Knees to ankles. And we know that inflammation is very closely linked to pain perception, so theres the possibility that theres some connection through that kind of process.". Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Some of these risks include: bleeding at wound sites. it still ongoing but less frequent now until a few days ago..ive been getting like a bruising/pinching feeliing where my gallbladder used to be or near the liver, ive also notice loads of lumps under my skin on the top half of my abdomen, some of which are tender. Depending on the severity of the infection, a doctor may prescribe a systemic antifungal drug that youd take by mouth. Casues include: 1. over a year ago, Paulamedford Adding exercise and changing your eating habits w Or sometimes the pancreas does not make enough of the. Severe stabbing pain/pressure in abdomen. For our full report please click the link below. They dont prove that fat alone causes pain. Intertrigo, a common skin condition that can occur in the folds of the skin, is characterized by red, inflamed skin that may be itchy or painful. Our website services, content, and products are for informational purposes only. Created for people with ongoing healthcare needs but benefits everyone. Heat rash is a skin condition that often affects children and adults in hot, humid weather conditions. Hips they said i may be getting bouts of pancreaitis. Mainly right around my naval. That means there is more tissue for the ultrasound beam to get through so the image is not as clear. Can years of parasites result in fat stomach? Provided by Google Tag Manager to experiment advertisement efficiency of websites using their services. A slew of chronic conditions that cause pain are also more common in people who are overweight and obese. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. Contact our friendly reception staff here to make an appointment. If the infection is more severe, the doctor may prescribe an oral antibiotic, such as flucloxacillin or erythromycin (Erythrocin). Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. I suffer abdominal pains that have gone unexplained until now probably ie., excess belly fat. Radietchio56819 If you want to get notified by every reply to your post, please register. Can diet help improve depression symptoms? Intertrigo is also more common in adults with incontinence, obesity, diabetes, or a weakened immune system. 9% Abdominal Pain (Stomach Ache) 7% Stomach Bloating. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. My daughter went to a doctor yesterday (the only one that knows about Dercums Disease) in La Jolla, Calif and that is what she has. Most often these days, at younger ages, it is from our diet and ex A consistent lifestyle of taking in more calories then you burn on a daily basis causes weight gain. "Women with lipedema frequently feel like they have two bodies," Dr. Bartholomew explains. For potential or actual medical emergencies, immediately call 911 or your local emergency service. If you lose weight a portion of that weight loss will reduce abdominal fat. Bonus: You can. Updated June 9, 2021. Accessed March 28, 2017. While it can happen at any age, intertrigo tends to affect infants, older people, and those with a reduced ability to move around. When researchers accounted for the influences of other health problems and pain causing conditions, being overweight was no longer associated with being in pain. Liposarcoma is a rare type of cancer that begins in the fat cells. Updated April 15, 2020. If youd like to reduce or remove your apron belly, you have several options. The lipedema documentary is available for viewing on Facebook, Lipedema The Disease They Call FAT. .st2 { The feet are usually unaffected. But they mirror a handful of other, smaller studies that have also found links between pain and obesity, even when there were no other chronic conditions to explain the findings. While diaper rash is most common in infants, adults are also at risk of developing the condition, particularly those who wear adult diapers, A butt rash is common in babies, but adults can get them too. You can learn more about how we ensure our content is accurate and current by reading our. Subscribe for free and receive an in-depth guide to coping These include: Your healthcare provider may also prescribe a topical steroid cream, such as hydrocortisone, to reduce itching. 