Left Upper Abdominal Mass Sensation: When to Seek Help - Gastroenterology and Hepatology

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When it comes to sensations of a mass or lump in the left upper abdomen, especially when accompanied by discomfort or pain, it is essential to approach the situation with a thorough understanding of potential underlying causes and the appropriate steps to take. Based on your description, it seems you have been experiencing this sensation for two years, and previous imaging studies, including an abdominal ultrasound and endoscopy, have not revealed any significant abnormalities. This is a positive sign, but it does not entirely rule out the need for further evaluation.

The left upper abdomen houses several vital organs, including the stomach, spleen, pancreas, and parts of the colon. The sensation you describe as a "soft cartilage-like" feeling could potentially be related to several benign conditions, such as:
1. Muscle Tension or Spasms: Sometimes, muscle tension or spasms in the abdominal wall can create a sensation of a lump or mass. This is often exacerbated by stress, poor posture, or physical activity.

2. Gas or Bloating: Gastrointestinal issues, such as gas accumulation or bloating, can lead to sensations of fullness or pressure in the abdomen. Eating large meals can exacerbate these feelings, which may explain the discomfort you experience after eating.

3. Fatty Tissue or Lipomas: These are benign tumors made of fat tissue that can develop under the skin. They are usually harmless and can be felt as soft lumps.

4. Hernias: An abdominal hernia can sometimes present as a lump or bulge, especially when straining or after eating. This could be a consideration if you notice any changes in the lump's size or shape with movement or pressure.

5. Visceral Sensitivity: Some individuals have heightened sensitivity to sensations in their abdomen, which can lead to the perception of a mass or discomfort without any physical abnormality.

Given that you have already undergone imaging studies that did not show any concerning findings, it may be less likely that you are dealing with a serious condition such as a tumor. However, if the sensation persists, worsens, or is accompanied by new symptoms such as significant pain, changes in bowel habits, weight loss, or other systemic symptoms, it is crucial to seek further evaluation.


When to Seek Help
- Persistent Symptoms: If the sensation does not improve or worsens over time, it is advisable to consult a healthcare provider.

- New Symptoms: The emergence of new symptoms such as severe pain, vomiting, or changes in appetite should prompt immediate medical attention.

- Psychological Impact: If the sensation is causing significant anxiety or affecting your quality of life, discussing these feelings with a healthcare professional can be beneficial.


Recommended Specialists
- Gastroenterologist: Since your symptoms are related to the gastrointestinal tract, a gastroenterologist can provide specialized care and may recommend further testing, such as a CT scan or MRI, if necessary.

- General Surgeon: If there is a suspicion of a hernia or other surgical issue, a consultation with a general surgeon may be warranted.

- Primary Care Physician: Your primary care physician can help coordinate care and refer you to the appropriate specialists based on your symptoms.

In conclusion, while your previous evaluations have not indicated any serious issues, ongoing symptoms warrant further investigation. It is essential to communicate openly with your healthcare provider about your concerns and any changes in your symptoms. Early intervention can help address any potential issues before they become more serious.