Conversation: The conversation between human and AI assistant.
[|Human|] I am a male at 44yrs old. In the last 6 months I have had severe pain in my lower abdominal when I cough, sneeze, or strain. I believed it to be a torn ab muscle or a hernia. There is no sign of it being swollen or bruised but it seemed to have been caused after a number of sit ups. What do you suggest I do?
[|AI|]  Hi. With your present history-pain after sit-ups and increases with coughing and sneezing suggests me to of either the strain or hernia.IS the pain pointed, meaning at a single spot or spread to the whole lower abdomen? If you can pinpoint to a single area like that of groin, it may be a hernia, being small in the beginning you may not see the bulge. If the pain is in the center or around it in the lower abdomen, it is more likely due to strain. A consultation with a Surgeon can help you the diagnosis; as also he may ask for ultrasonography to confirm the diagnosis as well as see the position of internal organs and fluid/ swelling or so. It is more important to have a proper diagnosis so that the prognosis can be better with perfect treatment.