Abdominal and Waist Lumps: When to Seek Medical Advice - Surgery

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There are lumps or nodules along the abdomen and waist?


Hello, doctor.
Recently, over the past month or two, I've noticed several lumps on my side that I can feel but cannot see.
There are lumps on both sides, and when I touch my lower back, it feels like there are many soft, string-like structures, similar to tendons, but they don't seem to be tendons.
Most of these areas do not hurt when pressed.
What could this be? If I need to get it checked, which specialty should I see? Thank you, doctor.

Ku, 20~29 year old female. Ask Date: 2023/05/25

Dr. Chen Bingze reply Surgery


Hello, it sounds like you're not quite sure what the issue is.
If possible, you could schedule an appointment with a family medicine physician at the hospital, who can then assess whether a referral to another specialist is necessary.

Reply Date: 2023/05/25

More Info


When it comes to abdominal and waist lumps, it is essential to approach the situation with caution and seek medical advice promptly. Your description of multiple lumps on the sides of your abdomen, which are not visible but can be felt, along with the soft, rope-like structures in your waist area, raises several possibilities that need to be evaluated by a healthcare professional.

Firstly, the lumps you are feeling could be benign conditions such as lipomas, which are soft, fatty tumors that are generally harmless and painless. They are often movable under the skin and can occur anywhere on the body. Another possibility is the presence of lymph nodes, which can become enlarged due to various reasons, including infections or inflammation. However, if these lumps have developed recently and are persistent, it is crucial to have them evaluated.

The "rope-like" structures you describe in your waist area could be related to muscle or tendon structures. In some cases, they may represent normal anatomical features, but if they are new or associated with discomfort, further investigation is warranted.

Given your symptoms, the first step is to consult a primary care physician or a general practitioner. They can perform a physical examination and assess your medical history. Based on their findings, they may refer you to a specialist, such as a gastroenterologist, if they suspect gastrointestinal issues, or a surgeon if they believe a surgical evaluation is necessary.

In addition to a physical examination, your doctor may recommend imaging studies such as an ultrasound or CT scan to provide a clearer picture of the structures in your abdomen and help identify the nature of the lumps. Blood tests may also be ordered to check for signs of infection or other underlying conditions.

It is important to note that while many lumps are benign, some can indicate more serious conditions, including tumors or other pathologies. Therefore, it is crucial not to ignore these symptoms, especially if they are new or changing.

In summary, if you have noticed new lumps in your abdomen and waist area, it is advisable to seek medical attention. Start with a visit to your primary care physician, who can guide you through the necessary evaluations and referrals. Early diagnosis and intervention are key to addressing any potential health issues effectively. Remember, it is always better to err on the side of caution when it comes to your health.

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