Do Tumors Hurt? Symptoms and When to See a Doctor

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Doctors often inquire whether tumors can be painful.
I have a round mass in the right side of my abdomen near the navel, which hurts when pressed.
I don't feel it when lying down, but I do when sitting.
Is the kidney located in that area? Should I see a doctor? Which specialty should I consult? I called the hospital, but they put me on hold regarding whether my condition warrants a doctor's visit...

joyce, 10~19 year old female. Ask Date: 2009/10/08

Dr. Hou Yongji reply Surgery

Based on your description, a proper diagnosis cannot be made.
Please seek consultation with a nearby gastroenterology specialist as soon as possible.
Thank you.

Reply Date: 2009/10/08

More Info

Tumors can indeed cause pain, but the experience of pain varies significantly depending on several factors, including the type of tumor, its location, size, and whether it is pressing on surrounding tissues or organs. In your case, you mentioned a round mass in your right abdomen near the navel that is painful when pressed but not when lying flat. This symptom warrants further investigation.

Understanding Tumor-Related Pain
1. Types of Tumors: Tumors can be benign (non-cancerous) or malignant (cancerous). Benign tumors may not cause pain unless they grow large enough to press on nearby structures. Malignant tumors, on the other hand, can invade surrounding tissues, leading to pain and discomfort.

2. Location and Size: The location of the tumor is crucial. For instance, tumors in the abdominal region can affect organs such as the intestines, kidneys, or liver. If a tumor is located near nerves or blood vessels, it may cause significant pain.

3. Associated Symptoms: Besides pain, tumors can present with other symptoms such as swelling, changes in bowel habits, unexplained weight loss, or fatigue. If you experience any of these symptoms alongside the pain, it is essential to seek medical attention.

When to See a Doctor
Given your description of a painful mass in your abdomen, it is advisable to see a doctor. You should not ignore this symptom, especially since it is causing discomfort. Here are some steps to consider:
1. Consult a Primary Care Physician: Start by seeing a primary care physician (PCP). They can perform a physical examination and may order imaging tests, such as an ultrasound or CT scan, to evaluate the mass further.

2. Referral to a Specialist: Depending on the findings, your PCP may refer you to a specialist, such as a gastroenterologist (for digestive tract issues) or an oncologist (if there is a suspicion of cancer).

3. Emergency Care: If the pain becomes severe or is accompanied by other alarming symptoms (such as fever, vomiting, or significant changes in bowel habits), seek emergency medical care immediately.

Understanding Your Concerns
You mentioned that you called a hospital but were unsure if your situation warranted a visit. It is always better to err on the side of caution when it comes to health concerns. If you feel that something is wrong, it is justified to seek medical advice. Hospitals and clinics are equipped to handle inquiries and can guide you on whether you need to come in for an evaluation.

Conclusion
In summary, tumors can cause pain, and your symptoms suggest that you should seek medical evaluation. Start with a primary care physician who can assess your condition and guide you on the next steps. Early diagnosis and intervention are crucial, especially if there is a possibility of a malignant tumor. Do not hesitate to advocate for your health and seek the care you need.

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