A hard lump is felt in the lower left abdomen, but it is not painful.

A hard, painless lump felt in the lower left abdomen may be caused by physiological factors or pathological conditions such as ovarian cysts or abdominal wall hernia. Appropriate management depends on the specific cause. Detailed analysis is as follows:

I. Physiological Factors

This condition may result from improper diet. Frequent consumption of spicy foods and inadequate water intake can lead to dry intestines and stool accumulation, which may present as a painless hard lump in the lower left abdomen. It is recommended to adjust dietary habits, reduce stress, and increase physical activity to promote bowel movements and relieve symptoms.

II. Pathological Factors

1. Ovarian Cyst

An ovarian cyst is a fluid-filled sac within the ovary. Prolonged psychological stress may disrupt endocrine function, increasing androgen levels and causing abnormal ovarian structures that lead to cyst formation and this symptom. The lump may feel firm upon palpation but typically causes no pain. Medical treatment at a hospital, including surgical removal of the lesion, may be necessary.

2. Abdominal Wall Hernia

An abdominal wall hernia occurs when internal organs protrude through a weakness or defect in the abdominal muscles or wall, forming a lump-like mass that is usually painless. Surgical intervention is required, which may involve repairing the defect by suturing or implanting a synthetic mesh to strengthen the abdominal wall and prevent recurrence.

In addition, similar symptoms may also be caused by other conditions such as splenic cysts, fibromatosis, or lipomas. If symptoms persist, it is important to seek timely evaluation at a general surgery department in a hospital for accurate diagnosis and effective treatment.