Dr. Aditi Gupta
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 44-year-old male. I had a hard lump on the left lower back between top of the hip bone and lower ribs. No pain to the touch. It feels about the size of a marble or the end of a pinky finger. What is it most likely? I did have a hard fall on my back about a year ago in that area, but I am not sure if that could be related. I want to know what is the chances of something like kidney cancer as that is what comes up when I use Dr. Google. Can you feel a lump from the kidney that close to the surface? Does it feel like what I described? I included an image of the same.
I am currently using Prilosec.
Hello,
Welcome to icliniq.com.
I have seen the picture. (attachment removed to protect patient identity).
Looking at the location you pointed there should be no lump ideally in that area as it is purely muscular. Having said that, in your case since you had a fall at that point last year, possibly a hematoma has formed and not totally dissolved due to lack of movement or physiotherapy. This is quite normal and not worrisome. Chances of kidney cancer if it is painless, are actually one in a million if you have no other symptoms especially urinary symptoms. I would recommend an ultrasound abdomen-pelvis once feasible.
Patient's Query
Thank you doctor,
What type of urinary things would I expect to see? I have not noticed any changes. Do small lumps protrude in that area if it were a kidney mass? Just trying to put my mind at ease if it is likely not worrisome.
Hi,
Welcome back to icliniq.com.
There are several different types of kidney cancer and I would rather not have you worried with the plenty of symptoms. However, let us just say for your kind of description in case of kidney cancer it would surely produce not only pain but also either bloody urine or absolutely no urine. I am happy you consulted the right person and did not believe an AI bot to diagnose and treat you. Take care.
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Internal Medicine
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