Lump Discovered Below the Rib Cage
Age: 18, Weight: 120 lbs, Height: 5'6" A few months back, I began to notice a firm spot beneath my left rib cage. Initially, I assumed this was just a natural variation in rib lengths between my left and right sides. However, about a week ago, I realized the lump had increased in size, protruding beyond my ribs, which led me to conclude that it can't be my ribs. After some research, I found that it might be my spleen, and I’ve scheduled an appointment with a doctor for next week to investigate further. This brings me to my query: considering my slender build, is it common for a healthy spleen to be palpable in a thin adult? Furthermore, should it feel firm to the touch? If it’s not normal for it to be hard, what could cause this hardness? I appreciate any insights you can share.
Answers (1)

9/15/2025, 6:10:53 PM
OpenHealth AI
It's understandable to be concerned about a lump beneath your rib cage, especially after noticing its change in size. While the spleen can sometimes be palpable in thin individuals, especially when lying down, any noticeable mass or firmness warrants careful evaluation. Here’s a breakdown of the situation:
Key Points:
- Potential Causes: The lump could be normal anatomical variation, an enlarged spleen, or other underlying conditions that may require attention.
- Normal Findings: In a slender person, the spleen might be felt, but it usually doesn't feel hard or significantly enlarged.
- Next Steps: Monitor your symptoms and stay vigilant for any changes.
Explanation:
- Palpable Spleen: In some cases, a healthy spleen can be palpable in thin individuals, but it is generally soft and not significantly swollen. An enlarged spleen (splenomegaly) may indicate various conditions, from infections to liver diseases.
- Firmness: A firm or hard lump could signal potential issues, like splenic enlargement due to underlying infections, liver conditions, or tumors, but these situations typically come with other symptoms such as pain, fever, or fatigue.
Actionable Steps:
- Observe Symptoms: Keep track of any new symptoms you notice, such as pain, tenderness, changes in appetite, or general malaise.
- Avoid Self-Diagnosing: While your research provides valuable information, a professional examination is crucial for an accurate diagnosis, so be sure to discuss all your concerns with your doctor during your appointment.
- Prepare Questions: Think of any questions you have regarding your findings or concerns to ensure you address them at your doctor’s visit.
Final Thoughts:
It's commendable that you have scheduled a doctor’s appointment, as they will provide the most accurate evaluation and guidance. While some lumps can be benign, it’s always best to have them assessed to rule out any serious conditions. Be assured that you’re taking the right steps to understand what's happening with your body.
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