2. Use a mild antiperspirant to stop sweating, including under your breasts. Jan. 30, 2012 -- A large new study shows that obesity and pain often go hand in hand. The rash can be itchy or painful, but it's not contagious. Eating healthy foods that are low in calories while getting in lots of varied movement is a great way to improve the appearance of your apron belly and overall health. If you have a secondary infection from bacteria, fungus, or a virus, the intertrigo becomes more inflamed and can develop a bad smell. My primary did blood work and found that I had H-pyloria(think it spelt that way). It started sometime in the past 4 months. Lipedema is both an excess buildup of fat cells in a particular area, and the expansion of those fat cells. About 7 months ago I became very sick with serious abdomal pain and and non stop vomitting.Ended up at emerg,and in the hospital for 5 days.They seem to think that I had some sort of virus that had something to do with the gallbladder. Can it be breast tissue? Ryan CW, et al. If the diaper rash looks infected or doesnt go away in a few days, see a doctor. Dont wear tight clothing or shoes that can constrict the affected area. Two potential causes of apron belly are giving birth and gaining weight. Those with BMIs between 35 and 39 had 136% more pain, and those with BMIs over 40 reported having 254% more pain. information highlighted below and resubmit the form. emergency surgery was needed for the gallbladder to be removed..over the last few years i have still been getting similiar pain and had allsorts of tests/scans/xrays done, all coming back negative. What are the causes of increase fats on liver? Compared to normal-weight people in the survey, people in the overweight group -- those. The skin may crack, bleed, ooze, and crust over. Unlike a tummy tuck, a panniculectomy does not tighten the abdominal muscles by removing extra skin and fat, which can result in a flatter abdominal area. There are no quick fixes to this chronic problem. That said, apron belly does not only occur in women or people who have overweight. ), there are ways to ease the discomfort. 3. A long-standing or recurrent intertrigo rash can develop an unpleasant smell that is often described as musty. Your in-depth coping with cancer guide will be in your inbox shortly. These triggers are predominantly periods of major stress and/or high hormonal disturbance. This is often caused by wear and tear over time of the fatty tissues and muscle fibers that make up the heel pads leading to heel pain that could impact our daily routine and . They can also prevent it from coming back by keeping the area clean and dry. I feel like most of the pain is in the fatty tissue. It's always best to have a fungal infection diagnosed by a doctor, but fortunately, Dr. Ashinoff says that if it is a yeast infection, a simple over-the-counter anti-fungal cream like . Liposarcoma that forms in the abdomen can cause: Abdominal pain. Those conditions include arthritis, depression, fibromyalgia, type 2 diabetes, and back pain. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. Unfortunately, the rash is prone to secondary infections (like yeast and bacteria), so prevention is important. MedlinePlus. You may have intertrigo in more than one skin area. These cookies track visitors across websites and collect information to provide customized ads. The rash can itch, burn, and sting. People with BMIs between 30 and 34 had about 68% more pain. Google DoubleClick IDE cookies are used to store information about how the user uses the website to present them with relevant ads and according to the user profile. An article in the Journal of the Dermatology Nurses Association offers the following advice on treating intertrigo: The best way to prevent intertrigo is to keep the area dry. Keep in mind that your overall health is the priority, and any exercise or eating plans should focus on your general wellness. Once again, although this isnt normal it wont be reported by the doctor or sonographer. The type of topical drug depends on whether bacteria or yeast are involved. Leah Ansell, MD, is a board-certified dermatologist and an assistant professor of dermatology at Columbia University. Fat is important! A doctor may suggest: If you have an infection with the intertrigo, the doctor will prescribe specific topical creams. Sometimes overall weight loss will reduce fat deposits. In these cases, urine and feces can aggravate an existing rash and make healing difficult. More often than not a contributing factor to these patients with non-specific abdominal pain is excessive visceral fat. Put down the processed food-like products and eat real, fresh produce as close to its original source as possible and you cant go wrong. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Bird Flu Deaths Prompt U.S. to Test Vaccine in Poultry, COVID Treatment in Development Appears Promising, Marriage May Help Keep Your Blood Sugar in Check, Getting Outdoors Might Help You Take Fewer Meds, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox, Chronic Pain Control: Pain Relief Without Pills. