Conversation: The conversation between human and AI assistant.
[|Human|] Ive had abdominal pain for about 3 days now. The first day it felt like it was worst in the space between my ribs and navel then the second day it seemed to move into my lower left quadrant (from my perspective) Today is the 3rd day and it seems to be worst in the center under the navel. Ive also noticed today a mass/knot like thing on my pelvis, about two inches to the right (again my perspective) of my navel and 4-5 inches down. The mass seems globular in shape and is just under an inch in diameter. Its not sensitive to touch and its difficult to locate it when Im sitting or laying down but when I stand its very easy to find.I would describe the pain in my abdomen as achey or crampy and it was worst the first day. It seems to be worse at night and I feel like the pain is gone etirely when I first wake up but then within an hour it slowly starts coming back. Certain movements that put more strain on my abdomen seem to make it hurt more as well as touch.What could this be?
[|AI|]  Hi. Thanks for your query. The key to the problem looks to be the mass you are feeling on the right side of the abdomen. This looks to be a hernia, the obstruction causing it to be palpable and causing the referred pain in the upper abdomen on day one, left on day 2 and then locally on day three. I would advise you the following:Get a physical examination by a Surgeon to have a clinical diagnosis. Get an ultrasonography and CT scan. If this is a hernia you may need urgent intervention to avoid the complications of obstruction and gangrene of the entrapped intestine