What should I do if my baby's abdomen often has hard lumps?

Patient's question:

Symptom Description: The baby is now 9 months old. Starting from the fifth month, we gradually introduced complementary foods, mainly giving fruit porridge and milk powder each day, with fruits like apple puree. After the baby turned six months, eating complementary foods like porridge often caused hard lumps in the stomach, sometimes accompanied by vomiting. The burps were sour-smelling, and the baby had a bowel movement once a day.
Medical History and Treatment Effects: We took the baby to the hospital for a check-up. The doctor diagnosed it as indigestion and prescribed medication. The symptoms improved while taking the medicine, but they returned after stopping the medication.
Help Needed: I would like to know if my baby might have any other underlying conditions.

Doctor's answer:

1. A hard lump was found in the middle of the baby's upper abdomen. If there are no discomfort symptoms, it could be a local fibroma or a manifestation of a lipoma. However, if it is inside the abdominal cavity, the most likely cause is a space-occupying lesion. It is best to have an abdominal ultrasound to determine the cause. If the lump is within the abdominal wall, this could be either a lipoma or a fibroma. If it is inside the abdominal cavity, an abdominal ultrasound needs to be performed to confirm the diagnosis.
2. The middle part of the baby's upper abdomen refers to the left side of the abdomen. If there is a hard lump there, it may be due to fecal accumulation in the sigmoid colon, which is related to constipation. On the other hand, a hard lump on the right side of the middle abdomen is not much related to constipation. It is best to go to the hospital for a check-up. Some tests may be necessary, and everything will become clear.

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