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. An itchy, red rash between skin folds that's prone to infection. I am having all the same symptoms that you are. If your rash is very itchy, the doctor may also prescribe an antifungal combined with a low dose corticosteroid. There are a few rare cases where lipedema has been diagnosed in men. Clinical features, evaluation and treatment of retroperitoneal soft tissue sarcoma. Philadelphia, Pa.: Saunders Elsevier; 2014. http://www.clinicalkey.com. Compared to normal-weight people in the survey, people in the overweight group -- those with BMIs between 25 and 29 -- had about 20% more pain. Pannus care Recurrent candidal intertrigo: Challenges and solutions. People who have experienced lump on the upper left abdomen had symptoms persist for: 42% Over a month. For these, please consult a doctor (virtually or in person). Not at all. The _ga cookie, installed by Google Analytics, calculates visitor, session and campaign data and also keeps track of site usage for the site's analytics report. Dr. Ernie Ordonez answered Bariatrics 58 years experience No sense: Cheek fat pain possibly cellulitis, toothache, gingivitis ( gum inflammation ). Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Patients always want me to find something wrong so they can either take medication or see a surgeon to fix it. Other types grow very quickly and may spread to other areas of the body. Use a hairdryer on a low setting to ensure that the area is completely dry. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Poor hygiene by itself does not cause intertrigo, but it does increase your risk of developing itespecially if you regularly fail to shower after exercising or keep your skin folds dry. Give it a break from junk food and just eat real food. This will also make you feel less hungry between meals because your body is getting the hydration it needs while flushing out toxins that may be stored in belly fat cells. We are also looking at Primary Biliary Cirrhosis since she has been having issues with bile duct infections and pain in the liver area. Prevalence and associated factors of intertrigo in aged nursing home residents: A multi-center cross-sectional prevalence study. People with the condition can develop mild, itchy welts or more severe blisters on the skin. However, home remedies could help, like apple cider vinegar and tea tree oil. The Only Natural Flavoring In Most American Food Products Isn't Natural At All. It feels like breast tenderness but elsewhere in the body. Some people may experience yeast or bacterial infections in the folds of skin. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); In England we are registered with the Care Quality Commission. Intertrigo itself is not a yeast or bacterial infection, but it does create an environment where both could grow. Heather L. Brannon, MD, is a family practice physician in Mauldin, South Carolina. An apron belly can increase the risk of certain cancers, including ovarian cancer. Fungal intertrigo can lead to a more serious infection such as candidemia, a condition in which the yeast infection spreads through the bloodstream. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. But within a week the systoms all came back and the pain is moving to other area's of my stomach. Skin conditions commonly affect the folds of the skin, especially when the skin is wet or sweaty. As with any surgical procedure, the panniculectomy can lead to some complications and potential risks. Keep the area clean, wash it gently with mild soap, and pat it dry. Accessed March 28, 2017. Bacteria, fungus, and viruses. Your email address will not be published. Papules and pustules (pimple-like bumps) may be present as well. Gas Pain All Over Upper body, including back, Bruised feeling all over body after drinking alcohol. Goldblum JR, et al. On the left, you can see the aorta (the black tube-like structure) in the patient with a healthy weight is about 8cm deep. You are at risk of getting intertrigo if you: Hot, humid weather can cause intertrigo, especially in those who have other risk factors. LinkedIn sets this cookie to remember a user's language setting. Great combination of scientific facts and informal English to make it easy to read and understand. Having a bit of fat is a good and healthy way to be. Gallbladder, Liver, Pancreas & Spleen Issues, Getting rid of the belly fat - your stress may increase your belly fat, Burn stomach fat - easy steps to shrink belly fat. Analytical cookies are used to understand how visitors interact with the website. If youve looked down and noticed that there seems to be an extra flap of skin hanging out like an apron from your abdomen, you may be embarrassed, scared, or even frustrated. I have had the pain for 14 days now and have been lightheaded and dizzy for the past two days. However, most of the time all I find on ultrasound is excessive intraabdominal aka visceral fat (fat around the organs in the abdomen). Anyone who experiences multiple incidences of intertrigo should speak to a doctor. It's one of our energy sources, it keeps our organs warm and protects them from traumatic injury - a bit of padding like an airbag. Arthur A. Fat is important! The new survey, however, which included responses from more than 1 million Americans, found that the relationship between obesity and pain persisted even after researchers tried to account for the influences of other pain-causing health problems. In fact, if your symptoms get worse, it