Conversation: The conversation between human and AI assistant.
[|Human|] I have a constant dull pain on the lower right side of my abdomen . When I lay down and press in firmly I do feel a small hard lump. My bowels often feel like they are strangled, some sort of stricture happens and I am unable to have a BM and my blood pressure goes up. What is going on? I have had four abdomenal surgeries in the past.
[|AI|]  Hi, Lower right qua Chat Doctor.  The most common one being appendicitis / appendicular mass. Other possibilities are mesenteric lymphadenitis, inguinal hernia, muscular ache and so on. The abdominal pain and lump in right lower abdomen concerns me. Since you been exposed to 4 previous abdominal surgeries, there are chances that what you could have be related to those surgeries. A detailed abdominal examination, ultrasound examination and or CT/MRI scans of abdomen is warranted to confirm the diagnosis. I suggest you to report to your gastroenterologist.  Hope this helps. Wish you good health. Regards