Lipoma beside the umbilical. I can't attach a picture because the lipoma is not visible. Any suggestions?

Lipoma near the umbilicus. need to make sure this is not an umbilical hernia, with fat herniation.If there is any question then an MRI of the abdominal wall is needed

It is unusual for lipomas to cause this degree of symptoms and, with the location you describe as "next to the umbilical," I would be concerned that this may actually represent an umbilical hernia.  If so, then the "fat" you're feeling and/or seeing actually represents internal (pro-peritoneal) fat or, even worse, abdominal contents, pushing through a defect in the abdominal wall.  This is actually fairly common at the level of the umbilicus.I'd recommend an assessment by a general surgeon, and probably including a non-invasive diagnostic imaging test, such as an MRI or CT Scan.  At that point you'll have a better idea of which way to go.In general, lipoma removal is a (relatively) small procedure that can, in fact, be done on an outpatient basis involving just a few hours at the facility.  But in general - and for sure in your case - you need to be pretty sure of the diagnosis before proceeding.I hope that this helps and good luck,Dr. Alan EnglerMember of #RealSelf100@RealSelf