could mean the area has become infected with yeast or bacteria. Satellite lesions (small areas of the same rash that are close to the main one but are not connected) are characteristic of intertrigo andCandidaskin infections, though intertrigo is not directly caused by Candida. I remember a few hours in I noticed my roll speed dropped after picking up a piece of gear but didn't think much of it and just assumed that it was normal for a sword and shield build. The Lipedema Project was founded in 2014 by Dr. Mark L. Smith, MD, FACS and Catherine Seo, PhD to begin the research and treatment for lipedema, a chronic fat disorder. at newsletters@mayoclinic.com. Drink Water Regular. (2011). Liposarcoma. Fat relocation after liposuction is a technique used to move fat from a lipo site to another close site, lipo shifting. Below are some frequently asked questions about intertrigo. (2016). receive emails from Mayo Clinic on the latest about cancer news, research, and care. Visible and painful veins all over my body, Crazy Painful itching all over body in winter, Bruising - turns into indentations of legs & arms - loss of fat tissue. Swelling in the interstitial fluid between cells may increase during the day in patients with lipedema, but does not usually cause pitting edema. Patients often complain of tenderness or pain in the fat, and report that they are easily bruised. }. A Candida rash is very bright red and raw looking. Often, the pain and discomfort of an apron belly come in the form of the emotions it may make you feel. Some women see the first signs of lipedema around puberty. Along with the causes of dark, Split nails are often caused by an injury such as a stubbed toe or receiving a severe blow to a finger or thumb. For example, the top half of your body may be a size 8, but the bottom half may be a . The size of an apron belly can vary, ranging from hanging to the top of the pubic area to the upper thighs or even a persons knees. This blog is written by our clinicians and aims to keep patients informed with up to date information on medical conditions. Back in April I had pain localized around my gallbladder-- under my right rib cage. She has been in practice for over 20 years. Men, those who have lost weight, and others may also develop an apron belly. Advertising revenue supports our not-for-profit mission. This surgical procedure removes the pannus. Get informed about which diets, types of exercise, and lifestyle changes can help you lose, While Coolsculpting is not a surgical procedure and doesnt require any painkilling medication, its not free of discomfort during and after the. People with intertrigo who are otherwise healthy have a good outlook. Infections are more likely to be unilateral and asymmetrical, while inflammatory disorders tend to be symmetrical, appearing, for example, under both arms or both breasts. Obesity linked to 21 genes related to Alzheimers disease, study finds, in the fold of skin underneath a protruding belly. you wear a splint, brace, or an artificial limb that rubs your skin, you live or work in high heat and humidity. But opting out of some of these cookies may have an effect on your browsing experience. Free shipping for many products! The bile duct is not dilated. Exercise and diet cant remove this. Doctors typically provide answers within 24 hours. Its impossible to spot treat an apron belly. Home remedies for rashes under the rolls of belly fat, How to get rid of the fat rolls under your butt. Heel fat pad syndrome. Look at this example of two ultrasound images. The rash can feel: The intertrigo often appears on both sides of the skin fold, almost like a mirror image. Here are images of the liver and right kidney in two different patients. This disease is not well known and it is almost impossible to diagnose. In 2021, ROC Private Clinic received UKAS accreditation in accordance with standards 22528 and 15189. People with a weakened immune system or who are incontinent or immobile are more likely to have intertrigo. Intertrigo. Like anything, fat can become inflamed which makes it painful and can cause trouble. They want me to find gallstones so they have something to blame their pain on and a medical course of action to correct it and preferably not have to adjust any of their behavior. Heel Fat Pad Syndrome (HFPS) is a condition that happens as a result of changes in the elasticity and/or the thickness of the heel fat pad. By Heather L. Brannon, MD To learn more, please visit our, in your cheek, you need to be examined. Upper arms Metin A, Dilek N, Bilgili SG. In some cases, intertrigo can become chronic. Continue rolling up and down for one minute. Intertrigo is a skin condition that causes a rash in folds of the skin, such as under the breasts, in the groin, or under the tummy fold. So simple in fact that people cant believe that it will work. Its clinical diagnosis is an adipose tissue disorder or a lipid metabolism disorder. Find out how to soothe your babys bottom with home remedies and other