OpenHealth Q&A

Concerns About Abnormal Fat Texture on Abdomen

Hi there! Here’s a bit of background about me: - 28 years old, female - Height: 5'7", approximately 345 pounds Currently, I'm on the following medications: - Amitriptyline & Wellbutrin - Cyclobenzaprine - Levothyroxine - Naproxen (500 mg daily, as prescribed) - Acetaminophen (about every other day, careful to keep it under 2000 mg in 24 hours) - Cererazine (formerly daily, now only as needed) - Ondansetron (rarely, as needed) - Dicyclomine (as necessary) - Weekly D2 supplements (50,000 IU) - Albuterol for asthma flare-ups Health conditions I have include: - Depression - Fibromyalgia - Hashimoto’s Thyroiditis - Papillary Thyroid Cancer (totally excised in mid-2024 and recently underwent RAI treatment, about six months ago). The tumor sizes were significant: around 10 cm in the right lobe and 5 cm in the left, with clear margins. RAI indicated considerable uptake in the thyroid bed, especially on the right side, and there was no other uptake noted during the full body scan. - Hyperflexibility (currently not considered hypermobile EDS) - Obesity (I'm fully aware and actively working on weight loss) - Asthma - Persistent fatigue and inadequate sleep quality - Sleep apnea (I do use a CPAP machine, which significantly helps, though I'm still often fatigued) - Chronically low iron levels - Chronic Vitamin D deficiency (I consume plenty of dark leafy greens, diverse dairy products, often fortified, and eat red meat a lot during the week, with chicken or pork on off-beef days, but very limited seafood. I’m baffled as to why I struggle with maintaining iron and Vitamin D levels; I've taken iron supplements, both enteric and regular, often with orange juice, but low iron continues, and my Vitamin D has been low since childhood, a trend in my family.) Concern: Since around February 2025, I've observed an unusual section of fatty tissue on my abdomen that distinctly differs in texture from the surrounding areas. This patch is roughly the size and shape of my hand (fingers together) and extends onto part of my wrist. This specific area feels much more yielding than the rest of my abdominal tissue and is slightly elevated compared to the surrounding fat, presenting as a little mound at its highest point. If manipulated, it doesn’t cause pain, though I might experience a slight twinge occasionally. My husband even noticed it from a distance, although he only did so after I mentioned it. I’ve searched online to determine what could be causing this, but many examples of liposarcoma include color changes in the skin, whereas my abdomen maintains a uniform color throughout, including over this specific area. I discussed the issue with my rheumatologist during a visit in May. She conducted a brief examination, expressed no concern about a hernia, and noticed the differing texture and somewhat subtle borders, yet we didn’t delve further into it as it wasn't the primary reason for my consultation. The affected area appears in the upper right quadrant of my abdomen, starting about two fingers above the navel and extending diagonally up towards my ribs. My kidney health seems stable (I dealt with a UTI in January 2024, which successfully responded to antibiotics) and my liver function appears normal according to my most recent blood tests. This patch of fatty tissue seems very superficial. I haven’t experienced any major abdominal issues that would correlate with that specific area, and it remains unchanged in size or shape during meals or when I experience IBS symptoms linked to fibromyalgia. The section seems to be consistent and appears to be growing gradually. I recognize the need to address this with my primary care physician soon, but I’m hoping to find some information and reassurance until my appointment. Receiving a cancer diagnosis at 27 was incredibly unsettling, and it’s difficult not to feel anxious about this new development. My previous tumors were quite large, and I recall the surgical staff examining my neck as if it were a unique case. I would greatly appreciate any insights on this matter. Thank you kindly in advance! ❤️

Answers (1)

6/16/2025, 10:50:47 PM

OpenHealth AI

It's understandable to feel anxious about changes in your body, especially given your medical history. The area of fatty tissue you're describing could be due to a variety of benign reasons, such as lipomas (benign fatty tumors) or other localized fat deposits. However, it's wise to remain vigilant and get any new or changing physical signs evaluated.

Explanation:

The distinct texture, yielding nature, and subtle elevation of the fatty tissue might indicate a benign condition, especially since you have not noticed any discoloration or significant change in size. Given your health history, including the thyroid cancer, it's natural to be concerned, but there are many potential causes of these symptoms that are not cancer-related. It's reassuring that your rheumatologist didn’t express immediate concern, but considering that it has gradually grown, further discussion with your primary care physician is important.

Next Steps:

1. Document Changes: Keep a record of any changes in the area over the next few weeks, including size, shape, color, or any associated symptoms (like pain or discomfort). This information can be helpful during your appointment.

2. Monitor Symptoms: Note any changes in how you feel overall; these could include any new abdominal symptoms such as pain, changes in bowel habits, or systemic symptoms like fever or unexplained weight loss.

3. Consult Your Primary Care Physician: Schedule an appointment with them to discuss your concerns. Mention the changes and provide them with the documented observations you’ve made. They might recommend imaging studies, like an ultrasound or MRI, to better evaluate the tissue.

4. Educate Yourself, but Avoid Excessive Online Searching: While it's good to seek information, try to limit online searches that can heighten anxiety. Stick to reputable sources if you need to learn more about fatty tissue abnormalities.

5. Practice Self-Care: During this waiting period, focus on stress management techniques such as mindfulness, gentle exercise, or talking to a counselor if you feel anxious. Healthy lifestyle choices can also help support your overall well-being.

Your worries are completely valid, especially after undergoing significant health issues. It's important to take things one step at a time and focus on proactive measures to address your health. Please keep in mind that the majority of abdominal lumps are benign, and I hope that your upcoming appointment will bring clarity and reassurance.