Bump on Lower Back: Concern and Observation
I am a 48-year-old female with a height of 5 feet 5 inches and a weight of 125 pounds. I belong to the Caucasian racial group. For several years, I have had a persistent spot on my lower back that has typically presented itself with flaking. However, over the past two days, I’ve observed a noticeable change; it appears more like a blister at this point. My medical history includes anxiety, obsessive-compulsive disorder, post-traumatic stress disorder, chronic gastroesophageal reflux disease (GERD), and irritable bowel syndrome (IBS). My current medication regimen consists of Lamotrigine at a dosage of 400 mg once daily, Protonix at 40 mg once daily, and I have also been on a low-estrogen birth control method for the last six months. In terms of family health history, my paternal aunt was diagnosed with melanoma over two decades ago, but there is no similar history among my parents or siblings. Back in my early twenties, I frequently tanned, and as a child, my stepmother encouraged tanning before beach vacations. As I mentioned, this spot has been present for years and has previously been discounted as insignificant by my dermatologist during routine skin examinations. I've reached out to my dermatologist for their opinion again about this new development. Currently, the bump feels somewhat itchy and tender. My daughter has described it as not being hard as a rock, yet it also lacks a total squishiness. The size is less than that of a pencil eraser; it is circular with no jagged edges. If it weren’t for the surrounding tattoo, she commented it might appear completely flesh-colored. Although I have reached out to my dermatologist for advice, it is currently Sunday, and I am eager to gather some feedback before hopefully receiving a response from them by tomorrow.
Answers (1)
2/1/2026, 4:20:31 PM
OpenHealth AI
It's understandable to feel concerned about changes in a persistent skin spot, especially with recent developments like blisters and tenderness. Here’s a breakdown of the situation and what steps you can take.
Key Points:
- A change in a longstanding skin spot (such as the development of blisters, itching, or tenderness) warrants close observation.
- While changes may not always indicate a serious issue, it’s good that you’ve contacted your dermatologist.
Explanation:
Skin changes can result from various benign conditions, such as irritation, allergic reactions, or infections. However, given your history of tanning and a family history of melanoma, your attention to this change is responsible. The fact that it has evolved from a flake to a blistering appearance, along with symptoms like itching, does merit examination by a healthcare professional.
Action Steps:
- Observe Symptoms: Monitor any further changes in the size, color, or texture of the bump. Take note of any new symptoms like increased itching, pain, or fluid leakage.
- Photograph the Spot: Document the appearance of the spot with clear photos for comparison over the next few days. This can help you and your dermatologist assess any changes during your next visit.
- Avoid Irritation: Try to avoid scratching or irritating the area further to prevent any potential worsening or infection.
- Stay Hydrated and Moisturized: Keep the skin well-hydrated using a gentle, fragrance-free moisturizer to help with any dryness or flaking.
- Keep a Record: Note if any other skin spots change or if you develop new ones, as this information could be beneficial for your dermatologist.
While waiting for your dermatologist's response, these steps can help you manage the situation. If at any point you notice severe worsening symptoms like bleeding, swelling beyond what you've described, or rapid size changes, consider seeking more immediate medical attention. Your proactive approach is a positive step towards ensuring skin health.
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