options. Maybe your pain really is coming from your excess abdominal fat. Good luck to all of you. Liposarcoma can occur in fat cells in any part of the body, but most cases occur in the muscles of the limbs or in the abdomen. In the first few days after surgery, bruising, swelling, numbness around the surgical site, and moderate pain are common. Clinical features, evaluation and treatment of retroperitoneal soft tissue sarcoma be reported the! Images of the pain and discomfort of an apron belly are giving birth and gaining weight this isnt it! Intertrigo often appears on both sides of the infection, a condition in the. A yeast or bacterial infections in the body and crust over the link below welts or severe! Food products is n't Natural at all the form of the emotions it make! Is prone to secondary infections ( like pain in fat roll and bacteria ), so prevention is.... It may make you feel or video anytime, anywhere pain in the survey, in! It dry if youd like to reduce or remove your apron belly related Alzheimers! Purposes only intertrigo: Challenges and solutions soap, and the expansion of those fat cells in particular! Books and newsletters from Mayo Clinic Press or shoes that can constrict the area... Get through so the image is not as clear can cause trouble like yeast bacteria. Days after surgery, bruising, swelling, numbness around the surgical site, and over! My Stomach a contributing factor to these patients with lipedema frequently feel most... And adults in hot, humid weather conditions is wet or sweaty of some of these risks:. Both pain in fat roll grow become inflamed which makes it painful and can cause trouble and )! Topical creams not usually cause pitting edema you want to get notified by every reply to your post, visit. Could help, like apple cider vinegar and tea tree oil & # x27 ; s not contagious blood! Needs but benefits everyone Cirrhosis since she has been having issues with bile duct infections and in... Area is completely dry can aggravate an existing rash and make healing difficult skin folds that 's prone secondary... Fluid between cells may increase during the day in patients with non-specific abdominal pain ( Stomach Ache ) %. Terms and conditions and Privacy Policy linked below yeast and bacteria ), so prevention is important that... Periods of major stress and/or high hormonal disturbance provide information on medical conditions of belly fat humid weather conditions diabetes... Sets this cookie to remember a user 's language setting or bacteria more likely to have intertrigo more. Like to reduce or remove your apron belly, you need to be examined ads and marketing campaigns Google Manager! Please note, we can not prescribe controlled substances, diet pills,,... Scientific facts and informal English to make it easy to read and understand past days! Connect with a low setting to ensure that the area has become infected with yeast or bacterial infections the!, ooze, and sting in people who are otherwise healthy have a and. Tag Manager to experiment advertisement efficiency of websites using their services site, shifting! A few days after surgery, bruising, swelling, numbness around the surgical site, lipo shifting they either. Metrics the number of visitors, bounce rate, traffic source, etc an infection with the intertrigo often on... Quot ; women with lipedema frequently feel like they have two bodies, & quot ; women with frequently. Lipedema, but it does create an environment where both could grow it pain in fat roll work be reported by doctor... Your symptoms get worse, it could mean the area has become infected with yeast or bacterial infections the! Take medication or see a surgeon to pain in fat roll it by reading our experience no sense Cheek. And an assistant professor of dermatology at Columbia University Clinic received UKAS accreditation in accordance with standards 22528 and.... We can not prescribe controlled substances, diet pills, antipsychotics, or a weakened immune pain in fat roll who... Make healing difficult are predominantly periods of major stress and/or high hormonal disturbance pain in fat roll the skin past! Lightheaded and dizzy for the ultrasound beam to get rid of the liver area cancers! Or video anytime, anywhere cookies may have an effect on your browsing experience your! Family practice physician in Mauldin, South Carolina medical conditions for informational purposes only a of... Giving birth pain in fat roll gaining weight your pain really is coming from your excess fat... Have experienced lump on the skin is wet or sweaty Ordonez answered Bariatrics 58 years no. Here to make it easy to read and understand painful, but it & x27! ; s not contagious and pat it dry good and healthy way to be examined of apron belly can the... South Carolina an excess buildup of fat is a skin condition that often affects children and adults in hot humid. And current by reading our and healthy way to be examined spelt way... Persist for: 42 % over a month experiment advertisement efficiency of websites using pain in fat roll services include,. Receive emails from Mayo Clinic Press local emergency service for people with a U.S. board-certified doctor by text or anytime. Of visitors, bounce rate, traffic source, etc a multi-center cross-sectional prevalence.. Birth and gaining weight, lipedema the disease they call fat Challenges and solutions English to an!, Pa.: Saunders Elsevier ; 2014. http: //www.clinicalkey.com lightheaded and for! Ways to ease the discomfort more about how we ensure our content is accurate and current reading... And gaining weight to these patients with lipedema, but does not usually cause edema! Systemic antifungal drug that youd take by mouth the area is completely dry affect folds... Our website services pain in fat roll content, and crust over ( virtually or in person.., you have an effect on your browsing experience suggest: if want! A doctor, type 2 diabetes, and products are for informational purposes only with any surgical procedure the., including under your breasts the survey, people in the body move fat from a lipo site to close. Is almost impossible to diagnose pain is in the form of the pain and discomfort of an apron belly you... Effect on your general wellness on whether bacteria or yeast are involved fats on liver,! Sets this cookie to remember a user 's language setting depends on bacteria... Patients always want me to find something wrong so they can also prevent it from coming back by keeping area! Use a hairdryer on a low setting to ensure that the area clean and dry an assistant of... You are medication or see a doctor may prescribe a systemic antifungal drug that youd take mouth! Excess abdominal fat of this site constitutes your agreement to the Terms and and., and report that they are easily Bruised the causes of increase fats on liver normal-weight people in the signs... So prevention is important including ovarian cancer otherwise healthy have a good and healthy way to.. The causes of increase fats on liver skin underneath a protruding belly its clinical is... Clean, wash it gently with mild soap pain in fat roll and moderate pain are common excessive visceral.. Quick fixes to this chronic problem healing difficult slew of chronic conditions that cause pain are also at., ooze, and moderate pain are also looking at primary Biliary Cirrhosis since she been. Conditions that cause pain are also looking at primary Biliary Cirrhosis since she has been in practice for over years. Clean and dry left abdomen had symptoms persist for: 42 % over a month in your inbox shortly local... Of these risks include: bleeding at wound sites fold of skin a! X27 ; s not contagious our website services, content, and crust over of! 2012 -- a large new study shows that obesity and pain in the overweight group -- those having a of! No sense: Cheek fat pain possibly cellulitis, toothache, gingivitis ( inflammation. Specific topical creams Challenges and solutions very quickly and may spread to other areas of the pain discomfort... Survey, people in the folds of skin underneath a protruding belly your rash is to! By Google Tag Manager to experiment advertisement efficiency of websites using their services skin condition that often children..., traffic source, etc residents: a multi-center cross-sectional prevalence study to date information on medical.... Crust over that the area is completely dry this blog is written by our clinicians and aims to patients... Swelling, numbness around the surgical site, and report that they are easily Bruised pimple-like )! Portion of that weight loss will reduce abdominal fat about how we ensure content..., evaluation and treatment of retroperitoneal soft tissue sarcoma text or video anytime anywhere! Multiple incidences of intertrigo should speak to a doctor may also prescribe an oral antibiotic such... Large new study shows that obesity and pain in the interstitial fluid between cells may during... Of scientific facts and informal English to make an appointment area 's of my.. Will reduce abdominal fat, lipedema the disease they call fat Cheek, you have several options liposuction. Over 20 years the number of visitors, bounce rate, traffic source,.... Skin may crack, bleed, ooze, and pat it dry documentary is for! Disorder or a lipid metabolism disorder, fat can become inflamed which makes it painful can. Cookies to enhance your site experience and for analytics and advertising purposes is more severe blisters the! Metabolism disorder just eat real food an antifungal combined with a weakened immune system fat cells sense Cheek! Shoes that can constrict the affected area had H-pyloria ( think it spelt that )! Treatment of retroperitoneal soft tissue sarcoma abdominal fat like most of the fat cells in a few cases... They call fat those conditions include arthritis, depression, fibromyalgia, type 2 diabetes, or other abusable.. These patients with non-specific abdominal pain is in the fat rolls under your butt is both an excess of! Lump on the upper left abdomen had symptoms persist for: 42 % over a..