Concerns About Soft Lumps and Pain: When to Seek Medical Advice? - Surgery

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There is a concerning issue..?


Hello Dr.
Chen, I have a concerning issue I would like to ask about...
My mother has recently developed soft, movable lumps in her lower back over the past month or two, but they are not painful (although her lower back does feel sore)...
Additionally, she experiences numbness and cramps in that leg while sleeping...
She has also been coughing frequently lately (although she has had respiratory issues in the past, it has become more frequent recently), and she seems to feel tired every day...
About four to five months ago, my mother was taking chitosan, but she stopped after about a month.
Since then, she has often felt lower back pain, and shortly after, these lumps appeared (besides the lower back, there is also a small lump on her elbow, about the size of a mosquito bite that has swollen up)...
My mother believes that taking chitosan has caused underlying issues in her body to surface, so she has started taking it again...
If someone has a history of kidney stones, is it safe to take chitosan? Thank you, I am not sure if there is any correlation in what I have mentioned, but I just wanted to describe my mother's recent condition because I am very worried, while she feels there is nothing wrong and does not need to see a doctor...
So I am reaching out to you, Dr.
Chen, for your guidance.
I would greatly appreciate your response, thank you!

sbaru, 20~29 year old female. Ask Date: 2004/09/27

Dr. Chen Junxing reply Surgery


1.
Patients with general low back pain, especially those over 50 years old, often have slightly raised soft nodules upon palpation, which are indicative of tendon sheath enlargement and are benign, requiring no treatment.
2.
Morning foot numbness and cramps are likely related to sciatic nerve issues; it is advisable to avoid pressure on the "sciatic" area and the arms to reduce symptoms.
3.
To my knowledge, the components of chitosan should not lead to the formation of stones.
4.
Thank you.

Reply Date: 2004/09/27

More Info


When it comes to the concerns you've raised about your mother's health, particularly regarding the soft lumps in her lower back, persistent pain, and other symptoms, it's important to approach this situation with careful consideration and a proactive mindset.
Firstly, the presence of soft, movable lumps in the body can be indicative of various conditions, ranging from benign lipomas (fatty tumors) to more serious issues such as cysts or even lymphadenopathy (swollen lymph nodes). While these lumps may not be painful, their appearance, especially in conjunction with other symptoms like back pain, numbness, and cramps, warrants a thorough medical evaluation. The fact that your mother is experiencing discomfort in her lower back and has developed new symptoms such as frequent coughing and fatigue adds complexity to her situation.

The numbness and cramps in her legs, particularly when combined with back pain, could suggest nerve involvement, possibly due to a herniated disc or spinal stenosis. These conditions can compress nerves, leading to symptoms like leg pain, numbness, and weakness. It’s crucial to have a healthcare professional assess these symptoms to rule out any serious underlying conditions.

Regarding the use of chitosan, while it is generally considered safe for most individuals, there are some considerations to keep in mind, especially if your mother has a history of kidney stones. Chitosan is derived from shellfish and is often used as a dietary supplement for weight loss and cholesterol management. However, it can also affect the absorption of certain nutrients and medications. If your mother has experienced any adverse effects or believes that chitosan has contributed to her current symptoms, it would be wise to discuss this with her healthcare provider.

In terms of managing her symptoms, here are some recommendations:
1. Seek Medical Evaluation: Given the combination of symptoms, it is essential for your mother to see a healthcare provider. A thorough examination, including imaging studies like X-rays or MRIs, may be necessary to understand the cause of her back pain and the nature of the lumps.

2. Monitor Symptoms: Keep a detailed record of her symptoms, including when they occur, their severity, and any potential triggers. This information can be invaluable for her healthcare provider.

3. Pain Management: If her pain is significant, over-the-counter pain relievers like acetaminophen or NSAIDs (if appropriate) can help manage discomfort. However, these should be used cautiously and under the guidance of a healthcare provider, especially if she has any underlying health conditions.

4. Physical Therapy: If her symptoms are related to musculoskeletal issues, physical therapy may be beneficial. A physical therapist can provide exercises to strengthen the back and improve flexibility, which can alleviate pain.

5. Lifestyle Modifications: Encourage your mother to engage in gentle physical activity, such as walking or swimming, which can help maintain mobility without putting excessive strain on her back.

6. Diet and Nutrition: If she is considering continuing with chitosan or any other supplements, it’s best to consult with a healthcare provider to ensure they are appropriate for her health status and won’t interfere with any medications she may be taking.

In conclusion, while some of the symptoms your mother is experiencing may not seem alarming, the combination of soft lumps, back pain, and other systemic symptoms like fatigue and coughing should not be overlooked. A proactive approach involving a healthcare professional will help ensure that any potential issues are addressed promptly and effectively. Encourage her to seek medical advice, as early intervention can often lead to better outcomes.

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