### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am a 40 year old female with Sjogrens, Lupus, Raynauds with pancreatic involvement.  I am on multiple medications.  For several years, I have had lumps in the abdomen that appear. Then if I rub or slightly push on them, they cannot  be seen any longer.  Last night one came up and I pushed lightly and I could feel it burst.  That is the first time that has happened.  It is still somewhat sore.  I have asked several doctors about the lumps before, but am always met with puzzled looks and no answers.  Now that this one has burst, I am wondering if I should be concerned.

### output:

Hi, Welcome to Chat Doctor. Based on the facts of your query, though you suffer from multiple ailments Like Progress, Raynauds, Pancreatic involvement with multiple medications, for which I feel sorry for you, YOur lump in abdomen which you felt burst inside -is due to the Epigastric Hernia with partial obstruction of the hernial mesentery or preperitoneal fat. So when you pressed last night, the first time obstructed hernial lump contents got reduced inside the abdominal cavity, and the area is still soared, may be due to the partial reduction of the adhered preperitoneal contents in it. Your experience quoted in your query, that after rubbing or pushing the lump used to vanish. So don't worry about the burst lump, but it is reduced Epigastric Hernia with partial reduction of its contents. Remedy-Consult ER Surgeon. Get the USG of the lump done. After reviewing the other body status, your Surgeon would plan urgent or a planned Epigastric Hernial Repair soon. This would resolve the current issues with this lump in abdomen. So don't worry it. Consult your Surgeon who would treat this lump with all the care it needs. This reply would resolve your current issues and would reduce your anxiety with it. Hope this reply would help you to plan treatment with your doctor. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS