Ask a doctor on the topic of Internal medicine

Fear of a tumor

February 11, 2014 | 25,00 EUR | answered by Dr. med. Kathrin Hamann

Good morning,

I went to the doctor because of a stabbing pain in my abdomen, sometimes on the level of the liver, sometimes in the lower left abdomen, and sometimes in the lower right abdomen. I already asked this question here, but I can't find peace of mind. A internist did an ultrasound but found nothing. She examined (liver, gallbladder, kidneys, spleen, and pancreas, but couldn't see it completely). The liver was a bit brighter than normal but it's not serious, probably just a bit overweight. Because I can't stop thinking about it, I got another blood test done.
- White blood cells 8.9
- Red blood cells 5.4
- Hemoglobin 16.6
- Hematocrit 51%
- MCV 94
- RDW 12.3
- MCH 31
- MCHC 33
- Platelets 263
- Creatinine 0.96
- Uric acid 6.6
- Alkaline phosphatase 70
- Alpha amylase 46
- Gamma GT 23
- GOT 24
- GPT 37
- Lipase 31
- Triglycerides 141
- Cholesterol 261
- TSH 2.21

I'm afraid that this twinge is caused by a tumor or something else sinister. What else could this be caused by? Are these tests sufficient?

Please provide detailed information.

Dr. med. Kathrin Hamann

Good day, I am happy to help you further.

These wandering stabbing pains are very likely not a tumor, as it would have been seen in the ultrasound and based on the blood values.

However, since you still have complaints, other possible causes should be considered:
- Flatulence that occurs with bowel movement (air in the stomach, in gas-forming processes)
- Gastric mucosal irritation
- Gastric ulcer

Please discuss this again with your internist.

Do you have any questions about this? I am happy to help you further.

Best regards

Dr. K. Hamann