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question:I have what I assume to be a cyst or form of lipoma(?) on the midsection of my back directly in sync with my spinal cord. It is skin colored, painless by touch, and semi-mobile about the size of a nickle. I have had it for 2 years and I have acute back strain which I think may be caused by this since I have had discomfort for about 1 1/2 to 2 years as well. How can I diagnose if this is really the cause of my discomfort and get it covered by insurance to have it removed?

answer:Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query.well you have mentioned about your backstrain since last 2 yearsand have Cyst /Lipoma which u r not sure on Midsection of Back.In Such Casestreatment depends on factor of involvement of Spinal CordA) ; If this Cyst / Lipoma or Lump of some other etiology is Superficial which means that if it involves Skin or subcutaneous tissues (Tissue below skin) then Treatment is Excision by Surgery B) ;If this Lump has Spinal Cord involvement then treatment is totally different...The Surgeon (Neuro/Spine) evaluated the Spinal Cord involvement and the extent of involvement byClinical examinations MRI spineand further treatment is guided by the extent of involvement by Neurosurgeon/Spine Surgeon. Hope this may help you. Let me know if anything not clear. Thanks.

question:Hello, 5 yrs ago I went to the dr with a pea sized lump in my left breast that was very sore. You could not feel it from the outside but it felt like a pebble in your shoe.they advised me to take vitamin d and quit coffee.now the pea sized lump is the size of a large grape and there is a new one that ive just noticed. I am self employed and do not have insurance. I've heard cancer does not hurt and these do. Should I worry?

answer:Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query.you have mentioned that you had pea size lump in your breast which has now enlarged ...one of the key indication for breast evaluation by physician is Increase in size of already existing breast lump.I understand that you have mentioned about your self employement and having No insurance then it doesn't mean that you should Neglect such lesions . remember that breast lumps are common. Most often they're noncancerous (benign), particularly in younger women. Still, no matter how old you are, it's important to have any breast lump evaluated by a doctorBreast lumps can be caused by different reasonslike infections, injuries, non-cancerous growths, and canceryou should consult your physician (GP)/Breast physician for early assessment and work up since it's recommended and early detection and treatment of breast pathologies have better outcome with good prognosis .Hope this may help you. Let me know if anything not clear. Thanks.

question:There is a small lump about 2 inches left of my belly. When you press on it, it feels as though something is protruding underneath. No other symptoms blood in stool, fever, loss of weight etc. with the exception of possible bloating at times. I am menopausal and have had irregular period patterns. That's it. Any ideas.

answer:Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query.keeping in view your presentation of Symptoms of this belly Lump, it seems to be either Paraumbilical Hernia orUmbilical Hernia ...and another Hernia which present in this region is Epigastric but thats a little higher and above between the belly button and mid chest...Such lumps need evaluation by the General Surgeon and clinical examination whether the lump is involving skin/under skin tissue or it's something protruding from inside of the Abdominal wall.to role out these, Ultrasound evalution is done for the Nature of the lump /contents and for the defect in the Abdominal wall...Treatment is then Cause directed accordingly.Hope this may help you. Let me know if anything not clear. Thanks.

question:Hi, my husband had a small hard lump on the back of his neck just below his hairline. He asked me to look at it to see if it was an ingrown hair or pimple. While looking at it i squeezed it and a large amount of smelly white worm-like stuff came out of it. It was incredibly smelly. The lump seems to have gone now and there don't appear to be any marks...what was it and should we get it checked out?

answer:Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query.you have mentioned that your husband has Samll hard lump at the Nape of the neck which looked as if it was ingrown hair or pimple...when sqeezing you observed smelly white worm like stuffIt's most Probably Sebaceous Cyst. although it has gone but such lumps need complete excision with their covering as they Recur.Sometime , infected lesions or swelling also present with whitish discharge which is Pus ... but this Cheesy whitish stuff is typical of Sebaceous Cyst.you should consult general surgeon for evaluation .Surgical excision of a sebaceous cyst is a simple procedure to completely remove the sac and its contentsAn infected cyst may require oral antibiotics or other treatment before or after excision. If pus has already formed then incision and drainage should be done along with avulsion of cyst wall with proper antibiotics coverage.Hope this may help you. Let me know if anything not clear. Thanks.

question:Lump on shin? I have a small hard lump on my left shin. It is not visible but you can feel it when you rub your hand up and down the shin bone. It does not hurt when pressure is applied. I have just noticed it in the past few months and it hasn't gone away. Could you please tell me what this could be and who I should see?

answer:Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query.you have mentioned about the lump in the region of shin which is quite small and does not hurt even when pressure is applied ...It can be Lipoma, a collection of fatty tissue which are usually painless and Benign ( Non Dangerous)Sebaceous Cyst is another such swelling but it has some central spot or pore in most of the cases In Case , you had some traumatic injury to this region of the body thenHaematomas which with time become calcified and hard present like thisGanglion is another condition which present as hard lump under skin...your second concern was who you should seeyou should visit your physician (GP) or better you can consult some General Surgeon for evaluation , work up and treatmentHope this may help you. Let me know if anything not clear. Thanks.

question:I am 47 yrs. old and have very heavy periods but don t bleed inbetween cycles. I have had several anxiety attacks and been hospitalized for tachycardia- which they say is all psychological. I wore a Holter monitor for a day and the doc said my heart is fine- i don t have mvp like i thought i did. I am thin . i eat well but i do not exercise like i should. i don t know whether i am outof shape or not - oh, by the way, the doctor said i had 10 pvc s during the course of a day with the holtor monitor on- but when i walk upstairs my heart beats way too fast . , then, it takes too long to come back down. maybe i am out of shape. also, sometimes, i can feel my heart beat skipping a beat.- like maybe i am holding my breath or something. i have 3 children to raise and i want to see them grow up. i am scared i have something really wrong with my heart. they did a stress echo and that, too, was just fine. also, during the second half of my menstrual cycle is when i feel anxious and all this weird stuff with my heart. i take iron when i think about it but probably could take it daily . ( i take ferrous sulfate). i am just so scared something is really wrong and the cardiologist missed it. thank you for your answer. helen bird

answer:your symptoms may be peri-menopausal. need further details about hot flushes and other similar symptoms. betablocker should be used at present.

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