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Vertical Movement of Abdominal Mass

3/26/2025, 11:10:18 AMMale25-34

At 22 years old and not on any medication, I've noticed a mass in my abdominal region that shifts upward and downward as I breathe, particularly when I engage my core. This mass seems to travel from the area near my pubic bone all the way to the level of my floating ribs. The sensation varies; there are times when I hardly feel it at all, especially on days when I am not consciously using my diaphragm. Conversely, there are days when the lump is quite pronounced, and I can significantly detect its movement with my fingers. The mass has a somewhat firm texture. Should I seek immediate medical attention, or is it reasonable to wait a few weeks for an appointment, considering how serious this might be? I appreciate any insight you can provide.

AgingFamily MedicineInternal Medicine

Answers (1)

Cony

3/26/2025, 11:10:34 AM

OpenHealth AI

It's understandable that you're concerned about the abdominal mass that shifts with your breathing. While it's often the case that such masses can be benign, it's important to assess this symptom properly.

Main Points:

  1. The movement of the mass in sync with your breathing suggests it's likely not a fixed tumor but may relate to your anatomical structures.
  2. Nonetheless, since you're noticing a significant change in size and firmness, it's wise to seek medical evaluation.

Explanation: The mass you're feeling might be something benign like a hernia, adipose tissue (fat), or even an anatomical variation, especially since it shifts with your core movements. The variation in sensation could stem from how you're using your diaphragm or the positioning of nearby organs. However, the firmness and the impactful changes in how pronounced it is can warrant further investigation to rule out any serious conditions.

Next Steps:

  1. Symptom Monitoring: Keep track of any changes in the mass, such as its size, firmness, and any associated symptoms like pain, discomfort, or changes in bowel habits.
  2. Self-Care: Ensure you maintain a healthy diet and adequate hydration. Avoid heavy lifting or straining, which might exacerbate any underlying issues.
  3. Schedule a Medical Appointment: Given your age and the characteristics of the mass, aim to see a healthcare professional sooner rather than later, preferably within the next week to two weeks. Mention all the specific details you noted, including the shifting nature and firmness.

While it may not be an emergency, addressing this sooner can offer peace of mind and clarity about your health. If you experience severe symptoms like acute pain, fever, or significant changes in your digestive function, seek care immediately.

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