Conversation: The conversation between human and AI assistant.
[|Human|] I have a lump just below and to the left of my bellow button. It is sometimes painful, but never a sharp pain, just a dull ache. I have several more on my stomach and back that have been diagnosed as benign lipomas. Should I be worried about this one or should I just assume it s the same thing? Thank you!
[|AI|]  Hi. Thanks for your query. Noted the history and understood your concerns. Since you have multiple lipomas on back and abdomen, the lump below and to the left of the naval area can be a lipoma. But lipoma is never tender.Hence, you have to rule out para-umbilical hernia. Please check yourself by putting a palm over the lump and cough hard to see whether there is an increase in its size, also called as impulse on coughing. If present this is a hernia and get this confirmed by an examination done by a General Surgeon, high resolution ultrasound and get operated. If this is a lipoma, still it needs to be operated to see the exact diagnosis as it has become tender and this is not a good sign.