessary based on your physical examination and medical history.

As for the fatty tumor, many are benign and do not require treatment unless they cause discomfort or change in size. It’s crucial to maintain open communication with your doctor about any changes you notice, as they can provide tailored advice based on your unique situation.

In terms of managing your anxiety, consider the following strategies:
1. Cognitive Behavioral Therapy (CBT): This is an effective treatment for health anxiety. A therapist can help you identify and challenge irrational thoughts and develop healthier coping mechanisms.

2. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, or yoga can help reduce anxiety levels and improve your overall well-being.

3. Limit Health-Related Research: While it’s natural to seek information, excessive research can exacerbate anxiety. Try to set boundaries around how much time you spend looking up health information.

4. Physical Activity: Regular exercise can significantly reduce anxiety and improve your mood. Even gentle activities like walking can be beneficial.

5. Stay Connected: Talk to friends or family about your feelings. Sometimes, sharing your worries can alleviate some of the burdens.

6. Focus on What You Can Control: Instead of fixating on potential health issues, concentrate on maintaining a healthy lifestyle through balanced nutrition, regular physical activity, and adequate sleep.

7. Regular Check-Ups: Continue to have regular check-ups with your healthcare provider. Having a routine can help you feel more secure about your health.

Lastly, if your anxiety continues to interfere with your daily life or if you find it challenging to manage on your own, seeking help from a mental health professional can be very beneficial. They can provide you with strategies and support tailored to your needs.

In summary, while it’s essential to listen to your body and seek medical advice when necessary, it’s equally important to address the underlying anxiety that may be driving your health concerns. By focusing on both your physical and mental health, you can work towards a more balanced and less anxious life. Thank you for sharing your concerns, and I wish you the best on your journey to better health!

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