Conversation: The conversation between human and AI assistant.
[|Human|] I have severe pain that comes and goes..about 2 inches below my belly button and to the left. I am a tennis player and thought I pulled an abdominal muscle but it has been 2.5 weeks since I last played and it still hurts. I had a ruptured appendix when I was 10 (54 now) so I know it s not htat.
[|AI|]  Hi. A tennis player with pulled abdominal muscles two and half weeks back and complaining of a pointed pain 2 inches bellow and to the left of umbilicus can be due to a small hernia, This is a bit difficult to diagnose. A clinical examination by a General Surgeon in lying and standing down position, with elicitation of a cough reflex can help the diagnosis. Another possibility is a local hematoma in the area of pain due to pulled muscle. High resolution ultrasonography helps in the diagnosis. If hernia, get operated. If hematoma take anti-inflammatory medicines, take rest till you are healed.